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BPO manual therapy

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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