MWM

Question 1

osteokinematic

Answer 1

movement you can see

Question 2

arthrokinematic

Answer 2

mvt you can feel
not under voluntary control
accessory motion

Question 3

concave

Answer 3

glide and roll in same direction
convex fixed, concave moves
mob in same mvt as ortokin

Question 4

convexe

Answer 4

• glide and roll opposite
• opposite to osteo mvt

Question 5

grade 1 maitland

Answer 5

small amplitude mvt @ beg of avail ROM

Question 6

grade II maitland

Answer 6

large amplitude within avail ROM

Question 7

grade III maitland

Answer 7

large amplitude reaches EROM

Question 8

grade IV maitland

Answer 8

small amplitude at the very end of ROM

Question 9

grade V maitland

Answer 9

high velocity thrust of small amplitude at the end of available ROM and within anatomical range

Question 10

Grade I - II considerations

Answer 10

• neurophysiological effect used daily to treat pain
• neutralizes jnt pressure
• prevents grinding

Question 11

Grade III-V considerations

Answer 11

• mechanical effect used 3-5 times/week to treat hypo mobility and stiffness
• increased ROM through capsular mobility and plastic deformation
• mechanical distention or stretching of tissue

Question 12

distraction mobs

Answer 12

GI (picolo):
- equalizes cohesive and atmospheric forces of the jnt
- alleviates p! by unloading and decompressing
- nullifies normal compressive forces

GII: slack of the capsule taken up (eliminates pain)

GIII: capsule and lig stretches

Question 13

what stim type I mechanoreceptors

Answer 13

oscillations or prolonged hold at mid-range

Question 14

what stims type II mechanoreceptors

Answer 14

oscillations or prolonged hold at EROM

Question 15

what stims Type III mechanoreceptors and inhibits guarding

Answer 15

low grade sustained hold

Question 16

principles of MVM

Answer 16

• use good body mechanics
• allow gravity to assist
• use short levers and place hands as close to joint as possible
• mobilize below pain threshold
• never cause pain

Question 17

indications for mwm

Answer 17

• loss of jnt mvt
• pain associated with mvt
• pain associated w/ specific functional activities

Question 18

BASIC PRINCIPLES OF APPLICATION OF MVW
#1

Answer 18

1. technique should never be painful

Question 19

BASIC PRINCIPLES OF APPLICATION OF MVW
#2

Answer 19

therapist should note one or more of the following signs to use MWM
- loss of jnt mvt
- pain associated with mvt
- pain associated w/ specific functional activities

Question 20

BASIC PRINCIPLES OF APPLICATION OF MVW
#3

Answer 20

a passive accessory jnt mob following kaltenborns principles. this glide must be pain-free

Question 21

BASIC PRINCIPLES OF APPLICATION OF MVW
#4

Answer 21

continuously monitor the pis reaction to ensure that no pain is recreated

Question 22

BASIC PRINCIPLES OF APPLICATION OF MVW
#5

Answer 22

technique should produce an immediate benefit

Question 23

BASIC PRINCIPLES OF APPLICATION OF MVW
#6

Answer 23

repetitions are necessary. recommended reps 3sets of 10

Question 24

BASIC PRINCIPLES OF APPLICATION OF MVW
#7

Answer 24

there must be some lasting improvements. if symptoms reappear byw visits then MWM must be discontinued

Question 25

capsular pattern of hip

Answer 25

- int rot - extension - abd - flexion - external rot