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Therapeutic Exercise Lab > Peripheral Joint Mobilization > Flashcards

Peripheral Joint Mobilization Flashcards

Clinical Indications, Contraindications/Precautions, Techniques: Dosage/Rate of application, Increases in ROM from joint mobilizations

1
Q

Clinical Indication: Pain or muscle guarding (which grades?)

A

Grades 1 & 2 – low intensity, no stretch force against capsule
(Vary speed of oscillations for different effects, such as low amplitude and high speed, to inhibit pain or slow speed to relax muscle guarding.)

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2
Q

Clinical Indication: Mobility (which grades?)

A

Grades 3 & 4 – stretch force at the limit of motion

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3
Q

Contraindications/Precautions for joint mobilization

A

Hypermobility, joint effusion, inflammation

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4
Q

Traction vs. Distraction

A

Traction is a longitudinal pull or pulling on the long axis of a bone. Distraction is a separation, or pulling apart. Distraction is generally applied at right angles to the joint surface (i.e. glenoid fossa).

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5
Q

Oscillation Techniques: Dosage and Rate of Application

A

GRADE I. Small-amplitude rhythmic oscillations; beginning of the range; rapid.
GRADE II. Large-amplitude rhythmic oscillations; within range, not reaching limit; 2 or 3 per second for 1 to 2 minutes.
GRADE III. Large-amplitude rhythmic oscillations; up to limit of available motion and stressed into tissue resistance; 2 or 3 per second for 1 to 2 minutes.
GRADE IV. Small-amplitude rhythmic oscillations; at the limit of motion and stressed into tissue resistance; rapid.

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6
Q

Sustained Joint-Play Techniques: Dosages and Rate of Application

A 
GRADE I (Loosen). Small-amplitude distraction; no stress place on capsule; equalizes cohesive forces, muscle tension, and atmospheric pressure acting on joint; within available joint play.
GRADE II (Tighten). Enough distraction or glide applied to tighten the tissues around joint "taking up the slack"; to tissue resistance.
GRADE III (Stretch). Distraction or glide applied with an amplitude large enough to place stretch on joint capsule and surrounding periarticular structures.
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7
Q

Inferior/Caudal glide at GH Joint increases what motion?

A

Abduction

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8
Q

Posterior glide at GH joint increases _______.

A

Flexion, IR

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9
Q

Anterior glide at GH joint increases ________.

A

Extension, ER

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10
Q

Distraction progression at GH joint increases _______.

A

ER

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11
Q

Anterior glide at AC Joint increases ________.

A

General mobility

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12
Q

SC Joint Posterior glide increases _______.

A

Retraction

clavicle - concave ant to post

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13
Q

SC Joint Anterior glide increases _______.

A

Protraction

clavicle - concave ant to post

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14
Q

SC Joint Superior glide increases ________.

A

Depression

clavicle - convex sup to inf

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15
Q

SC Joint Caudal glide increases ________.

A

Elevation

clavicle - convex sup to inf

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16
Q

Which glides increase ER at the shoulder?

A

Anterior glide, Distraction Progression, general distraction

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17
Q

Which glides increase IR at the shoulder?

A

Posterior glide, general distraction

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18
Q

Which glides increase Flexion at the shoulder?

A

Posterior glide (GH), distraction (GH), and caudal glide (SC), Anterior glide (AC), Upward rotation (ST)

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19
Q

Which glides increase Abduction at the shoulder?

A

Inferior/Caudal glide (GH), distraction (GH), caudal glide (SC), Anterior glide (AC), upward rotation (ST)

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20
Q

Distraction at HU joint increases ____.

A

Flexion or Extension

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21
Q

Distal glide (scoop) at HU joint increases ______.

A

Flexion (concave olecrannon; convex trochlea)

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22
Q

Dorsal glide at HR joint increases ________.

A

Extension (concave radial head; convex capitulum)

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23
Q

Volar glide at HR joint increases ______.

A

Flexion (concave radial head; convex capitulum)

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24
Q

Which glides increase elbow flexion?

A

Distraction (HU), distal glide or scoop (HU), volar glide (HR)

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25
Q

Which glides increase elbow extension?

