Peripheral Joint Mobilization Flashcards
active movement and OPP are within ____
AROM
jt play, active movement, and OPP are within____
physiological ROM
sprain/strain, jt play, active movement, and OPP are within___
anatomical ROM
OPP for ball and socket jts are the position of ____ congruency
most
OPP for hinge jts are the position of ____ congruency
least
what is the definition of mobilization?
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
how can a pt prevent jt mobs from being performed?
by tensing up
what is the definition of manipulation (grade 5)?
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
what is the treatment plane?
determined by the concave surface
the plane in which the glide occurs
plane in which the jt mobs should occur
the treatment plane is determined by the ____ jt surface
concave
what is a rolling motion?
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
what is the gliding motion?
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
when jts are more congruent, is there more roll or glide?
glide
when jts are more incongruent, is there more roll or glide?
roll
what is the spin motion?
rotation about a stationary, mechanical axis
same pt creates an arc of motion
what jts have a spin component?
radioulnar jt
hip
what is the concave/convex theory?
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
when the convex is moving on the concave, is the roll and glide in the same or opposite directions?
opposite
when the concave is moving on the convex, is the roll and glide in the same or opposite directions?
same
t/f: rolling is always in the same direction as the osteokinematic motion
true
what are the neurophysiological effects of grade I-V mobs?
firing of articular mechanoreceptors, proprioceptors
firing of cutaneous and muscular receptors
altered nociception
what are the mechanical effects of grade III-V mobs?
stretching of jt restrictions
breaking of adhesions
altered positional relationships
diminish/eliminate barriers to normal motion
what are the psychological effects of grade I-V mobs?
confidence gained through improvement
postive effects from manual contact
response to jt sounds
is the glide perpendicular or parallel to the treatment plane?
parallel to the treatment plane
what are the 2 types of glides in jt mobs?
non-thrust and thrust
what is the non-thrust motion?
lower energy, low velocity, steady stretch oscillations (grade I-IV)
what is the thrust motion?
synonymous to manipulation
sudden, high velocity, short amplitude motion (snap vs stretch)
what is distraction?
perpendicular to the Rx plane
separation of jt surfaces
what is grade I glide?
small amplitude at the beginning of range
what is grade II glide?
large amplitude w/in range, not reaching limit
what is grade III glide?
large amplitude up to limit of range
what is grade IV glide?
small amplitude at limit of end range
what is grade V glide?
thrust, high velocity, short amplitude beyond end range
t/f: under normal circumstances, R2=L
true
what are some indications for jt mobs?
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
t/f: jt mobs should begin in the OPP
true
what is the 1x1x1x1 rule?
1 hand stabilizes 1 surface, 1 hand mobilizes the other surface
how do you document frequency/duration?
1-2 sets
1-5 reps
daily
how do you document amplitude?
small, medium, large
how do you document speed/rhythm?
smooth, progressive, staccato oscillations
prolonged hold
thrust
how do you document location?
relationship to R1 and R2
