S1_L6: Joint Mobilization Flashcards by Mind Med

If your client has difficulty everting their foot, it would be important to check the mobility of which of the following joints?

A. Subtalar
B. Talonavicular
C. Calcaneocuboid
D. All of the above should be assessed

D. All of the above should be assessed

Source: Manual Therapy MCQs Quiz (ProProfs Quizzes)

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TRUE OR FALSE: Traction is always applied parallel to the treatment plane.

False

Source: Manual Therapy MCQs Quiz (ProProfs Quizzes)

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TRUE OR FALSE: The fibula should glide superiorly with ankle joint plantarflexion.

False

Source: Manual Therapy MCQs Quiz (ProProfs Quizzes)

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Which of the following bones does not articulate with the cuboid?

A. Medial cuneiform
B. Fibula
C. Calcaneus
D. A & B
E. All of the above

D. A & B

Source: Manual Therapy MCQs Quiz (ProProfs Quizzes)

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TRUE OR FALSE: The hip is close-packed in the position of extension.

False.

CPP: Extension, Abduction, and Medial Rotation.

Source: Manual Therapy MCQs Quiz (ProProfs Quizzes)

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TRUE OR FALSE: Traction applied through the long axis of the shaft of the femur will result in distraction at the hip joint.

False

Source: Manual Therapy MCQs Quiz (ProProfs Quizzes)

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TRUE OR FALSE: The talocrural joint is close-packed in dorsiflexion.

True

Source: Manual Therapy MCQs Quiz (ProProfs Quizzes)

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TRUE OR FALSE: The medial cuneiform articulates with the second metatarsal.

True

Source: Manual Therapy MCQs Quiz (ProProfs Quizzes)

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Which of the following conditions would you consider the most appropriate indication for the use of high-grade joint mobilization techniques?

A. Loss of accessory joint movement due to capsular restriction
B. Functional immobility
C. Joint hypomobility due to osteoarticular blockage
D. Pain

A. Loss of accessory joint movement due to capsular restriction

Source: Manual Therapy MCQs Quiz (ProProfs Quizzes)

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Treatment of the knee joint for restricted extension could include:

A. Lateral rotation of the leg
B. Medial rotation of the leg
C. Posterior glide of the head of the fibula
D. B & C

A. Lateral rotation of the leg

Source: Manual Therapy MCQs Quiz (ProProfs Quizzes)

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Grade 3 traction will:

A. Reduce pain
B. Increase inert tissue elongation
C. Improve range of motion
D. B & C

D. B & C (increase inert tissue elongation and improve range of motion)

Source: Manual Therapy MCQs Quiz (ProProfs Quizzes)

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When treating pes planus, it would be important to include the following mobilization:

A. Glide the navicular plantarward
B. Glide the cuboid dorsally
C. Adduct the forefoot by rotating the metatarsals toward inversion
D. None of the above

C. Adduct the forefoot by rotating the metatarsals toward inversion

Source: Manual Therapy MCQs Quiz (ProProfs Quizzes)

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TRUE OR FALSE: If your client cannot extent their big toe at the MTP joint, it would be important to mobilize the base of the proximal phalanx dorsally.

True

Source: Manual Therapy MCQs Quiz (ProProfs Quizzes)

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TRUE OR FALSE: When non-weight bearing, dorsiflexion of the talocrural joint results in the talus rolling anteriorly and sliding posteriorly on the distal leg.

True

Source: Manual Therapy MCQs Quiz (ProProfs Quizzes)

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TRUE OR FALSE: In a case where your client presents with restricted talocrural joint plantarflexion, you could glide the talus posteriorly in the mortise to help improve range of motion.

False

Source: Manual Therapy MCQs Quiz (ProProfs Quizzes)

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TRUE OR FALSE: Ventral glide of the femur at the coxofemoral joint will help improve external rotation.

True

Source: Manual Therapy MCQs Quiz (ProProfs Quizzes)

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TRUE OR FALSE: In cases of pain, muscle guarding and spasm, small amplitude, high velocity oscillatory movements may be used to stimulate mechanoreceptors, thus inhibiting the transmission of nociceptive stimuli.

False

Source: Manual Therapy MCQs Quiz (ProProfs Quizzes)

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Characteristics of roll include:

A. Joint surfaces are maximally congruent
B. Roll results in swing of the bone
C. Rolling is always in the opposite direction of the swing of the moving bone
D. New points on one surface contact the same point on the opposing surface
E. None of the above

B. Roll results in swing of the bone

Source: Manual Therapy MCQs Quiz (ProProfs Quizzes)

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TRUE OR FALSE: Passive (arc) stretching in the absence of slide causes excessive joint compression in the same direction as that of the rolling bone.

