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Chapter 6 Joint Mobs

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Osteokinematics   Traditional voluntary joint movements or physiologic joint movements.  
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Accessory Movements   The motions that accompany active range of motion but are not under voluntary control  
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Component motions   motions that accompany active range of motion but are not under voluntary control - Accessory movements  
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Joint play   term used to describe the movement that occurs between joint surfaces during voluntary joint movement  
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Arthrokinematics   Movements fall under the heading of joint play: distraction, compression, sliding, rolling, and spinning.  
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Osteokinematics   Traditional voluntary joint movements or physiologic joint movements.  
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Mobilization   passive manual techniques applied to joints and related soft tissues to decrease pain or increase range of motion  
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Accessory Movements   The motions that accompany active range of motion but are not under voluntary control  
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Manipulation   occur at the end range of joint movement and are delivered with a small amplitude, quick thrust.  
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Component motions   motions that accompany active range of motion but are not under voluntary control - Accessory movements  
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Concave-convex rule   when joint mobilization occurs, the concave bone will move in the direction of the glide. convex is opposite.  
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Joint play   term used to describe the movement that occurs between joint surfaces during voluntary joint movement  
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Swing   Movement of the bony levers associated with long bone movements in the extremities. Refers to the actual ROM.  
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Arthrokinematics   Movements fall under the heading of joint play: distraction, compression, sliding, rolling, and spinning.  
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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  
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Mobilization   passive manual techniques applied to joints and related soft tissues to decrease pain or increase range of motion  
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Compression   Decreases joint space between the two surfaces by moving them closer together  
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Manipulation   occur at the end range of joint movement and are delivered with a small amplitude, quick thrust.  
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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  
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Concave-convex rule   when joint mobilization occurs, the concave bone will move in the direction of the glide. convex is opposite.  
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Sliding   On congruent surfaces. Defined as the same single point on one surface contacting new points on the opposing surface  
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Swing   Movement of the bony levers associated with long bone movements in the extremities. Refers to the actual ROM.  
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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  
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Compression   Decreases joint space between the two surfaces by moving them closer together  
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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  
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Sliding   On congruent surfaces. Defined as the same single point on one surface contacting new points on the opposing surface  
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Gliding or translaton   Passive techniques applied to joint surfaces to produce a slide.  
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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)  
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Loose packed position/Resting Position   Joint position where the ligaments and each joint capsule are relaxed and joint play is maximized  
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Close-packed position   joint position of maximal bony congruity within the joint. Ligaments and joint capsule are tight.  
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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.  
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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  
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Adjuncts to Joint Mobilizations   Application of stretching, increased temperature of tissue. all done within the stretching window  
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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.  
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Graded oscillation   Repeatedly oscillating the joint at various points in the joint range to decrease pain or increase soft tissue mobility. Grades I-V  
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Grade I   Small Amplitude beginning of joint play - pain  
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Grade II   Large Amplitude middle of joint play - pain  
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Grade III   Large Amplitude middle to end of joint play - increase tissue mobility  
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Grade IV   Small Amplitude, end of joint play - increase tissue mobility  
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Grade V   Small Amplitude, beyond end of joint play - joint manipulation  
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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  
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Grade I translatory   Reduction of pain  
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Grade II translatory   Decrease pain and gently stress involved tissues. Taking up the slack  
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Grade III Translatory   sustained distraction are used to stretch tight joint tissues and ultimately increase joint mobility.  
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Precaution for Joint Mobs   Malignancy, bone disease, unhealed fracture, excessive pain, hypermobility, total joint replacement, newly healing joint structures, old people.  
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