Mobilizations

Question 1

2 types of synovial joints

Answer 1

Simple (3 axes or less_
Complex (more than 3 axes)

Question 2

Components of 3-D joint positioning (5)

Answer 2

• Zero position
• Resting position
• Actual resting position
• Non resting position
• Closed-packed position

Question 3

What is the zero position?

Answer 3

Starting position - use of goniometer

Question 4

When is the resting position?

Answer 4

Periarticular structures are most lax

Question 5

When do we use the resting position? What grades?

Answer 5

Used in joint play - evaluate and feel
Treating sx grade 1-2
Treating hypomobility
Minimize secondary joint damage

Question 6

What is the actual resting position?

Answer 6

Position where patient feels least discomfort

Question 7

When do we use actual resting position?

Answer 7

Presence of intra or extra-articular pathology or pain
May be initially used in evaluation and treatment

Question 8

What is the non resting position?

Answer 8

Maybe area where subtle joint dysfunction becomes apparent

Question 9

What is the closed-packed position?

Answer 9

Where joint capsule and ligaments are tight or maximally tensed
Maximal contact between articular surfaces

Question 10

4 types of bone and joint movement

Answer 10

Rotations
Translations
Curved (angular) movement around an axis
Linear (straight-lined) movements parallel to an axis in one plane

Question 11

The direction of the rolling component of joint roll-gliding is always in ____ of the bone movement

Answer 11

same direction

Question 12

What is the preferred method for direction of restricted gliding and why?

Answer 12

Glide test (direct method)
Because it is the most accurate

Question 13

2 methods for direction of restricted gliding

Answer 13

Glide test (direct method)
Kaltenborn’s convex concave rule (indirect method)

Question 14

The Kaltenborn Treatment plane remains with the ___ joint surface whether the moving joint partner is concave or convex

Answer 14

Concave

Question 15

Explain the concave convex rule

Answer 15

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

Question 16

Joint compression can result from 3 types of situations

Answer 16

1. Forced passive bone rotations stretching through a long lever
2. Forced passive bone rotations stretching through a short lever
3. Improperly applied techniques intended to avoid compression

Question 17

Grade 1 of Kaltenborn’s scale

Answer 17

Loosening

Question 18

Grade 2 of Kaltenborn’s scale

Answer 18

Tightening overall
Slack zone and transition zone

Question 19

Grade 3 of Kaltenborn’s scale

Answer 19

Stretching

Question 20

Grades of Maitland scale

Answer 20

All within the pathological limit of range
On grade 1 to 4 with overlap for 2-3-4

Question 21

Different feels in the Kaltenborn’s scale throughout the mob?

Answer 21

Start, First stop, (end-feel), Final stop

Question 22

Purpose of grade 1 (K)

Answer 22

Relieve pain
Use of traction with glide to reduce joint compression

Question 23

Purpose of grade 2 (K in slack zone)

Answer 23

Relieve pain
Spasm
Maintain or increase ROM

Question 24

Purpose of grade 3 (K)

Answer 24

Increase mobility and joint play by stretching shortened tissues

Question 25

3 types of joint mobilization

Answer 25

Pain relief mobs
Relaxation mobs
Stretch mobs
*Manipulation (not done in this class)

Question 26

Where does pain relief mobs work in?

Answer 26

Grade 1-2 Slack zone in the (actual) resting position

Question 27

Where does relaxation mobs work in?

Answer 27

Grade 1-2 in the (actual) resting position

Question 28

Where does stretch mobs work in?

Answer 28

Grade 3 in the (actual) resting position
Grade 3 at the point of restriction

Question 29

Go review upper and lower mobs images in PPT

Answer 29

Mobs part 1 and 2