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TherEx Ch 6

Chapter 6 Joint Mobs

QuestionAnswer
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.
Created by: WalkerChance