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BPO manual therapy
| Question | Answer |
|---|---|
| What does arthrokinematics mean? | The movement of joint surfaces |
| Name three types of arthrokinematic movement | Rolling Spining Sliding/gliding |
| Can arthrokinematic movement occur independently or actively? | No, it is involuntary and if restricted can limit physiological movement |
| What type of arthrokinematic movement is described below? New points on one surface come into contact with new points on another surface and articulating surfaces are incongruent | Rolling. I.e a wheel. New parts of the wheel come into contact with road ahead I.e. knee joint |
| Which movement is also called translation? Can you describe it? | Gliding/sliding It occurs when one constant point on one surface is contacting new points/series of points on the other surface I.e patella gliding |
| Which two accessory movements occur at the knee? | (Starting in an extended/anatomical position) the first movement in flexion is posterior rolling, then in deeper flexion the ACL prevents the femur rolling back so it now slides on the tibia |
| What is spinning? | Rotation around a longitudinal stationary mechanical axis (one point of contact) |
| Give an example of a joint where ‘spinning’ occurs? | Radiohumeral joint spins on a longitudinal axis during pronunciation and supination. Femoral head spins in the acetabulum during hip flexion |
| Rolling-describe using the car analogy | Driving forwards, the wheels roll against the road |
| Glide slide-describe using car analogy | During breaking, the car wheels glide/slide against the road |
| Spin- describe using car analogy | Losing traction on a hill/snow or mud causes the wheels to spin against the road |
| Manual therapy- what is the main aim of joint assessment? | To investigate if the joint structures are contributing to a patient’s symptoms (in conjunction with ROM assessment) Help determine restricting factors I.e pain of stiffness Find out in which part of the accessory range I.e. early, middle, late range |
| Manual Therapy- the main aims of joint treatment | the main aims of joint treatment are to decrease pain and increase range or/and quality of movement |
| Key term for joint assessment: physiological movements are...? | The movements which can be achieved and performed actively by a person and can be analysed for quality and symptom response, I.e. active and passive movement testing |
| Accessory movements are...? | Accessory or joint play movements are joint movements which cannot be performed by the individual |
| To perform accessory movements on a patient, which end of the joint do you fix? | Fix the proximal, move the distal |
| Accessory movements: What is AP short for? What does it Mean? | Anteroposterior-moving the distal from front to back |
| Accessory movements: What does PA stand for? What does it mean? | Posteroanterior, moving the distal end from back to the front |
| Which accessory movement is ‘towards the head’? | Longitudinal Cephalad |
| Longitudinal Caudad means? | Movement towards the feet/tail |
| Which accessory movement ‘separates joint surfaces’? | Distraction separates joint surfaces |
| What does ‘Compression’ mean as an accessory movement? | Compression means pressing joint surfaces together |
| What is medial/lateral gliding? | One constant point on one surface is contacted by new point or a series of new points on the other surface. I.e. the patella moving towards the mid line or lateral side of the body |
Created by:
Debohack
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