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Joint Mobilization > Techniques > Flashcards

Techniques Flashcards

1
Q

Knee joint distraction

A

Patient position:
Seated,Leg hanging over table
Knee joint in loose pack position (at least 25 degrees flextion)

Therapist:
Kneeling at patients foot, facing knee
Both hands grasp distal leg, proximal to malleoli

Mobilization:
Both hands traction leg caudally

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2
Q

Distraction of talus from the Mortise

A

Patient position:
Seated or supine
Talocrural In loose pack position (10 degrees plantar flexion)

Therapist position:
End of table
One hand grasps neck of talus (ant hand)
Post hand grasps post talus and calcaneus

Mobilization
Both hands traction distally (use body weight to assist)

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3
Q

Hip joint distraction

A

Patient position
Supine
Leg positioned over therapist shoulder, so back of knee rests on top of shoulder, hip joint positioned as close to loose packed as possible (30 fl, 30 ab, slight er)

Therapist:
At side of table facing head end of table
Hands are positioned on the proximal thigh centrally and medially fingers interlaced

Mobilization
Bob hands move the proximal femur/femoral head away from acetabulum
Movement is directed at a 90 degree angle to the acetabulum resulting in a caudal and lateral distraction

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4
Q

Knee joint ventral Glide

A

Patient position
Supine
Hip and knee flexed, flat foot on table

Therapist
Sitting on foot, as per acl test
Both hands grasp proximal leg
Fingers dorsally wrap around the back of the leg
Thumbs ventrally palpating the joint line/space without pressure on either side of ligament

Mobilization
Both hands glide the proximal leg in a ventral direction

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5
Q

Knee joint dorsal Glide

A

Patient position
Supine
Hip and knee flexed, flat foot on table

Therapist
Sitting on foot, as per acl test
Both hands grasp proximal leg
Pressure is directed post via thenar eminences
Thumbs ventrally palpating the joint line/space without pressure on either side of ligament

Mobilization
Both hands glide the proximal leg in a dorsal direction

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6
Q

Knee joint rotation

A

Patient position
Seated or prone
Knee joint in Resting position

Therapist
Both hands grasp the distal leg proximal to malleoli
Distract leg from thigh grade 1 only
Rotate leg medially and laterally

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7
Q

Ankle talocrural joint posterior Glide

A

Patient position
Supine
Pillow beneath distal leg or foot of the end of the table
Ankle joint in resting position

Therapist
At side of table facing patients ankle
Stabilizing cranial hand supports dorsal surface of distal leg
Mobilizing caudal hand web space grips the neck of the talus: thumb and index fingers should rest just distal to the malleoli

Mobilization
Stabilizing hand holds distal leg in position
Mobilizing hand glides trochlea dorsally within mortise

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8
Q

Ankle (talocrural joint) anterior Glide

A

Patient position
Supine
Pillow beneath distal leg or foot of the end of the table
Ankle joint in resting position

Therapist
At side of table facing patients ankle
Stabilizing cranial hand supports ventral surface of distal leg
Mobilizing caudal hand cups the calcaneus/talus, posteriorly
forearm cAn direct foot into resting position

Mobilization
Stabilizing hand holds distal leg in position
Mobilizing hand lifts calcaneus/talus anterior

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9
Q

Hip joint dorsal Glide

A

Patient
Supine
Hip joint in slight flexion

Therapist
At side facing hip
Caudal stabilizing f supports thigh from medial knee and maintains resting position at hip joint
Cranial mobilizing hand rest over anterior proximal thigh

Mobilization
Therapist applies body weight as mobilization hand direct proximal femur dorsally
Stabilizing hand controls thigh position

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10
Q

Hip joint ventral Glide

A

Patient
Prone
Pillow under abdomen

Therapist
At side facing hip
mobilizing hand is over dorsal surface anterior proximal thigh
StabiliZing hand is positioned on the ventral surface of the distal thigh (from medial side of knee) and maintains thigh in position of slight extension and leg in position of flexion

Mobilization
Mobilizing hand Glides the proximal femur ventrally as therapist applies body weight
Stabilizing hand controls position of the thigh

Mobilization
Therapist applies body weight as mobilization hand direct proximal femur dorsally
Stabilizing hand controls thigh position

