MWMS

Question 1

joint play/mobs are test and treats in which position

Answer 1

loose packed

Question 2

osteokinematic is what

Answer 2

movement you can see, movement under voluntary control

Question 3

arthrtokinematic is what

Answer 3

movement you can feel, movement not under voluntary control

Question 4

what are the convex-concave rule -> mobilization at concave end

Answer 4

• glide and roll in same direction
• convex is fixed and concave move
• osteoclast and arthrokinmatic in same direction
• to mobilize AK motion, move joint in same direction as OK motion

Question 5

convex-concave rule -> mobilization at convex end

Answer 5

• glide and roll in opposite direction
• concave fixed, convex move
• osteoclast and AK opposite direction
• to mobilize AK motion move joint in opposite direction as OK motion

Question 6

explain Grade 1

Answer 6

small amplitude movement at beginning of the available ROM

Question 7

explain grade 2 mobs

Answer 7

large amplitude movement at within available ROM

Question 8

explain grade 3 mobs

Answer 8

large amplitude mat that reach the end ROM

Question 9

explain Grade 4 mobs

Answer 9

small amplitude movement at very end ROM

Question 10

which grade has neurophysiological effect used daily to treat pain

Answer 10

grade 1-2

Question 11

which grade has mechanical effect used 3-5 time/week to treat hypo mobility and stifness

Answer 11

grade 3 to 5

Question 12

which grade increase through capsular mobility and plastic deformation

Answer 12

grade 3 to 5

Question 13

which grade prevent grinding and neutralize joint pressure

Answer 13

grade 1-2

Question 14

which grade: unweighting or barely supporting the joint surface

Answer 14

grade 1

Question 15

how grade 1 work

Answer 15

• equalize cohesive and atmospheric force at the joint
• alleviate pain by unloading and decompressing
• nullifies normal compressive force

Question 16

which grade: slack of the capsule taken up

Answer 16

2

Question 17

which grade: capsule and ligament stretch

Answer 17

3

Question 18

oscillation or prolonged hold a mid-range stimulate type _ mechanoreceptor

Answer 18

1

Question 19

oscillation or prolonged hold at end rate stimulates type _ mechanoreceptor

Answer 19

2

Question 20

low grade sustained hold stimalate _ and inhibit _

Answer 20

type 3 mechanoreceptor and inhibit guarding

Question 21

parameter for oscillation

Answer 21

60-120/min
1-5 set of 5-60s
used to treat pain

Question 22

parameter for prolonged hold

Answer 22

5-30d
1-5 reps
typically applied at end range to treat stiffness

Question 23

what can result in superior outcome to exercise alone in patient with shoulder impingement

Answer 23

manual therapy combined with supervised clinical exercise

Question 24

what can decrease 24h pain and pain associated with subacromial compression test in patient with shoulder impingement syndrome

Answer 24

mobilization

Question 25

what is the only effective treatment modality for adhesive capsulate

Answer 25

mobilization and exercise therapy -> end range mobs increase mobility

Question 26

what can help following inversion ankle injury and necessitate fewer treatment to achieve pain-free DF and improve stride speed more than RICE alone

Answer 26

talocrural mobs

Question 27

MWMS result from _ that occurs following an injury or strain

Answer 27

positional fault

Question 28

is positional fault observed on X-ray or imaging

Answer 28

no

Question 29

principle of MWMS treatment

Answer 29

- use body mechanic - allow gravity to assit - use short lever and place hand as close to joint as possible - mobilize below pain threshold ( avoid muscle guarding) - never cause pain

Question 30

Basic principle of application of MWMS

Answer 30

1. technique should never be painful 2. therapist should note one or more sign as indication to use MWMS 3. a passive accessory joint mobilization following kaltenborn principle 4. continuously monitor patient reaction 5. technique should produce an immediate benefit 6. repetition are necessary -> 3 set of 10, 1st session 3x6 7. must be some lasting improvement, if symptom reappear between visit, MWMS must be discontinued

Question 31

what are the following sign as an indication to use MWMS

Answer 31

loss of joint mvt, pain associate with met, pain associated with specific functional activities

Question 32

according to kaltenborn what is the hip greatest to lest loss of met

Answer 32

IR, extension from zero, abd, flx, ER

Question 33

what is often seen as an early sign in degenerative hip pathology

Answer 33

greater loss of internal compared to external rotation in hip

Question 34

many inversion sprain where people thought that damaged had occurred to the ATF really had pain or ROM limitation du to

Answer 34

positional fault in the lateral malleolus