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Ortho III 2009

Peripheral Joint Mobilizatoin

QuestionAnswer
when the concave surface is stationary, convex surface moving, the gliding movement in the jt occurs in the _______direction., mobilization force should be applied in the _____of bone movement. opposite
oscillating movements to decrease____ pain
best position for joint mob, loose or closed-packed? loose
when convex surface stationary, concave moving, gliding occurs in ______direction, mobilization force should occur? same
gliding movement with sustained stretch to increase__ extensibility
joint end feel elbow ext bone to bone
jt end feel knee flex soft tissue approximation
jt end feel wrist flex springy tissue (hard)
abnormal joint end feels mm spasm, springy block, empty end feel, loose end feel
shoulder capsular pattern ER, ABD, IR
grade 1 jt mob sm amp, at beginning of range
grade 2 jt mob lg amp, w/in range, not reaching limit & not returning to beginning
grade 3 jt mob lg amp, to the limit
grade 4 jt mob sm amp performed at limit of range
indications for jt mob non-acute pain, restriction in jt movement (abnormal end feel), restriction in accessory movement
to decrease pain w/jt mob sm amp, oscillatory movements to inc proprioceptive input to spinal cord to inhibit ongoing nociceptive input to anterior horn cells, GATE theory, grade I or II
what technique for jt mob for inc tissue extensibility gliding to end range, apply rhythmically w/o abrupt chgs in speed or duration, grade II, III, IV
contraindications for jt mobs undiagnosed lesion, osteoporosis, RA (EXTREME CAUTION), jt hypermobility (EXTREME CAUTION), neuro symtoms (EXTREME CAUTION), jt ankylosis, closed pack position, pregnancy & sondylolisthesis, bone disease, cancer, infection, CNS disorders (ABSOLUTE CONTRA)
Jt mob precautions jt effusion, DJD, metabolic bone disease (Paget's, TB), internal derangement, unossified jts, total jt replacement
jt mob direction for Restircted ABD of GH inferior mob of humerous
jt mob direction for knee extension (tibia anterior mob of tibia
jt mob direction of IR and shoulder flexion superior (?)
Created by: djbari