MSK Joint Mobilisation

Question 1

What six things make joint motion important?

Answer 1

Function
Movement 
Nutrition
Cartilage
Bone health
Soft tissue

Question 2

What are the seven effects of immobilisation?

Answer 2

Loss of function
Decreased ROM
Muscle atrophy
Soft tissue length change
Cartilage changes
Bony changes
Pain state

Question 3

What are the two types of movement at a joint?

Answer 3

Osteokinematic and arthrokinematic

Question 4

What limits joint movement? (9)

Answer 4

Intra-articular structures e.g. ACL, PCL
Extra-articular structures e.g. joint capsule, MCL, LCL
Soft tissue length
Bony congruency 
Soft tissue approximation e.g. meniscus, labrum
Swelling
Pain
Psychological factors
Muscle spasms

Question 5

What are the effects of joint mobilisation? (5)

Answer 5

Increase range of movement 
Increase length of soft tissue (joint and surrounding)
Pain relief
Decrease muscle spasm
Placebo effect

Question 6

What specific thing guides the dose and what does it stand for?

Answer 6

SIN factor
Severity (pain on scale, impact on life)
Irritability (aggs/eases, type of activity that aggs, how long)
Nature (acute, sub-acute, chronic, inflammatory or mechanical, constant or intermittent, the source of the pain)

Question 7

What do grades 1-2 indicate?

Answer 7

High severity and irritability
Painful
Acute condition

Question 8

What do grades 3-4 indicate?

Answer 8

Stiffness
Low-moderate severity and irritability
Low pain
Sub-acute/chronic

Question 9

What are the contraindications? (10)

Answer 9

Infection
Tumor
Acute inflammation
Fractures/dislocations
Rheumatoid arthritis 
Joint instability
Hypermobility
Type 1 diabetes
High severity/irritability 
Sero-negative arthropathies

Question 10

Describe osteokinematic movement

Answer 10

Movement of the bones

Physiological movement

Question 11

Describe arthrokinematic movement

Answer 11

Motion occurring between joint surfaces

Accessory movement