Final exam

Question 1

Joint mobilization define

Answer 1

• manual therapy technique involving passive accessory motion to restore optimal joint function
• reduce pain & stiffness, stretch fibrotic tissue, increase neuromuscular control, restore joint function

Question 2

Physiological motion

Answer 2

• flexion, extension, etc.
• concentric or eccentric, active or passive
• increase w/ stretching

Question 3

accessory motion

Answer 3

• involuntary movement occurs w/ physio motions; cannot isolate
• increase w/ joint mob & traction

Question 4

Spin

Answer 4

rotation on longitudinal axis

Question 5

Glide

Answer 5

one point contacts multiple points

Question 6

Roll

Answer 6

points contact points

Question 7

Hypermobile

Answer 7

patho limit > anatomical limit; failure of tissue to limit mobility —> instability

Question 8

Hypomobile

Answer 8

anatomical limit > patho limit; tissue block or failure to elongate resulting in limited ROM

Question 9

direction of treatment plane

Answer 9

parallel w/ concave joint surface

Question 10

concave/convex rule

Answer 10

• stabilize convex, move concAve in sAme direction of limit
• stabilize concave, move cOnvex Opposite from limit

Question 11

loose-pack position

Answer 11

position of comfort/rest; periarticular tissues are most lax –> greatest amount of accessory joint movement

Question 12

close-pack position

Answer 12

position of max artic. surface contact; periarticular tissues are most tense –> least amount of accessory joint movement

Question 13

Grade 1 mob

Answer 13

small motion @ start of JROM; emphasize up more than down

Question 14

Grade 2 mob

Answer 14

large motion @ mid-JROM; equal movement in both directions

Question 15

Grade 3 mob

Answer 15

large motion up to patho limit; work through whole range

Question 16

Grade 4 mob

Answer 16

small motion @ end of patho limit; reach end & oscillate (Maitland) or hold (Kaltenborn)

Question 17

Grade 5 mob

Answer 17

sharp thrust @ patho limit; do NOT do these

Question 18

normal end-feel

Answer 18

• soft tissue approx/
• firm capsular/ligamentous stretch
• hard bone/cartilage approx.

Question 19

pathologic end-feel

Answer 19

• boggy joint effusion
• springy/loose body/internal derangement
• empty/no end point

Question 20

mobilization protocol

Answer 20

• 1-3 oscillations per second, 20-60 secs/set, 3-6 sets
• treat pain (grade 1 & 3, daily) then stiffness (grade 3 & 4, 3-4x)

Question 21

joint traction

Answer 21

• perpendicular to treatment plane
• reduce pain & stiffness; return joint function

Question 22

joint traction protocol

Answer 22

• repeated 10s pulls
• loose-pack position

Question 22

grades of joint traction

Answer 22

1: neutral w/ no separation
2: take up slack/play in joint
3: separation w/ soft tissue stretching