Joint Mobilization Flashcards

1
Q

Characteristics of mobilization

A

-skilled passive movement
-low velocity
-does not go beyond end range
-can be graded I-III or I-IV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Characteristics of manipulation

A

-low amplitude
-high velocity
-thrust
-intentionally moves joint beyond end range

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Describe Grade 1-4 for Maitland

A

Grade 1: before R1, small and fast oscillations

Grade 2: up to R1, big and slow oscillations (push, relax)

Grade 3: between R1 and R2, big and slow oscillations

Grade 4: up to R2, small and fast oscillations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Types of Kalltenborn joint mobs

A

Compression, traction, translatoric (gliding)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Describe the 3 grades of motion for Kalltenborn

A

Grade I: there’s still loose slack

Grade II: tissue slack taken up, surrounding joint tissue tightened (assess tissue and subjective response)

Grade III: tissue deformation, moving beyond R1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the purpose of Grade II for Kalltenborn? Grade III?

A

Grade II - pain relief, assess joint play/reactivity
Grade III: increase mobility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the different end feels through Nordic System/Kalltenborn?

A

Soft - soft tissue approximation or muscle stx
Firm - capsular or ligamentous
Hard - bone or cartilage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the quantity grades for Nordic System/Kalltenborn?

A

0 = ankyloses (joint has no motion)
1-2 = hypo mobile (do joint mobs)
3 = normal
4-5 = hyper mobile
6 = unstable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Indications for passive joint motion

A

-pain relief and muscle guarding
-increase joint mobility in presence of stiffness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Examples of hypermobility/instability contraindications for passive motion

A

Recent fracture, ligamentous sprains, RA, osteoporosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is compression used for?

A

Recreating symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the grades of traction for Kalltenborn?

A

Grade I: relieve pain and muscle guarding, move joint fluid

Grade II: relieve pain and assess joint play/reactivity

Grade III: increase mobility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What does Grade II and III do per Kalltenborn?

A

Grade II: pain relief, assess joint play and reactivity
Grade III: improve mobility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are Maitland Grade I-IV used for?

A

Grade I and II to reduce pain
Grade III and IV to increase mobility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What position are initial Maitland mobilization techniques performed in?

A

Loose-packed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What direction are the roll and glide for convex-concave?

A

Convex moving on concave = opposite
Concave moving on convex = same

17
Q

What are the steps for any joint mob?

A
  1. Figure out which way joints move (convex on concave vice versa)
  2. Assess ROM
  3. Joint play
  4. Compression
  5. Choose technique
  6. Reassess
18
Q

What are the 4 neurophysiological benefits to passive joint mobilization?

A

-type I receptors (postural)
-type II (dynamic)
-type III (inhibitive)
-type IV (nociceptive)

19
Q

Type I receptors (postural) characteristics

A

-found in joint capsules
-small diameter, myelinated fibers
-static and dynamic firing mechanoreceptors
-promote body awareness in space

20
Q

Neurophysiological benefits to passive joint mob in type II (dynamic) receptors and characteristics

A

-“where are we going in space”
-low threshold, fast adapting movement and direction

21
Q

Neurophysiological benefits to passive joint mob for type III (inhibitive)

A

Involves GTO; firing leads to reflex inhibition to surrounding muscle

22
Q

Type IV (nociceptive) characteristics

A

-pain receptors
-found in most joint structures
-lattice like, unmyelinated fibers and free nerve endings

23
Q

Contraindications to use passive motion

A

-hypermobility/instability
-active disease process (flu, infection, malignancies)
-conditions of acuity, substantial inflammation, reactivity (swelling, warmth, muscle guarding)