QUIZ 1

Question 1

3 CI’s for joint mobs

Answer 1

hypermobility
joint effusion
inflammation

Question 2

indications for joint play

Answer 2

decreased ROM

condition involving
fibrosis

restore ROM for peripheral and axial skeleton joints

Question 3

causes for joint dysfunction

Answer 3

intra articular adhesions
nerve root adhesions
soft tissue restrictions

Question 4

physiological effects of joint mobs

Answer 4

fires articular mechanoreceptors

fires cutaneous and muscular receptors

stops nociceptors

decrease mm guarding

improve mobility / flexibility at joint

causes synovial fluid movement

maintain tensile strength

Question 5

joint play principles (7)

Answer 5

1. pt must be relaxed
2. therapist must be relaxed
3. only mobilize one joint at a time in one direction
4. use pillows for comfort and stabilization
5. watch for pt’s reaction
6. re-assess pre and post joint play
7. joint play is done in loose packed position

Question 6

when concAve surface moves on convex surface roll and glide happen ____

Answer 6

in sAme direction

Question 7

open packed injuries result in

Answer 7

sprains
strains

Question 8

closed packed injuries involve

Answer 8

fractures
dislocations

Question 9

why do we do joint mobs in loose packed position

Answer 9

b/c joint is under least amount of stress in this position

min contact
min stability
little congruency

Question 10

what is a capsular pattern of restriction

Answer 10

predictable pattern of movement restriction that occurs in a synovial joint when the entire joint capsule is injured or affected

Question 11

what shoulder joints do we do joint mobs on

Answer 11

GH
scapulothoracic

Question 12

articulating surface of GH

Answer 12

convex head of humerus
concave glenoid cavity of scapula

roll and glide happening in OPPOSITE directions

Question 13

loose packed position for GH

Answer 13

40-55 degrees abduction
30 degrees horizontal adduction

Question 14

close packed position GH

Answer 14

full horizontal abduction w lateral rotation

Question 15

GH capsular pattern of restriction

Answer 15

lateral rotation
abduction
medial rotation

Question 16

name the 6 GH mobs

Answer 16

anterior glide
posterior glide
long axis traction
inferior glide 90 degrees abduction
inferior glide 90 degrees flexion
lateral distraction

Question 17

purpose of anterior glide and precaution

Answer 17

increase EXTENSION
pain management

joint capsule is loose don’t over mobilize

Question 18

anterior glide hand positions

Answer 18

stabilize = scap and clavicle rest on rolled towel
stabilize DISTAL ARM under DISTAL HUMERUS

mobilize - head of humerus in anterior direction

Question 19

what is the main movement we are trying to correct w joint mobs

Answer 19

SLIDE

correcting slide to help w more roll

Question 20

methods of joint examination

inspection and palpation - what are we looking for

Answer 20

swelling
skin changes
mm wasting
deformity

Question 21

what are the 2 ways to measure ROM

Answer 21

active or passive

Question 22

grade 1

Answer 22

initiation of movement

non corrective

Question 23

grade 2

Answer 23

movement up to first tissue stop
non corrective

Question 24

grade III

Answer 24

movement through and up to first tissue stop

corrective grade

stretches joint capsule

Question 25

normal end feels

Answer 25

bone to bone
tissue stretch
soft tissue approximation