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11
Q

Superior tibiofibular joint treatment

A

Patient position
Supine
Hip and knee of side to be treated flexed
Foot flat on table

Therapist
Sitting on patients foot
Medial hand: stabilizes the anterior surface of proximal tibia, over tibial tuberosity
Lateral hand: thumb of front of head of fibula
Finger posteriorly grasping gastrocnemius

Mobilization.
With lateral hand direct fingers anterior for ventral Glide
With lateral hand direct the fingers posteriorly for dorsal Glide
Move your body as you mobilize not just your arm

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12
Q

Inferior tibiofibular joint ventral Glide

A

Patient position
Prone or supine
Ankle to treated on pillow

Therapist
At foot of table facing patients leg
Stabilizing hand holds distal tibia
Mobilizing hand is positioned to comfortably grasp the lateral malleolus

Mobilization
Stabilizing Hand stabilizes tibia in position
Mobilizing hand glides lateral malleolus ventrally

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13
Q

Inferior tibiofibular joint dorsal Glide

A

Patient position
supine
Ankle to treated on pillow

Therapist
At foot of table facing patients leg
Stabilizing hand holds distal tibia
Mobilizing hand is positioned to comfortably grasp the lateral malleolus

Mobilization
Stabilizing Hand stabilizes tibia in position
Mobilizing hand glides lateral malleolus dorsally

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14
Q

Subtalar joint distraction

A

Subtalar joint distraction

Patient position
Seated or supine
Subtalar joint in resting position

Therapist
Lateral to leg if patient is seated
Stabilizing hand grasps the ventral aspect of the talus at the distal leg with the thenar web space
Mobilizing hand grasps the calcaneus

Mobilization
Stabilizing hand holds the talus in position and controls the foot
Mobilizing hand tractions the calcaneus distally

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15
Q

Subtalar joint inversion/eversion

A

Patient position
Seated or supine
Subtalar in resting position

Therapist
Lateral to leg if patient is seated
Stabilizing hand grasps the ventral aspect of the talus at the distal leg with the thenar webspace
Mobilizing hand grasps dorsal aspect of calcaneus

Mobilization
Stabilizing hand holds the talus in position
Mobilizing hand distracts the calcaneus distally
Mobilizing hand tilts calcaneus medially for inversion
Mobilizing hand Tilts calcaneus laterally for eversion

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16
Q

Patellofemoral Glide

A

Patient position
Supine
Patellofemoral joint in resting position
Pillow beneath knee quadriceps muscle quiet

Therapist
Standing at side of table facing knee
Use thumb pads of thenar webspace
Do not compress patella against femur
Mobilizing hand positioned on patella according to desired Glide

Caudal surface for cranial Glide
Cranial surface for caudal Glide
Lateral surface for medial Glide
Medial surface for lateral Glide

Mobilization 
Mobilizing hand Glides patella cranially to increase knee ext
Caudally to increase knee joint flexion
Medially to increase medial tracking
Laterally to increase lateral tracking
17
Q

Talonavicular joint dorsal/plantar Glide

A

Patient
Supine
Talonavicular In resting position
Hip and knee joints may be flexed

Therapist
Standing lateral to foot facing lateral side of foot
Stabilize neck of talus with webspace of cephaled, thumb and index finger extend down and back towards calcaneus
Place webspace of mobilizing hand over navicular fingers wrap into arch of foot and index finger covers tuberosity of navicular
Hands should be tight together

Mobilization
Stabilizing hand holds talus in position
Mobilizing hand moves navicular in plantar direction to increase midtarsal pronation
Mobilizing hand moves navicular in dorsal direction to increase midtarsal supination

18
Q

Cuneonavicular joint dorsal plantar Glide

A

Patient
Supine

Therapist
Standing lateral to foot facing lateral foot
Cephaled hand stabilizing hand thenar webspace is tight dorsal aspect of navicular
Caudal hand mobilizing hand thenar webspace is tight to dorsal aspect of 3 cuneforms bones index finger covers cuneforms and remaining fingers wrap into arch of foot
Hands should be tight together