True

Source: Manual Therapy MCQs Quiz (ProProfs Quizzes)

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Which of the following applications would you consider to be the most precise stretching technique?

A. Grade 2 sustained glide
B. Grade 3 sustained glide
C. Grade 3 oscillatory glide
D. Grade 4 oscillatory glide

B. Grade 3 sustained glide

Source: Manual Therapy MCQs Quiz (ProProfs Quizzes)

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TRUE OR FALSE: Knee extension can be improved by gliding the tibia anteriorly on the femur using Grade 2 translatoric glide.

False

Source: Manual Therapy MCQs Quiz (ProProfs Quizzes)

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This refers to manual therapy techniques that are used to modulate pain and treat joint dysfunctions that limit ROM by specifically addressing the altered mechanics of joint.

Joint Mobilization

Source: PJM (ProProfs Flashcards)

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Passive skilled manual therapy techniques applied to joints definition of:

Mobilization/Manipulation

Source: PJM (ProProfs Flashcards)

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Refers to self-stretching techniques that use joints traction or glides:

Self-Mobilization (Auto-mobilization)

Source: PJM (ProProfs Flashcards)

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Motions that occur b/w the joint surfaces allows the bones to move

Joint Play Source: PJM (ProProfs Flashcards)

The movements of the joint surfaces include:

1. Distraction 2. Sliding 3. Compression 4. Rolling 5. Spinning Source: PJM (ProProfs Flashcards)

____ is used when these motions of the bone surfaces within the joint are described.

Arthrokinematics Source: PJM (ProProfs Flashcards)

Distraction or sliding of the joint surfaces are done to:

Decrease pain or restore joint play Source: PJM (ProProfs Flashcards)

Type of motion occur b/w bony partners in a joint is influenced by the shape of joint surfaces:

Joint Shapes Source: PJM (ProProfs Flashcards)

The movement of the bony lever (palanca) is called (1)____ and is classically described as (2-6)____.

1. Swing 2-6. Flex, Extension, Abduction, Adduction, & Rotation. Source: PJM (ProProfs Flashcards)

Combination of rolling and sliding, or spinning are?

Accessory motions Source: PJM (ProProfs Flashcards)

Angular motion of the bone ( swinging ) in the same direction as the swinging whether the surface is convex or concave

Rolling Source: PJM (ProProfs Flashcards)

For the rolling, sliding, or spinning to occur, there must be:

adequate capsule laxity or joint play Source: PJM (ProProfs Flashcards)

In normally functioning joints, pure rolling does not occur alone but in combination with joint ____

Sliding and Spinning Source: PJM (ProProfs Flashcards)

TRUE OR FALSE: Pure sliding does not occur in joint.

True. This is because the surfaces are not completely congruent. Source: PJM (ProProfs Flashcards)

Sliding in the opposite direction of the angular movement of the bone if the moving joint surface is:

Convex Source: PJM (ProProfs Flashcards)

Joint mobilization describe (1-3)____

1. sliding component 2. joint play 3. reverse joint hypomobility Source: PJM (ProProfs Flashcards)

Enumerate 3 examples of spin

1. shoulder with flexion/extension 2. hip with flexion/extension 3. radiohumeral joint with pronation/supination Source: PJM (ProProfs Flashcards)

(1) )____ is a longitudinal pull. (2)___ is a separation, or pulling apart.

1. Traction 2. Distraction Source: PJM (ProProfs Flashcards)

Distraction of the glenohumeral joint requires a pull at right angles to the ____

Glenoid Fossa Source: PJM (ProProfs Flashcards)

Traction applied to the shaft of humerus results in

Caudal gliding of the joint surface Source: PJM (ProProfs Flashcards)

Joint motion stimulates biological activity by

moving synovial fluid Source: PJM (ProProfs Flashcards)

Based on the concave - convex rule, which joint mobilization glide would help increase shoulder abduction?

Inferior glide Source: Peripheral Joint Mobilization Techniques Questions (Quizlet)

Based on the concave - convex rule, determine which joint mobilization would help increase a specific movement: 1. retraction at the sternoclavicular joint 2. depression of the clavicle at the sternoclavicular joint 3. shoulder extension and external rotation 4. pronation at distal radioulnar joint 5. elbow extension at the humeroradial joint Choices: A. None of the choices B. Inferior Glide C. Superior Glide D. Anterior/ Volar Glide E. Posterior/ Dorsal Glide

1. Posterior/ Dorsal glide (E) 2. Superior glide (C) 3. Anterior/ Volar Glide (D) 4. Anterior/ Volar Glide (D) 5. Posterior/ Dorsal glide (E) Source: Peripheral Joint Mobilization Techniques Questions (Quizlet)

Based on the concave - convex rule, which joint mobilization would help elbow flexion? (scoop motion)

Humeroulnar distal glide Source: Peripheral Joint Mobilization Techniques Questions (Quizlet)

A PT is performing specific carpal gliding to help increase either flexion or extension. If he is stabilizing the scaphoid and gliding volarly the radius, which motion is he trying to increase?

