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TherEx Ch 6
Chapter 6 Joint Mobs
Question | Answer |
---|---|
Osteokinematics | Traditional voluntary joint movements or physiologic joint movements. |
Accessory Movements | The motions that accompany active range of motion but are not under voluntary control |
Component motions | motions that accompany active range of motion but are not under voluntary control - Accessory movements |
Joint play | term used to describe the movement that occurs between joint surfaces during voluntary joint movement |
Arthrokinematics | Movements fall under the heading of joint play: distraction, compression, sliding, rolling, and spinning. |
Osteokinematics | Traditional voluntary joint movements or physiologic joint movements. |
Mobilization | passive manual techniques applied to joints and related soft tissues to decrease pain or increase range of motion |
Accessory Movements | The motions that accompany active range of motion but are not under voluntary control |
Manipulation | occur at the end range of joint movement and are delivered with a small amplitude, quick thrust. |
Component motions | motions that accompany active range of motion but are not under voluntary control - Accessory movements |
Concave-convex rule | when joint mobilization occurs, the concave bone will move in the direction of the glide. convex is opposite. |
Joint play | term used to describe the movement that occurs between joint surfaces during voluntary joint movement |
Swing | Movement of the bony levers associated with long bone movements in the extremities. Refers to the actual ROM. |
Arthrokinematics | Movements fall under the heading of joint play: distraction, compression, sliding, rolling, and spinning. |
Distraction | occurs when the joint surfaces are separated through the application of either long axis distraction or application of a perpendicular force at the joint. Allow for maximal joint separation and releave pain |
Mobilization | passive manual techniques applied to joints and related soft tissues to decrease pain or increase range of motion |
Compression | Decreases joint space between the two surfaces by moving them closer together |
Manipulation | occur at the end range of joint movement and are delivered with a small amplitude, quick thrust. |
Rolling | two surface are in-congruent. Defined as a new point on one surface meeting a new point on the opposing surface. Roll is always in the same direction as the swing |
Concave-convex rule | when joint mobilization occurs, the concave bone will move in the direction of the glide. convex is opposite. |
Sliding | On congruent surfaces. Defined as the same single point on one surface contacting new points on the opposing surface |
Swing | Movement of the bony levers associated with long bone movements in the extremities. Refers to the actual ROM. |
Distraction | occurs when the joint surfaces are separated through the application of either long axis distraction or application of a perpendicular force at the joint. Allow for maximal joint separation and releave pain |
Compression | Decreases joint space between the two surfaces by moving them closer together |
Rolling | two surface are in-congruent. Defined as a new point on one surface meeting a new point on the opposing surface. Roll is always in the same direction as the swing |
Sliding | On congruent surfaces. Defined as the same single point on one surface contacting new points on the opposing surface |
Gliding or translaton | Passive techniques applied to joint surfaces to produce a slide. |
Spinning | One bone rotates around a stationary axis. The same point on the moving surface creates an arc of contact on the stationary surface. (pronation and supination of radius and ulna) |
Loose packed position/Resting Position | Joint position where the ligaments and each joint capsule are relaxed and joint play is maximized |
Close-packed position | joint position of maximal bony congruity within the joint. Ligaments and joint capsule are tight. |
Capsular pattern | when a Joint range of motion limitations occur secondary to joint capsule tightness, a predictable pattern of motion loss is observed. Indicates joint mobs. |
Effects of Joint Mobilization | Activate mechanoreceptors. Proprioceptive feedback and function. decreased pain perception, decreased muscle spasm, and decreased muscle guarding. Production and movement of synovial fluid within the joint. Improve Joint mobility for hypomobile joints |
Adjuncts to Joint Mobilizations | Application of stretching, increased temperature of tissue. all done within the stretching window |
Stretching window | Time where benefit of passive heating of tissues to increase tissue extensibility is limited by time after the removal of the modality. No greater than 3.3 minutes. |
Graded oscillation | Repeatedly oscillating the joint at various points in the joint range to decrease pain or increase soft tissue mobility. Grades I-V |
Grade I | Small Amplitude beginning of joint play - pain |
Grade II | Large Amplitude middle of joint play - pain |
Grade III | Large Amplitude middle to end of joint play - increase tissue mobility |
Grade IV | Small Amplitude, end of joint play - increase tissue mobility |
Grade V | Small Amplitude, beyond end of joint play - joint manipulation |
Sustained translatory joint-play | Second joint mobilization technique where sustained techniques are applied and held, without oscillation, for a period of 7 to 30 seconds, depending on the treatment goal. Grade I-III distractions |
Grade I translatory | Reduction of pain |
Grade II translatory | Decrease pain and gently stress involved tissues. Taking up the slack |
Grade III Translatory | sustained distraction are used to stretch tight joint tissues and ultimately increase joint mobility. |
Precaution for Joint Mobs | Malignancy, bone disease, unhealed fracture, excessive pain, hypermobility, total joint replacement, newly healing joint structures, old people. |