Mobilization
Cranial hand stabilizes navicular
Caudal hand mobilizes 3 cuneforms In dorsal direction to increase mid foot inversion/supination
Caudal hand mobilizes 3 cuneforms In plantar direction to increase midfoot eversion pronation

19
Q

Calcaneocuboid dorsal plantar Glide

A

Patient prone or supine
Knee can be flexed to 90 if necessary

Therapist
Standing at foot of table facing plantar surface of foot
Stabilizing hand medial grasps calcaneus
Mobilizing hand lateral hand thumb on plantar surface of cuboid
Mobilizing hand index index finger on dorsal surface of cuboid

Mobilization
Stabilizing hand holds the calcaneus and steadies hindfoot
Mobilizing hand Glides cuboid In dorsal direction to increase midfoot eversion
Mobilizing hand Glides cuboid In plantar direction to increase midfoot inversion

20
Q

Tarsometarsal joint rotation

A

Patient position

Therapist
Standing lateral to foot facing lateral foot
Cephaled hand thenar webspace on dorsal aspect of 3 cuneforms bones (fingers wrap under arch of foot)
Caudal hand (mobilizing hand) thenar webspace on dorsal aspect of bases of metatarsal bones fingers wrap under arch of foot
Hands should be tight together

Mobilization
Cephaled hand stabilizes midfoot
Caudal hand rotates metatarsal bases toward inversion to increase range of tarsometarsal joint inversion/forefoot adductilon
Caudal hand mobilizes bases of metatarsals toward eversion to increase range of forefoot abduction

21
Q

Tarsometarsal joint dorsal plantar Glide

A

Patient position

Therapist
Standing lateral to foot facing lateral foot
Cephaled hand thenar webspace on dorsal aspect of 3 cuneforms bones (fingers wrap under arch of foot)
Caudal hand (mobilizing hand) thenar webspace on dorsal aspect of bases of metatarsal bones fingers wrap under arch of foot
Hands should be tight together

Mobilization
Cephaled hand stabilizes midfoot
Caudal hand dorsal metatarsal bases dorsal direction to increase range of tarsometarsal joint dorsal Glide
Caudal hand mobilizes bases of metatarsals in plantar direction to increase range of plantar Glide

22
Q

Intermetatatssl joints dorsal plantar Glide

A

Patient position
Supine
Foot in neutral position

Therapist
Standing at the end of the table facing foot
Stabilizing hand grasps the shaft of the metatarsal proximal to head
Thumb on dorsum of foot, index finger on plantar surface
Mobilizing hand grasps shaft of adjacent metatarsal proximal to head, thumb on dorsum of foot, index finger on plantar surface

Mobilization
Stabilizing hand holds the second metatarsal in position
Mobilizing hand Glides the first metatarsal in a dorsal direction on the second metatarsal to decrease the transverse arch of the foot
Mobilizing hand Glides the first metatarsal in a plantar direction direction on the second metatarsal to increase the transverse arch of the foot
Mobilize the first on the second
Mobilize the third on the second
MobiliZe the fourth on the third
Mobilize the fifth on the fourth

23
Q

Metatarsalphalangeal distraction

A

Patient
Supine

Therapist
Standing lateral to foot facing lateral aspect of foot
Stabilizing hand grasps head of metatarsal thumb on dorsum of foot fingers wrap around to plantar surface of foot
Mobilizing hand grasps proximal end of proximal phalanx thumb on dorsum of phalanx fingers on plantar surface of phalanx

Mobilization
Stabilizing hand holds metatarsal in position
Mobilizing hand applies distraction

24
Q

Metatarsalphalangeal joint dorsal plantar Glide

A

Patient
Supine
Mtp joint positioned in resting

Therapist
Standing lateral to foot
Stabilizing hand (cephaled) grasps head of metatarsal, thumb of dorsum of foot, fingers wrap around to plantar surface of foot
Mobilizing hand (caudal) grasps proximal end of proximal phalanx thumb on dorsum of phalanx, fingers on plantar surface of phalanx

Mobilization
Stabilizing hand holds metatarsal in position
Mobilizing hand Glides base of proximal phalanx dorsally to increase mtp joint extension
Mobilizing hand glides base of proximal phalanx In plantar direction to increase mtp joint flexion

Joint Mobilization (1 decks)

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