Phys Med 200 wk1 &2 Flashcards
Is bone manipulation controlled act?
Yes
What is joint mobilization?
A form of a non-thrust technique, applied within the physiologic range of joint motion, not passed the elastic barrier. Mobilizations are passive rhythmic graded movements of controlled depth (amplitude) and rate.
What are the characteristics of joint mobilization?
Joint mobilization may be applied with fast or slow repetitions (oscillations) and various depth (grade 1-4), low velocity always.
- vibratory nature of oscillations can activate sensory mechanoreceptors which can help reduce pain and improve proprioceptive function*
True or False: deep mobilization may induce cavitation.
True. Although joint mobilizations (Grades 1-4) are not commonly associated with joint cavitation, deep mobilization may induce cavitation.
What are the goals/benefits of mobilizations?
- restore ROM of a joint
- pain reduction
- reduce muscle spasms. stretching hypertonic muscle (muscle stiffness & difficulty with moving), induce relaxation
- stimulate synovial fluid production (joint nutrition)
- increase local blood flow
- relieve nerve compression/irritated sympathetic chain ganglia
- restore joint mechanics
What is elastic limit?
Felt as an elastic resistance at the end of PASSIVE ROM.
What is joint play?
Small movements that are independent of voluntary muscle contraction and aid in smooth joint motion
What is paraphysiological space?
An area where there’s increased movement within the joints elastic barrier after a cavitation and does no pass anatomical limit.
Page 17 of wk1 phys med for picture clarification
True or False: PROM is usually greater than AROM due to relaxed nature of patient
True
When does manipulation take place?
At the end of elastic barrier where paraphysiolocial space is created. High velocity and low amplitude thrust is made.
What is osteokinematic movement?
Movement of bone that are possible in anatomical planes.
*These are the movements that are visible to the naked eye, like lifting your arm, bending your knee, or rotating your head. These movements take place in the anatomical planes
What is arthrokinematics movement?
Movement that occur within the join or between articular surfaces.
*Small, often unseen movements that occur between the articular surfaces of joints. These movements are necessary for smooth, controlled joint motion but are not typically visible. They allow the bones to move properly relative to each other during osteokinematic movements.
What is a joint manipulation?
A thrust technique, take the joint past its physiological ROM without exceeding the anatomical limit.
- low-amplitude & high-velocity thrust
*An audible articular crack (release of gas bubbles from the synovial fluid in the joint)
What are some therapeutic effects of manipulation?
- reduce joint malpositioning
- induce local muscle relaxation
- break soft tissue adhesions
- stretch ligaments and joint capsules
5.decrease hypomobility of joint - pain reduction
7.reduce muscle spasm & induce relaxation - stimulate synovial fluid production (joint nutrition)
- restore ROM of restricted joints
- increase local blood flow
- relieve nerve compression & irritated sympathetic chain ganglia
- restore joint mechanics/muscle strength/posture
Is meningitis absolute or relative contraindications for manipulation?
Absolute contraindications
