Intro/Theory Flashcards by A B

T/F as RMT’s we mobilize not manipulate

true

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T/F mobilizations can be stopped by the patient at any time

true

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_____ joints rely on laxity within the joint capsule and surrounding structures

synovial

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______ movements are voluntary motions performed by the patient

osteokinematic

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what happens at the joint are ______ movements

arthrokinematic

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T/F arthrokinematic movements are required for movements such as adduction and abduction

true

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____ occurs between joint surfaces when a new point on the moving surface contacts a new point on the stationary surface

roll

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T/F roll can occur by itself

false

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Roll occurs with _____ or _____

spin or slide

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when you abduct the shoulder, roll is happening _____

superiorly

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T/F roll always occurs in the direction the bone is moving, regardless of whether the moving surface is concave or convex

true

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the glenoid fossa would be a _____ surface while the glenohumeral joint would be a _____ surface

concave, convex

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_____ occurs when the same point on a moving surface contacts new points on the stationary surface

slide

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T/F the direction of the slide depends on whether the moving surface is concave or convex

true

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slide occurs in the ____ direction of roll if the surface is concave

same

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slide occurs in the ____ direction if the surface is convex

opposite

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______ occurs when the same point on a moving surface contacts the same point on a stationary surface

spin

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spin happens during movements such as ______ & _______

pronation and supination

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_____ occurs when there is a decrease in the space between two articulating joint surfaces, normally occurs during weight bearing

compression

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T/F compression can happen when muscles contract & provide joint stability

true

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T/F abnormally high compression can lead to deterioration of articular cartilage

true

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_______; longitudinal pull happening along the long axis of the of the bone

traction

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long axis is whatever way the bone is _____

pointing

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_______; applied perpendicular to the treatment plane

distraction

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______; distract and or glide the joint surfaces to decrease pain and restore normal arthrokinematics aka ROM

mobilizing

T/F distractions cannot be applied on their own

false

when possible, a grade ___ distraction is applied with a glide mobilization

one

T/F some joints you cannot distract

true

____ is when you mobilize a bone in the direction that is parallel to the treatment plane

glide

______ is what happens AT the joint _____ is what we are DOING to the joint

slide, glide

a treatment plane is a plane that lies ______ to the concave surface of the joint

parallel

there are ____ grades of sustained mobilization

grade (loosen) _______; gentle distraction with NO stress on the joint capsule, not to the tissue resistance

one

grade (tighten) ______; enough distraction or glide to tighten the tissues around the joint (taking up the slack)

two

grade (stretch) _____; a distraction or glide applied with an amplitude enough to place stretch on the capsule and periarticular structures beyond tissue resistance but not at the anatomical limit

three

there are ____ grades of oscillatory mobilization techniques

grade ___ oscillatory; small amplitude, rhythmic oscillations performed at the beginning of range

one

grade _____; large amplitude performed within the range but not quite up to the tissue resistance

two

grade ____ large amplitude, force applied is enough to go past the tissue resistance

three

grade____; small amplitude performed into the tissue limit

four

T/F when doing a mobilization you should always reach the anatomical limit

false

how long are you supposed to hold a sustained mobilization for? a) 10 seconds b) 20 seconds c) 30 seconds

a) 10 seconds

how long do you rest after performing a mobe? a) 3-5 sec b) 6-10 sec c) 1-3 sec

a) 3-5 sec

repeat mobilization for a total of ____-____ min a) 5- 10 b) 2-4 c) 1-3

c) 1-3 min

large amplitude oscillatory mobilizations are applied for ____-____ seconds a) 2-3 seconds b) 3-4 seconds c) 5-10 seconds

a) 2-3 seconds

T/F grade 1 and 2 sustained mobilizations are good for decreasing pain

true

T/F grade 2 oscillatory and sustained mobilizations are for maintaining ROM

true

T/F grade 3 sustained and 3/4 oscillatory are for increasing ROM

true

T/F it is fine to finish treatment with a high grade mobilization

false

T/F mobilizing through pain is expected

false

T/F never mobilize in the close-packed position

true

mobilizing in the ____ position is safest

resting

if the patient experiences pain, soreness lasting more than 24 hours, worsening symptoms, swelling, or spasm the treatment was ______ ______

too aggressive

______ are a technique using an active contraction of muscles that attach near the joint to correct a joint misalignment

MET (muscle energy techniques)

when 2 joint surfaces are moved or pulled apart, they resist the movement until they separate rapidly, this is called _______

tribonucleation

joint mobilizations cannot alter _____ processes or the ____ process

disease, inflammatory

inappropriately applied joint mobilizations can create & exacerbate ______, traumatize joints and initiate ______/ muscle guarding

hypermobility, spasm

absolute contraindications for ALL joint mobes include which of the following a) undiagnosed lesion b) joint effusion c) osteoporosis d) inflammation

a) undiagnosed lesion

which of the following are contraindications for high-grade mobilizations? a) recent fracture b) malignancy c) osteoporosis d) all of the above

d) all of the above

CMTO technique standard 11 for joint mobilization states that you treat the client within their agreed upon ____ ______

pain tolerance

CMTO technique standard 11 states that the therapist performs a gentle _____ where possible before doing any gliding movements

traction

CMTO technique standard 12 states that high velocity, low amplitude thrust techniques are not used to the ______

spine

CMTO technique standard 12 states that the joint is to be taken to the end of its physiological range of motion and then slightly ______ within the clients comfort level

beyond

prepare surrounding _____ prior to higher grade mobilizations

tissue

make sure the patient is ______, stable and the body segment being mobilized is ______

comfortable, supported

be sure your hand contact and any other means of stabilization is _____

comfortable

when possible, your hands must be as ______ to the joint as possible

initial mobilization is applied in the _____ position

resting

assess the joint movement with a grade ____ distraction prior to mobilization

two

when possible, apply a grade 1 ______ prior to any glide mobilization

distraction

your body and the _____ segment should be moving as one

mobilizing

mobilize ____ joint, in ______ direction at _____ time

one x3

always start with the joint in the _______,______ pack position

resting, loose

mobilizing in the resting position is the ______ from which to start but it is not the most _________ position to treat

safest, effective

to progress treatment, position the joint at or near the ______ of the available and _____ free ROM prior to mobilizing

end, pain

placing the tissue at the end of its pain-free ROM will place the _____ tissue in its most tensioned position where the stretch force can be more specific and effective

restricting

T/F grade 3 & 4 mobilizations can cause post-treatment soreness (not pain)

true

if the patient experiences pain, soreness lasting more than ____ _____, worsening symptoms, swelling or spasm, the treatment was too aggressive

24 hours

between treatments, the patient should perform ROM into any _____ _____ range

newly gained

________ should be applied every other day

mobilizations

Muscle energy techniques use the active _______ of muscles that attach near the joint to correct a joint misalignment

contraction

contractions in MET are applied at the _____ and then progressed

barrier

usual precautions apply but also note any localized muscle ____ or ______ before doing a MET

pain, strains

in MET application, contractions are ______ & _______

isometric and gentle

passive angular stretching may cause ______ or damage the joint

pain

the use of a lever in passive angular stretching _____ the force at the joint

magnifies

the force during passive angular stretching causes joint surface ______ in the direction of the rolling bone

compression

roll without _____ does not replicate normal joint mechanics

slide

two most common sources of "cracking" are: ________ or _____ tissue moving over a bony prominence OR _________/ tribonucleation

tendons, scar, cavitation

T/F we can stop AND modify joint mobilizations

false