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Musculoskeletal 1 > Joint Mobilizations (2) > Flashcards

Joint Mobilizations (2) Flashcards

1
Q

What do you assess in manual therapy?

A

Motion

Pain

Functional outcomes

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2
Q

What is OMPT?

A

Any hands on treatment provided by the PT (manipulations, joint mobilizations, stretching)

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3
Q

What altered mechanics can manual therapy address?

A

Pain and muscle guarding

Joint effusion

Adhesions in the joint capsule

Malalignment or subluxation of bony surfaces

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4
Q

Angular stretching

A

Lever increases force at joint

Can cause excessive joint compression

Roll without a slide does not replicate normal function

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5
Q

Joint mobilization

A

Force applied to joint at an intensity concurrent with pathology

Direction of mobilization can mimic slide

Selective application

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6
Q

What are the neurophysiological effects of joint mobilization?

A

Stimulate mechanoreceptors

Inhibit nociceptive stimuli

Small amplitude oscillations

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7
Q

What are the mechanical effects of joint mobilization?

A

Motion of synovial fluid (small amplitude)

Re arrange collagenous fibers in joint capsule (large amplitude)

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8
Q

What are some contraindications of joint mobilization?

A

Inflammatory arthritis

Tuberculosis

Osteoporosis

Bone fracture

Joint effusion

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9
Q

What is a grade 1 mobilization?

A

Small amp, out of resistance, PAIN

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10
Q

What is a grade 2 mobilization?

A

Large amp, out of resistance, PAIN

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11
Q

What is a grade 3 mobilization?

A

Large amp, out of resistance, MOTION

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12
Q

What is a grade 4 mobilization?

A

Small amp, into resistance, MOTION

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13
Q

What is a grade 5 mobilization?

A

Manipulation, pushes beyond restrictive barrier

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14
Q

What grade mobilization is best used for pain?

A

Grade 1 and 2

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15
Q

What grade of mobilization is best used for motion?

A

Grade 3 and 4

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16
Q

Resting position in joint mobilization?

A

Maximum joint play (position where joint capsule and ligaments or most relaxed)

17
Q

How are the articulating surfaces in loose packed position?

A

maximally separated

18
Q

What will the joint exhibit in loose packed position?

A

Greatest amount of joint play

19
Q

What is the loose packed position used for?

A

Traction and joint mobilization

20
Q

How are the joint surfaces in close packed position?

A

Maximal contact to each other

21
Q

What are the evaluations prior to joint mobilization?

A

AROM and PROM

Pain level throughout motion

22
Q

Where does the treatment plane lie in joint mobilization?

A

Concave articulating surface perpendicular to a line from the center of the convex articulating surface

Musculoskeletal 1 (30 decks)

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