Mobilization for peripheral joints Flashcards
Resting position for the ankle
10* PF
Resting position for the carpometacarpal joint
anatomical (neutral) position of the wrist
Resting position for the GH joint
55* Abd
30* Horix add
Resting position for the hip
30* flexion
30* abd
slight ER
Resting position for the IP joints of fingers
slight flexion of IP joints
Resting position for the MCP joints
slight flexion
Resting position for the radiocarpal joint
neutral flex/ext
slight ulnar dev
Resting position for the radio humeral joint
anatomical position
Resting position for the radioulnar (proximal) joint
70* elbow flex
35 * supination
Resting position for the ulnohumeral joint
70* elbow flexion
10* supination
Resting position for the radioulnar (distal) joint
10* supination
Resting position for the tibiofemoral joint
25* knee flexion
Where is the treatment plane located?
in the concave partner
What is a Grade I distraction? Grade II? Grade III?
Grade I = initial joint separation, small amplitude with no stress on capsule
Grade II = to point of resistance, tightening capsule tissue
Grade III = applied beyond tissue resistance, stretching capsule
What is a Grade I articulation technique? Grade II? Grade III? Grade IV?
Grade I = beginning of the range
Grade II = within range not reaching the limit
Grade III = up to the limit of the available motion and are stressed into the tissue resistance
Grade IV = at the limit of the available motion and stress into tissue resistance
What grade of distraction technique would you use to increase ROM?
Grade III
What oscillation speed would you use for grades I, II, III, and IV articulation techniques?
I and IV = small-amplitude; vibrations
II and III = large amplitude; 2-3 per second for 1-2 minutes
What grade of oscillations would you use as a stretching technique?
Grades III and IV
What grades of oscillations are used primarily for treating joints limited by pain or m guarding?
Grades I and II
- may have an inhibitory effect on the perception of painful stimuli by repetitively stimulating mechanoreceptors that block nociceptive pathways at the spinal cord or brainstem levels
- mom stretch motions may help move synovial fluid to improve nutrition to the cartilage
What grades of articulation techniques are used in pain dominant patients?
Grades I and II
What grades of articulation techniques are used in stiffness dominant patients?
Grades III and IV
What sustained distraction technique should be applied to painful joints?
Grade I and II intermittent distractions for 7-10 seconds with 2-3 s rest between application
What sustained distraction technique should be applied to restricted joints?
Grade III stretch force lasting min of 6 s, followed by a partial release of the distraction force to grade I or II for 3-4 seconds (repeated)
