Mobilizations Flashcards
2 types of synovial joints
Simple (3 axes or less_
Complex (more than 3 axes)
Components of 3-D joint positioning (5)
- Zero position
- Resting position
- Actual resting position
- Non resting position
- Closed-packed position
What is the zero position?
Starting position - use of goniometer
When is the resting position?
Periarticular structures are most lax
When do we use the resting position? What grades?
Used in joint play - evaluate and feel
Treating sx grade 1-2
Treating hypomobility
Minimize secondary joint damage
What is the actual resting position?
Position where patient feels least discomfort
When do we use actual resting position?
Presence of intra or extra-articular pathology or pain
May be initially used in evaluation and treatment
What is the non resting position?
Maybe area where subtle joint dysfunction becomes apparent
What is the closed-packed position?
Where joint capsule and ligaments are tight or maximally tensed
Maximal contact between articular surfaces
4 types of bone and joint movement
Rotations
Translations
Curved (angular) movement around an axis
Linear (straight-lined) movements parallel to an axis in one plane
The direction of the rolling component of joint roll-gliding is always in ____ of the bone movement
same direction
What is the preferred method for direction of restricted gliding and why?
Glide test (direct method)
Because it is the most accurate
2 methods for direction of restricted gliding
Glide test (direct method)
Kaltenborn’s convex concave rule (indirect method)
The Kaltenborn Treatment plane remains with the ___ joint surface whether the moving joint partner is concave or convex
Concave
Explain the concave convex rule
Male are illogical (opposite), female are logical (same)
Convex rule = if the moving joint partner’s surface is convex, the treatment is opposite to the bone movement
Concave rule = if the moving joint partner’s surface is concave, bone movement and treatment are in the same direction
Joint compression can result from 3 types of situations
- Forced passive bone rotations stretching through a long lever
- Forced passive bone rotations stretching through a short lever
- Improperly applied techniques intended to avoid compression
Grade 1 of Kaltenborn’s scale
Loosening
Grade 2 of Kaltenborn’s scale
Tightening overall
Slack zone and transition zone
Grade 3 of Kaltenborn’s scale
Stretching
Grades of Maitland scale
All within the pathological limit of range
On grade 1 to 4 with overlap for 2-3-4
Different feels in the Kaltenborn’s scale throughout the mob?
Start, First stop, (end-feel), Final stop
Purpose of grade 1 (K)
Relieve pain
Use of traction with glide to reduce joint compression
Purpose of grade 2 (K in slack zone)
Relieve pain
Spasm
Maintain or increase ROM
Purpose of grade 3 (K)
Increase mobility and joint play by stretching shortened tissues
3 types of joint mobilization
Pain relief mobs
Relaxation mobs
Stretch mobs
*Manipulation (not done in this class)
Where does pain relief mobs work in?
Grade 1-2 Slack zone in the (actual) resting position
Where does relaxation mobs work in?
Grade 1-2 in the (actual) resting position
Where does stretch mobs work in?
Grade 3 in the (actual) resting position
Grade 3 at the point of restriction
Go review upper and lower mobs images in PPT
Mobs part 1 and 2
