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S6- MSK 2 > Practical - Joint Mobility Testing > Flashcards

Practical - Joint Mobility Testing Flashcards

1
Q

PART 1: L-SPINE

A

PART 1: L-Spine

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2
Q

What are the 2 main categories of spine joint mobility testing?

A
  • PAIVM (Passive Accessory Intervertebral Mobility Testing)

- PPIVM (Passive Physiological Intervertebral Mobility Testing)

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3
Q

What are the (2) PAIVMs?

A
  • CPA

- UPA

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4
Q

How do we perform a CPA?

A
  • With patient prone, contact SP with pisiform.
  • Apply ventral force to SP being sure to keep forearm in line of force.
  • Apply force with trunk, not elbow extension.
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5
Q

How do we perform a UPA?

A
  • With patient prone, contact TP with “thumb-over-thumb” and mobilize with the top thumb.
  • Apply ventral force to TP being sure to keep forearm in line of force.
  • Apply force with trunk, not elbow extension.
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6
Q

What are the (4) movements at the L-spine we perform PPIVMs?

A
  • Flexion
  • Extension
  • Lateral Flexion
  • Rotation
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7
Q

How do we perform flexion PPIVM testing?

A

-Have patient positioned in side lying with knees flexed to mid range and arms crossed.
-Examiner in front of patient with CAUDAL hand supporting patient LEs, CRANIAL hand palpating interspinous space between levels being assessed.
-Starting at L5/S1, examiner shifts body weight in patients cranial direction to create flexion moment.
After segment has stopped gapping, examiner relocates palpation hand to the next segment above.
-Work through to L4/L5, L3/L4, L2/L3, and L1/L2 without returning to neutral lumbar flexion/extension.

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8
Q

How do we perform extension PPIVM testing?

A

-Have patient positioned in side lying with knees flexed to mid range and arms crossed.
-Examiner behind patient with CAUDAL hand supporting patient LEs, CRANIAL hand palpating interspinous space between levels being assessed.
-Starting at L5/S1, examiner shifts body weight in patients cranial direction to create extension moment.
After segment has stopped approximating, examiner relocates palpation hand to the next segment above.
-Work through to L4/L5, L3/L4, L2/L3, and L1/L2 without returning to neutral lumbar flexion/extension.

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9
Q

How do we perform rotation PPIVM testing?

A
  • Have patient positioned in side lying with hips and knees slightly flexed and UE resting on trunk.
  • Examiner in front of patient with CAUDAL hand palpating the furthest lateral aspect of the SP (beginning at L1) and CRANIAL arm looped under patients to allow for rotary motion.
  • Starting at T12/L1, examiner shifts body weight to provide rotary motion. After SP has approximated into palpation finger, examiner relocates palpation hand to the next segment below.
  • Work through L1/L2, L2/L3, L3/L4, and L4/L5 without returning neutral lumbar rotation.
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10
Q

How do we perform lateral flexion PPIVM testing?

A
  • Have patient positioned in side lying with knees flexed to mid range and arms crossed.
  • -Examiner in front of patient with CAUDAL hand supporting patient LEs and CRANIAL hand palpating closest lateral aspect of the SP.
  • Starting at L5/S1, examiner shifts body weight by bending knees to provide lateral flexion moment. After SP has approximated and stopped moving, examiner relocates palpation hand to the next segment above.
  • Work through to L4/L5, L3/L4, L2/L3, and L1/L2 without returning to neutral lumbar position.
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11
Q

PART 2: SIJ

A

PART 2: SIJ

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12
Q

What are the 2 joint mobility tests we can perform at the SIJ?

A
  • Ilium Anterior Rotation

- Ilium Posterior Rotation

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13
Q

How do we perform ilium posterior rotation?

A
  • Have patient in side lying with the painful side up and legs fully extended.
  • Flex patients top leg to 90 degrees and place one hand anteriorly at the ASIS and the other posteriorly at the ischial tuberosity.
  • Apply force into ilium posterior rotation from both hands.
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14
Q

How do we perform ilium anterior rotation?

A
  • Have patient in side lying with the painful side up and legs fully extended.
  • Flex patients top leg to 90 degrees and place one hand posteriorly at the ilium and the other posteriorly at the ischial tuberosity.
  • Apply force into ilium anterior rotation from both hands.
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15
Q

PART 3: HIP

A

PART 3: HIP

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16
Q

What are the 3 joint mobility tests we can perform at the hip?

A
  • Anterior (PA)
  • Posterior (AP)
  • Longitudinal Distraction
17
Q

How do we perform hip anterior glide?

A
  • Have patient in prone with slight ABD and ER.
  • Examiner has palpation hand at anterior hip joint and applies a PA force at the greater tuberosity of the femur with fingers facing OUT.
18
Q

How do we perform hip posterior glide?

A
  • Have patient in supine with slight ABD and ER.

- Examiner has palpation hand at posterior hip joint and applies a AP force at the greater tuberosity of the femur.

19
Q

How do we perform longitudinal distraction?

A
  • Have patient in supine and resting position of the hip.
  • Examiner brings patient into flex/ABD/ER and grips the malleoli with interlocked fingers.
  • Examiner then applies a longitudinal traction force with the use of body weight.
20
Q

PART 4: KNEE

A

PART 4: KNEE

21
Q

What are the 2 joints where we can perform joint mobility at the knee?

A
  • Tibiofemoral

- Patellofemoral

22
Q

What are the 2 joint mobility tests we can perform at the tibiofemoral joint?

A
  • Anterior

- Posterior

23
Q

How do we perform tibiofemoral anterior and posterior mobilizations?

A
  • Position patient in supine hook-lying position with involved LE and contralateral LE in neutral.
  • Examiner places thumbs on tibiofemoral joint lines while sitting on patients foot to stabilize.
  • While grasping medial and lateral proximal tibia, examiner performs AP and PA glides.
24
Q

How do we perform patellofemoral joint mobilizations?

A
  • Have patient in supine with a bolster under the knee.

- Examiner surrounds patella with hand and performs mobilizations in medial, lateral, cranial, and caudal directions.

25
Q

PART 5: LOWER LEG

A

PART 5: LOWER LEG

26
Q

What mobilizations can we perform at the lower leg?

A
  • Tibiofibular (proximal/distal)
  • Talocrural
  • Subtalar
  • Midtarsal
  • Tarsometatarsal
  • MTP
  • IP

S6- MSK 2 (21 decks)

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