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DPT 616 : MSK > Peripheral Joint Mobilization > Flashcards

Peripheral Joint Mobilization Flashcards

1
Q

active movement and OPP are within ____

A

AROM

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2
Q

jt play, active movement, and OPP are within____

A

physiological ROM

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3
Q

sprain/strain, jt play, active movement, and OPP are within___

A

anatomical ROM

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4
Q

OPP for ball and socket jts are the position of ____ congruency

A

most

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5
Q

OPP for hinge jts are the position of ____ congruency

A

least

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6
Q

what is the definition of mobilization?

A

skilled, passive movement of a jt directed toward restoring accessory motion and synonymous with manipulation

passive movement performed w/a rhythm and grade in a manner in which the pt is able to prevent the technique from being performed

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7
Q

how can a pt prevent jt mobs from being performed?

A

by tensing up

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8
Q

what is the definition of manipulation (grade 5)?

A

high velocity, short amplitude thrust that takes place at end range

an accurately localized, single, quick, and decisive movement of small amplitude following careful positioning of the pt

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9
Q

what is the treatment plane?

A

determined by the concave surface

the plane in which the glide occurs

plane in which the jt mobs should occur

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10
Q

the treatment plane is determined by the ____ jt surface

A

concave

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11
Q

what is a rolling motion?

A

motion occuring when friction is high and surfaces are incongruent

concave must be at least as large as the convex surface

new pts on 1 surface meet new pts on opposing surface

always in the same direction as the osteokinematic motion

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12
Q

what is the gliding motion?

A

motion occuring when the pt is congruent

same pt on 1 surface contacts new pts on opposing surface

direction dependent on the concave/convex theory

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13
Q

when jts are more congruent, is there more roll or glide?

A

glide

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14
Q

when jts are more incongruent, is there more roll or glide?

A

roll

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15
Q

what is the spin motion?

A

rotation about a stationary, mechanical axis

same pt creates an arc of motion

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16
Q

what jts have a spin component?

A

radioulnar jt

hip

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17
Q

what is the concave/convex theory?

A

convex on concave: direction of the jt glide is in the opposite direction to the osteokinematic motion

concave on convex: direction of the jt glide is in the same direction as the osteokinematic motion

18
Q

when the convex is moving on the concave, is the roll and glide in the same or opposite directions?

A

opposite

19
Q

when the concave is moving on the convex, is the roll and glide in the same or opposite directions?

A

same

20
Q

t/f: rolling is always in the same direction as the osteokinematic motion

A

true

21
Q

what are the neurophysiological effects of grade I-V mobs?

A

firing of articular mechanoreceptors, proprioceptors

firing of cutaneous and muscular receptors

altered nociception

22
Q

what are the mechanical effects of grade III-V mobs?

A

stretching of jt restrictions

breaking of adhesions

altered positional relationships

diminish/eliminate barriers to normal motion

23
Q

what are the psychological effects of grade I-V mobs?

A

confidence gained through improvement

postive effects from manual contact

response to jt sounds

24
Q

is the glide perpendicular or parallel to the treatment plane?

A

parallel to the treatment plane

25
Q

what are the 2 types of glides in jt mobs?

A

non-thrust and thrust

26
Q

what is the non-thrust motion?

A

lower energy, low velocity, steady stretch oscillations (grade I-IV)

27
Q

what is the thrust motion?

A

synonymous to manipulation

sudden, high velocity, short amplitude motion (snap vs stretch)

28
Q

what is distraction?

A

perpendicular to the Rx plane

separation of jt surfaces

29
Q

what is grade I glide?

A

small amplitude at the beginning of range

30
Q

what is grade II glide?

A

large amplitude w/in range, not reaching limit

31
Q

what is grade III glide?

A

large amplitude up to limit of range

32
Q

what is grade IV glide?

A

small amplitude at limit of end range

33
Q

what is grade V glide?

A

thrust, high velocity, short amplitude beyond end range

34
Q

t/f: under normal circumstances, R2=L

A

true

35
Q

what are some indications for jt mobs?

A

to improve a loss of accessory/physiologic motion

to reduce a closing/opening dysfxn of the spine

to restore normal articular relationships

to provide symptoms relief and pain control

to enhance motor fxn through reduction of pain and restoring articular relationships

to improve nutrition to intra-articular structures by promoting mobility

to reduce muscles guarding

to curtail a progressive loss of mobility associated w/disease or injury

to increase and maintain mobility when an individual is unable to do so independently

to safely encourage mobility following injury

to develop pt confidence in the prospect of a favorable outcomes

to provide prep/support for other manual and nonmanual interventions

36
Q

t/f: jt mobs should begin in the OPP

A

true

37
Q

what is the 1x1x1x1 rule?

A

1 hand stabilizes 1 surface, 1 hand mobilizes the other surface

38
Q

how do you document frequency/duration?

A

1-2 sets

1-5 reps

daily

39
Q

how do you document amplitude?

A

small, medium, large

40
Q

how do you document speed/rhythm?

A

smooth, progressive, staccato oscillations

prolonged hold

thrust

41
Q

how do you document location?

A

relationship to R1 and R2

DPT 616 : MSK (18 decks)

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