Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

JOINT MOBS > quiz #1 (intro - shoulder) > Flashcards

quiz #1 (intro - shoulder) Flashcards

1
Q

joint mobs definition

A

skilled passive movement by therapist on articular surfaces to decrease pain / increase joint mobility or ROM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

physiological effects of joint mobilization

A

-fires articular mechanoreceptors
-fires cutaneous & muscular receptors
-abates or stops nociceptors (pain receptors)
-decreases or relaxes mm guarding
-causes synovial fluid movement & improves
nutrient exchange
-improves mobility & flexibility at joint
-maintains tensile strength of articular tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

arthrokinematics

A

-motions you can feel
-movement that occurs INSIDE joint
(roll, spin, slide/ glide)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

osteokinematics

A

-motions you can see
-movement of body parts OUTSIDE joint
(flex, ext, ADD, ABD, rotate)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

close packed position

A

-articular bones have MAX area of contact
-joint stability = greatest
-max mobility
*injury: fracture / dislocation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

open / loose packed position

A

-joint surfaces become separated
-little congruity & minimal surface contact
-joint stability = minimal
*injury: sprains, strains, swelling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

capsular pattern of restriction

A

-predictable pattern of movement restriction
-when entire joint capsule is injured / affected
-order: most restricted to least

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

CONCAVE / CONVEX RULE

A

when concave surface moves on convex surface

roll & slide must occur in SAME direction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

CONVEX / CONCAVE RULE

A

when convex surface moves on concave surface

roll & slide occur in OPPOSITE directions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

joint distraction

A

two opposing joint surfaces separated from each other, moving toward loose/ open packed position

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

axial distraction

A

through long axis of joint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

lateral distraction

A

perpendicular to long axis of joint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

compression / approximation

A

two opposing joint surfaces move toward each other / approximated - toward close packed position

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

joint play

A

motion available between two articular surfaces in one direction

not under voluntary control

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

rules of joint play (pt.1)

A

-patient must be relaxed
-therapist must be relaxed & comfortable
-mobilize one joint, in one direction, & at one time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

rules of joint play (pt.2)

A

-assessment of joint play should always be in loose packed position
-do not lever joint
-watch for patient discomfort
-always re-assess prior & after Tx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

causes for joint dysfunction

A

-intra articular adhesions / pericapsular stiffness
-shortened mm groups around joint
-mm weakness & imbalance around joint
-pain
-nerve root adhesions
-soft tissue restrictions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

indications for joint play

A

-most commonly associated with restoring ROM for peripheral & axial skeleton joints
-primary indication: decreased ROM due to immobilization, usually from fractures, ligamentous sprains, tendonitis, or adhesive capsulitis
-any condition involving fibrosis or pseudo-fibrosis (relative capsular fibrosis) of joint capsule is indicated for mobilization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

CI’s joint play

A

hypermobility
joint effusion
inflammation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

precautions joint play

A

-malignancy
-bone disease
-unhealed fracture
-excessive pain
-total joint replacements
-newly formed/ weakened CT
-systemic CT disease
-elderly (weakened CT)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

methods of joint examination

A

-inspection
-palpation
-ROM (active vs passive)
-radiography (x-ray)
-CT scan
-MRI
-conventional & contrast Arthrography
-ultrasound Arthrography

19
Q

inspection & palpation - looking for…

A

-swelling
-skin changes
-mm, above & below joint (wasting) compared to non injured side
-deformity, bones misaligned, valgus / varus

20
Q

ROM

A

measurement of amount of movement around a specific joint

21
Q

passive (relaxed) ROM

A

therapist makes motions of joint while patient is relaxed through unrestricted range
-patient does not contract mm
-anatomic barrier = end of PROM

22
Q

active ROM

A

patient “actively” contracts voluntary mm crossing joint, moving joint through its ROM
-physiologic barrier = end of AROM

23
Q

grading joint play

A

-when applying joint mobilizations: start with least stress on joint and go to more & more stress
-we use grading system for both sustained glides/ distractions & oscillations
-each grade has purpose & function within grading system for a therapeutic effect on joints

24
Q

GRADE 1 - sustained glide / traction

A

-initiation of movement of opposing joint surfaces
-perpendicular to joint surfaces for a distraction joint mob/ parallel for a glide joint mob

non-corrective grade

25
Q

GRADE 2 - sustained glide / traction

A

-movement of opposing joint surfaces is up to first tissue stop
-perpendicular to joint surfaces (distraction) or parallel (glide)

non-corrective grade

26
Q

GRADE 3 - sustained glide / traction

A

-movement of opposing joint surface is up to & through first tissue stop
-stretches joint capsule - perform grade with caution

corrective grade

27
Q

GRADE 1-3 purpose

A

GRADE 1 & 2: pain management, intro assessment to joint play & techniques
GRADE 3: corrective, stretch joint capsule, restore glide motions with joint

