QUIZ 1 Flashcards
3 CI’s for joint mobs
hypermobility
joint effusion
inflammation
indications for joint play
decreased ROM
condition involving
fibrosis
restore ROM for peripheral and axial skeleton joints
causes for joint dysfunction
intra articular adhesions
nerve root adhesions
soft tissue restrictions
physiological effects of joint mobs
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
joint play principles (7)
- pt must be relaxed
- therapist must be relaxed
- only mobilize one joint at a time in one direction
- use pillows for comfort and stabilization
- watch for pt’s reaction
- re-assess pre and post joint play
- joint play is done in loose packed position
when concAve surface moves on convex surface roll and glide happen ____
in sAme direction
open packed injuries result in
sprains
strains
closed packed injuries involve
fractures
dislocations
why do we do joint mobs in loose packed position
b/c joint is under least amount of stress in this position
min contact
min stability
little congruency
what is a capsular pattern of restriction
predictable pattern of movement restriction that occurs in a synovial joint when the entire joint capsule is injured or affected
what shoulder joints do we do joint mobs on
GH
scapulothoracic
articulating surface of GH
convex head of humerus
concave glenoid cavity of scapula
roll and glide happening in OPPOSITE directions
loose packed position for GH
40-55 degrees abduction
30 degrees horizontal adduction
close packed position GH
full horizontal abduction w lateral rotation
GH capsular pattern of restriction
lateral rotation
abduction
medial rotation
name the 6 GH mobs
anterior glide
posterior glide
long axis traction
inferior glide 90 degrees abduction
inferior glide 90 degrees flexion
lateral distraction
purpose of anterior glide and precaution
increase EXTENSION
pain management
joint capsule is loose don’t over mobilize
anterior glide hand positions
stabilize = scap and clavicle rest on rolled towel
stabilize DISTAL ARM under DISTAL HUMERUS
mobilize - head of humerus in anterior direction
what is the main movement we are trying to correct w joint mobs
SLIDE
correcting slide to help w more roll
methods of joint examination
inspection and palpation - what are we looking for
swelling
skin changes
mm wasting
deformity
what are the 2 ways to measure ROM
active or passive
grade 1
initiation of movement
non corrective
grade 2
movement up to first tissue stop
non corrective
grade III
movement through and up to first tissue stop
corrective grade
stretches joint capsule
normal end feels
bone to bone
tissue stretch
soft tissue approximation