A

Distraction (HU), doral glide (HR)

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26
Q

Dorsal glide at proximal RU joint increases ___.

A

Pronation (convex radial head; concave radial notch of ulna)

27
Q

Volar glide at proximal RU joint increases _____.

A

Supination (convex radial head; concave radial notch of ulna)

28
Q

Dorsal glide at distal RU joint increases _____.

A

Supination (concave ulnar notch of radius; convex head of ulna)

29
Q

Volar glide at distal RU joint increases ______.

A

Pronation (concave ulnar notch of radius; convex head of ulna)

30
Q

Which glides increase pronation of forearm?

A

dorsal glide (proximal RU joint) and volar glide (distal RU joint)

31
Q

Which glides increase supination of forearm?

A

volar glide (proximal RU joint) and dorsal glide (distal RU joint)

32
Q

Dorsal glide at RC joint increases

A

Flexion

33
Q

Volar glide at RC joint increases

A

Extension

34
Q

Ulnar glide at RC joint increases

A

RD

35
Q

Radial glide at RC joint increases

A

UD

36
Q

Carpal mobilizations to increase wrist extension

A

stabilize concave bone and mobilize dorsum of convex bone (capitate on stabilized lunate)

37
Q

Carpal mobilizations to increase wrist flexion

A

stabilize convex bone and mobilize dorsum of concave bone (distal radius on stabilized lunate)

38
Q

Volar glide at CMC joints increases

A

mobility of the arch of the hand

39
Q

Ulnar glide at Thumb CMC increases

A

Flexion (prox MC concave on convex trapezium for flex/ext)

40
Q

Radial glide at Thumb CMC increases

A

Extension (prox MC concave on convex trapezium for flex/ext)

41
Q

Dorsal glide at Thumb CMC increases

A

Abduction (prox MC convex on concave trapezium for abd/add)

42
Q

Volar glide at Thumb CMC increases

A

Adduction (prox MC convex on concave trapezium for abd/add)

43
Q

Volar glide at MCP/IP increases

A

Flexion (concave distal surface; convex proximal surface)

44
Q

Dorsal glide at MCP/IP increases

A

Extension (concave distal surface; convex proximal surface)

45
Q

Radial glide at MCP/IP increases

A

Abduction (concave distal surface; convex proximal surface)

46
Q

Ulnar glide at MCP/IP increases

A

Adduction (concave distal surface; convex proximal surface)

47
Q

Posterior glide at hip joint increases

A

Flexion, IR (convex femoral head on concave acetabulum)

48
Q

Anterior glide at hip joint increases

A

Extension, ER

49
Q

Posterior glide at Tibiofemoral joint increases

A

Flexion (concave tibial plateaus; convex femoral condyles)

50
Q

Anterior glide at Tibiofemoral joint increases

A

Extension

51
Q

Distal glide at Patellofemoral joint increases

A

Flexion

52
Q

Superior glide at Patellofemoral joint increases

A

Extension

53
Q

Which glides increase knee flexion?

A

posterior glide (tibiofemoral), distal glide (patellofemoral)

54
Q

Which glides increase knee extension?

A

anterior glide (tibiofemoral), distal glide (patellofemoral)

55
Q

Anterior glide at proximal tib-fib joint increases

A

mobility of fibular head

56
Q

Anterior or posterior glide at distal tib-fib joint increases

A

mortise mobility and improve DF

57
Q

Posterior glide at Talocrural joint increases

A

Dorsiflexion (convex talus; concave mortise)

58
Q

Anterior glide at Talocrural joint increases

A

Plantarflexion

59
Q

Medial glide at subtalar joint increases

A

Eversion (convex calcaneus; concave talus)

60
Q

Lateral glide at subtalar joint increases

A

Inversion

61
Q

Plantar glide at Intertarsal/TMT joint increases

A

PF/Flexion

62
Q

Dorsal glide at Intertarsal/TMT joint increases

A

DF, pronation

63
Q

Dorsal glide at 1st MCP increases

A

Extension

64
Q

Which glides increase DF?

A

posterior glide (talocrural), dorsal glide (intertarsal/TMT), anterior or posterior glide (distal tib-fib)

Therapeutic Exercise Lab (1 decks)

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