Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
joint mobilization
ortho foundations exam 1 material
| Question | Answer |
|---|---|
| use joint mobilizations to | assess ROM, treatment, help with pain |
| motion you see | osteokinematics |
| motion you feel | arthrokinematics |
| passive, skilled, manual therapy techniques applied to joint related soft tissues at varying speeds and amplitudes using accessory motions for therapeutic purposes | joint mobilization |
| why do altered joint mechanics occur | pain, muscle guarding, joint effusion, contractures, malalignment of bony surfaces |
| small, precise movements that occur within joint not under voluntary control but necessary for normal movement | accessory motion |
| 3 types of accessory motion | roll, slide, spin |
| new points on one surface come into contact with new points of the other surface | roll |
| one constant point on one joint surface contacts new points or a series of points on the other surface | glide |
| rotation around a longitudinal stationary mechanical axis, one point of contact | spin |
| concave on convex rule | glide is in the SAME direction |
| convex on concave rule | glide is in OPPOSITE direction |
| most often joint mobilization is ___ technique | glide |
| compression is ______ to treatment plane | perpendicular |
| approximation of articular surfaces | compression |
| traction is ____ to treatment plane | perpendicular |
| separation of articular surfaces | traction |
| true distraction is | perpendicular to treatment plane |
| long axis distraction is | in line with long bone |
| neurophysiological effects of joint mob | stimulate mechanoreceptors in joint |
| mechanical effects of joint mob | stretching contracted tissue, chance joint nutrition |
| indications for joint mob | examination, reversible joint hypo mobility, maintaining joint mobility, diminishing pain |
| _______ magnifies force at joint | angular stretch |
| ______ replicate normal joint mechanics | mobilization forces |
| subjective scale for grades of mobilization | 0-6 |
| hypo mobility on scale is number ___ through ___ | 0 ,1,2 |
| hyper mobility on scale is number ___ through ____ | 4,5,6 |
| normal mobility on scale is | 3 |
| 0 | no movement (ankylosis) |
| 1 | significantly decreased movement |
| 2 | slightly decreased movement |
| 3 | normal |
| 4 | slightly increased movmeent |
| 5 | significantly increased movoment |
| 6 | complete instability |
| examination is always performed in ____ | loose packed position |
| LPP | position a joint falls into if acutely injured bc it can accommodate the most amount of swelling, allow the most movement |
| resting position of joint | LPP |
| grades of mobilization | 1,2,3,4,5 |
| grade 1 mobilization | small amplitude glide at beginning range of joint play- ants doing pushups |
| grade 1 mobilization used when | patient is in a lot of pain, spasms limit movement early in ROM |
| grade 2 mobilization | large amplitude glide at midrange |
| grade 2 mobilization used for | pain control, spasm reduction |
| grade 3 mobilization | large amplitude glide at the end range of joint play |
| grade 3 used for | increasing periarticular extensibility, used when pain is low |
| grade 4 mobilization | small amplitude glide at END RANGE of joint play |
| grade 4 used for | increasing periarticular extensibility |
| grade 5 mobilisation | HVSAM, thrust mobilization , no oscillation |
| grades of traction | 1,2,3 |
| grade 1 traction | LOOSEN- used with all gliding motions and for pain relief |
| grade 2 traction | TIGHTEN - maintain joint play when ROM not possible , taking only to first resistance that you feel |
| grade 3 traction | STRETCH- to increase ROM, get into tension and pull even more |
| use grade _____ when pain before resistance | 1 or 2 |
| use grade ____ when pain AT resistance | 2,3 |
| use grade____when pain after resistance | 3,4 |
| how to progress prescription | move out of LPP, increase grade, move from oscillating to static |
| contraindications to mobilization treatment | malignancy in treatment area, metabolic bone disease, fusion, ankylosis, osteomyelitis, fracture |
| RELATIVE contraindications (based on clinician) | excessive pain, swelling, arthroplasty, pregnancy, hyper mobility, spondylolisthesis, rheumatoid arthritis |
| always mobilize in direction of joint's ___ | GLIDE |
| mobilization with movement | simultaneous joint mobilization as the patient moves, fostering mobility through patient's ROM |
Created by:
thomask9
Popular Physical Therapy sets