Flexion Source: Peripheral Joint Mobilization Techniques Questions (Quizlet)

Based on the concave - convex rule,which joint mobilization would help reduce a pulled elbow subluxation?

Humeroradial compression Source: Peripheral Joint Mobilization Techniques Questions (Quizlet)

Based on the concave - convex rule, which joint mobilization would help increase valgus, an accessory motion that accompanies elbow extension and is used to progress extension?

Humeroulnar ulnar glide Source: Peripheral Joint Mobilization Techniques Questions (Quizlet)

Based on the concave - convex rule, which joint mobilization would help increase varus, an accessory motion that accompanies elbow flexion, and is used to progress flexion?

Humeroulnar radial glide Source: Peripheral Joint Mobilization Techniques Questions (Quizlet)

Based on the concave - convex rule, determine which joint mobilization would help increase a specific movement: 1. elevation of clavicle at the sternoclavicular joint 2. protraction at the sternoclavicular joint 3. supination at proximal radioulnar joint 4. wrist ulnar deviation 5. shoulder flexion and internal rotation Choices: A. Posterior/ Dorsal Glide B. Radial Glide C. Inferior glide D. Anterior/ Volar glide E. None of the above

1. Inferior glide (C) 2. Anterior/ Volar Glide (D) 3. Anterior/ Volar Glide (D) 4. Radial Glide (B) 5. Posterior/ Dorsal Glide (A) Source: Peripheral Joint Mobilization Techniques Questions (Quizlet)

A PT is performing specific carpal gliding to help increase either flexion or extension. if he is stabilizing the Lunate and gliding volarly the Capitate, which motion is he trying to increase?

Extension Source: Peripheral Joint Mobilization Techniques Questions (Quizlet)

Which joint mobilization glide would help increase foot supination?

Plantar Glide Source: Peripheral Joint Mobilization Techniques Questions (Quizlet)

Determine which joint mobilization glide would help increase a specific movement 1. eversion at the subtalar joint 2. knee extension 3. hip flexion and internal rotation 4. thumb abduction 5. thumb flexion Choices: A. Ulnar Glide B. Medial Glide C. Anterior glide D. Posterior glide

1. Medial glide (B) 2. Anterior glide (C) 3. Posterior glide (D) 4. Posterior glide (D) 5. Ulnar glide (A) Source: Peripheral Joint Mobilization Techniques Questions (Quizlet)

Which joint mobilization glide would be helpful to increase mobility of the ankle mortise when it is restricting dorsiflexion if patient is position in supine?

Posterior glide Source: Peripheral Joint Mobilization Techniques Questions (Quizlet)

Joint mobilization will effect various structures EXCEPT: A. Muscle B. Tendon C. Capsule D. Nerve Supply

D. Nerve Supply Source: Joint Mobilization/ Peripheral Joint Mobilization (Quizziz)

Which among the following are voluntary movements: A. Physiologic Movement B. Component motion C. Joint Play D. Osteokinematics E. Arthokinematics F. Swing of the Lever

Only A, D, AND F Source: Lecture Mini Quiz

TRUE OR FALSE: CMC joint is an example of a sellar type of joint shape

True Source: Lecture Mini Quiz

What is the resting position of the knee?

20 degrees of flexion Source: Lecture Mini Quiz

TRUE OR FALSE: Grade V can be done twice.

False Source: Lecture Mini Quiz

The movement of the bony lever is called ____

Swing Source: Kisner & Colby 7th ed. page 129

____ is the theoretical basis for determining the direction of the mobilizing force when joint gliding techniques are used

Concave-convex Rule Source: Kisner & Colby 7th ed. page 130

Accessory movements, like (1)____, (2)___, and (3)____, are movements in the joint and surrounding tissues that are necessary for normal ROM and allow (4)____ of bone as it (5)____

1. Roll 2. Glide 3. Slide 4. Greater Angulation 5. Swings Source: Kisner & Colby 7th ed. page 128-129

____ is the end of the available ROM when there is restriction.

Pathological limit Source: Kisner & Colby 7th ed. page 128

In rolling, surfaces are (1)____; In pure slide/translation, surfaces must be (2)____, either (3)___ or (4)____

1. incongruent 2. congruent 3. flat 4. curved Source: Kisner & Colby 7th ed. page 129-130

____ are always applied in a pain-free direction and are described as correcting joint tracking from a positional fault

Mobilization with Movement (MWM) Source: Kisner & Colby 7th ed. page 128

TRUE OR FALSE: Long-axis traction is always the same with joint distraction

False

TRUE OR FALSE: The joints of patients with potential necrosis of the ligaments or capsule may be mobilized with stretching techniques.

False Source: Kisner & Colby 7th ed. page 133

(1)____ occurs when new points on one surface meet new points on the opposing surface & rolling results in angular motion of the bone (swing). (2)____ occurs when the same point on one surface comes into contact with the new points on the opposing surface.

1. Roll 2. Slide/ Translation Source: Kisner & Colby 7th ed. page 129-130

Enumerate 2 component motions

1. upward rotation of the scapula and rotation of the clavicle, which occur with shoulder flexion 2. rotation of the fibula, which occurs with ankle motions Source: Kisner & Colby 7th ed. page 128

TRUE OR FALSE: Gentle oscillating or distraction motions may temporarily inhibit the pain response in inflammation.

True Source: Kisner & Colby 7th ed. page 134

(1)____, if it occurs alone, causes compression of the surfaces on the side to which the bone is swinging and separation on the other side. (2)____ using bone angulation alone may cause stressful compressive forces to portions of the joint surface, potentially leading to joint damage.

1. Rolling 2. Passive stretching Source: Kisner & Colby 7th ed. page 129

TRUE OR FALSE: Gentle oscillating motions that do not stress or stretch the capsule may help block the transmission of a pain stimulus so it is not perceived and also may help improve fluid flow while maintaining available joint play

True Source: Kisner & Colby 7th ed. page 134

TRUE OR FALSE: Patients with painful hypermobile joints may benefit from gentle joint-play techniques if kept within the limits of motion

True Source: Kisner & Colby 7th ed. page 133

(1)____ is the position of the joint where the greatest mobility is possible and is where the least amount of tension is placed on the joint capsule and supporting ligaments

1. resting position/ open-pack position/ loose-pack position

____ position is typically used for testing joint play and for applying the initial mobilization treatment

open-packed

For restricted joints, apply a minimum of a (1)___ second stretch force followed by (2)___ release, then repeat with slow, intermittent stretches at (3)____ second intervals.

1. 6 2. partial 3. 3-4 NOTE: When released, go to grade I or II. Source: Kisner & Colby 7th ed., page 136

Determine the function per grading. 1. Grade I distraction 2. Grade II distraction 3. Grade III distraction & glide Choices: A. used for pain relief only B. used for all gliding motions & pain relief C. used for stretching D. used for increasing joint play E. used for initial treatment & determining sensitivity of joint F. C & D G. A &E

1. B 2. E 3. F Source: Kisner & Colby 7th ed., page 134

Gentle grade II distraction applied intermittently may be used to (1)____. Grade II glides may be used to (2)____ when ROM is not allowed.

1. inhibit pain 2. maintain joint play Source: Kisner & Colby 7th ed., page 134

TRUE OR FALSE: Sustained grade II techniques take up the slack of the tissues, whereas grade II oscillation techniques stay within the slack.

True Source: Kisner & Colby 7th ed., page 134

TRUE OR FALSE: Thrust techniques may be used to treat capitate-lunate subluxation

True

The more congruent the joint surfaces are, the more (1)-___ there is of one bony partner on the other with movement. The more incongruent the joint surfaces are, the more (2)____ there is of one bony partner on the other with movement

1. sliding 2. rolling Source: Kisner & Colby 7th ed., page 131

What is the resting position of: 1. humeroulnar articulation 2. humeroradial articulation 3. proximal radioulnar 4. distal radioulnar CHOICES: A. fully extended elbow with supinated forearm B. 10 degrees supination C. 70 degrees flexion with 10 degrees supination D. 70 degrees flexion with 35 degrees supination

1. C 2. A 3. D 4. B Source: Kisner and Colby 7th ed., page 146-147

What is the resting position of: 1. hip joint 2. tibiofemoral articulation 3. talocrural joint CHOICES: A. 25 degrees flexion B. 30 degrees flexion, 30 degrees abduction, & slight external rotation C. 20 degrees flexion D. 30 degrees flexion, 30 degrees abduction, & slight internal rotation E. 10 degrees flexion

1. B 2. A 3. E Source: Kisner & Colby 7th ed., page 154-160