28
Q

GRADE 1 - oscillations

A

small amplitude

between initiation of movement & tissue resistance - at the start of motion
—
5 cycles per second

29
Q

GRADE 2 - oscillations

A

large amplitude

between initiation of movement & tissue resistance, not reaching end of ROM

performed at 2-3 cycles per second

30
Q

GRADE 3 - oscillations

A

large amplitude

within tissue resistance & backing out again - to start of limited end of ROM

2-3 cycles per second

31
Q

GRADE 4 - oscillations

A

small amplitude

within tissue resistance to end of limited ROM

5 cycles per second

32
Q

GRADE 5 - oscillations (not in scope)

A

high velocity, small amplitude, non-oscillatory

starts at tissue resistance & follows through in a thrust manipulation - commonly called a thrust, adjustment, or manipulation

33
Q

end feels

A

-when assessing passive movements, therapist applies overpressure at end of the range to determine quality of end feel
-sensation therapist “feels” in joint as it reaches end of ROM of each passive movement

34
Q

normal end feels

A

bony: “hard” unyielding sensation that is painless
soft tissue approximation: yielding compression, or “mushy” feel
tissue stretch: firm springy type of movement with slight give, an elastic resistance, may be hard (capsular) or soft (elastic)

35
Q

abnormal end feels

A

-early spasm: mm/ ligament tear, often acute
-late spasm: instability
-capsular: hard (chronic) & soft/ boggy (acute), caused by capsule damage
-empty: ligament rupture or tear, very painful
-bone to bone: osteophyte, early restriction in ROM
-springy block: internal derangement inside joint, common in meniscus, early restriction

36
Q

GH mobilizations

A
  1. Anterior glide
  2. Long axis traction
  3. Posterior glide
  4. Inferior glide at 90 degrees of abduction
  5. Inferior glide at 90 degrees of flexion
  6. Lateral distraction
37
Q

anterior glide - effect & precautions

A

EFFECT: increase extension, pain management
PRECAUTIONS: anterior joint capsule is looser & more lax so don’t over mobilize in this direction

38
Q

long axis traction (axial distraction/ inferior glide) - effect & precautions

A

EFFECT: increase overall ROM, pain management
PRECAUTIONS: do not allow shoulder girdle to move inferiorly as it may compress brachial plexus between clavicle & first rib

39
Q

posterior glide - effect & precautions

A

EFFECT: increase internal rotation & flexion, pain management
PRECAUTIONS: do not allow the humerus to externally rotate

40
Q

inferior Glide at 90º of ABD - effect & precautions

A

EFFECT: increase ABD & flexion, pain management
PRECAUTIONS: with inferior joint instability use caution, may provoke pain

41
Q

inferior Glide at 90º of flexion - effect & precautions

A

EFFECT: increase flexion & ABD, pain management
PRECAUTIONS: do not lever joint as this may damage capsule - take caution for inferior joint instability - try to minimize pain at humeral head while mobilizing

42
Q

lateral distraction - effect & precautions

A

EFFECT: increase overall ROM, pain management
PRECAUTIONS: do not apply pressure to patient’s chest with forearms, may compress ribs, forearm should be just below breast tissue

43
Q

scapulothoracic joint mobilizations

A
  1. Inferior glide/shoulder depression
  2. Superior glide/shoulder elevations
  3. Lateral rotation/upward glide
  4. Medial rotation/downward glide
  5. Distraction
  6. Compressions to subscapularis muscle
44
Q

superior glide / shoulder elevation - effect & precautions

A

EFFECT: increase shoulder elevation & stability, pain management
PRECAUTIONS: use soft touch & light pressure to prevent mm guarding

45
Q

inferior glide / shoulder depression - effect & precautions

A

EFFECT: increase shoulder depression & mobility, pain management
PRECAUTIONS: if brachial plexus is stretched/ compressed, it may cause symptoms during mobilization, discontinue - perform with care

46
Q

lateral rotation (upward rotation) - effect & precautions

A

EFFECT: increase lateral rotation & elevation, pain management
PRECAUTIONS: use broad & soft contact for numerous bony prominences

47
Q

medial Rotation (downward rotation) - effect & precautions

A

EFFECT: increase medial rotation & depression, pain management
PRECAUTIONS: use broad & soft contact for numerous bony prominences

48
Q

distraction (scapulothoracic) - effect & precautions

A

EFFECT: increase overall thoracic mobility, pain management
PRECAUTIONS: do not perform if patient has winged scapula - too much pressure may cause mm guarding & pain

49
Q

compressions to subscapularis - effect & precautions

A

EFFECT: increase scapulothoracic mobility, pain management
PRECAUTIONS: if painful, discontinue

JOINT MOBS (18 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions