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Flashcards in Exam 4 Deck (30):
1

Selective stretching of specific tissue around a joint without damaging adjacent tissue; Stretching a capsular structure in physiological planes.

joint mobilization

2

purpose of joint mobilization

Remodel connective tissue to improve extensibility and reduce stiffness
Reduce pain and encourage relaxation
Bathe the joint in synovial fluid and nourish joint structures.

3

contraindications of joint mobilization

Joint replacements
Fractures that are not healed
Acute inflammatory or septic arthritis
Bone disease
Bacterial infection
Malignancy
Unstable joint

4

Movements produced by 2 adjacent bones (flexion, extension, abduction etc). We can see/observe these motions.

osteokinematics

5

essential movements that occur in joints as a result of physiologic (osteokinematic) motion but which cannot be produced my muscle action.

arthrokinematics

6

Describes the glide of the articular surface (arthrokinematic/accessory motion) of the moving segment relative to its osteokinematic direction of movement

Concave-convex relationship

7

Glide is to the opposite direction of movement. In other words The joint surface moves in the opposite direction the bone shaft is moving.

Convex moving on Concave

8

position in which joint capsule and ligaments are most relaxed.

resting position

9

Articulating surfaces are maximally separated. Joint will exhibit greatest amount of joint play

loose packed position

10

Joint surfaces are in maximal contact to each other

close packed position

11

Extremes of joint motion are _____-packed, & midrange positions are _____-packed.

closed, loose

12

With joint mobs, you start in a ___packed and progress to ___ packed

loose, closed

13

A series of points on one articulating surface come into contact with a series of points on another surface

roll

14

Occurs when one bone rotates around a stationary longitudinal mechanical axis

spin

15

Specific point on one surface comes into contact with a series of points on another surface

slide

16

When a passive mobilization technique is applied to produce a slide in the joint – referred to as a ____

glide

17

Decrease in space between two joint surfaces
Adds stability to a joint
Normal reaction of a joint to muscle contraction

compression

18

Two surfaces are pulled apart
Often used in combination with joint mobilizations to increase stretch of capsule.

distraction

19

Joint mobilization oscillations are used to stimulate _____ and inhibit ______

mechanoreceptors, nociceptors

20

neurophysiological effects of joint mob

Stimulates mechanoreceptors to decrease pain
Affect muscle spasm & muscle guarding – nociceptive stimulation
Increase in awareness of position & motion because of afferent nerve impulses

21

nutritional effects of joint mob

Distraction or small gliding movements – cause synovial fluid movement
Movement can improve nutrient exchange due to joint swelling & immobilization

22

mechanical effects of joint mob

Improve mobility of hypomobile joints (adhesions & thickened CT from immobilization – loosens)
Maintains extensibility & tensile strength of articular tissues

23

Grades I and II - primarily used for ___

pain

24

Grades III and IV - primarily used to _______

increase motion

25

All joint mobilizations follow the _____-_____ rule

convex-concave

26

With joint mob, patient’s ___& ____ should be reassessed after treatment, & again before the next treatment

joint, ROM

27

involves shattering of bone into pieces; usually takes the longest to heal.

comminuted fracture

28

bone pierces through skin

compound fracture

29

fracture where break doesn't go all the way through the bone

incomplete fracture

30

fracture characterized by a small crack and is most commonly found in children

Greenstick fracture