Joint mobilization Flashcards
Concave-convex rule
concave surface moves on a convex surface
roll and slide occur in the same direction
convex-concave rule
convex surface moves on a concave surface
roll and slide occur in opposite direction
mobilization
imparting movement, actively or passively, to a joint or soft tissue
varying speed and amplitude
grades I-IV
manipulation
type of mobilization
passive movement that uses high velocity low amplitude movement or thrust
Grade V
indications for mobilization
increase joint extensibility promote pain control/muscle relaxation provide nutrition correct postural faults reduce meniscoid impingement reduce disc herniation
absolute contraindications
malignancy tuberculosis osteomyelitis osteoporosis fracture ligamentous rupture disc prolapse with nerve root compression
relative contraindications
disc herniation osteoarthritis (actue exacerbation) hypermobility severe scoliosis depleted general health patient unable to relax pregnancy influenza with fever hemarthrosis RA spondylolisthesis patient under 16 (epiphysis not closed, controversial) elderly patients with unknown bone density anticoagulant therapy
regional contraindications
vertebral artery syndrome traumatized transverse ligament of atlas cauda equina syndrome suspected spinal aneurysm post surgery
joint motion assessment scale
0- fuzed
1- considerable limitation
2- slight limitation
3- normal
4- slight increase in the excursion, treat with stabilization and postural reeducation, taping and bracing, only indicated to treat pain
5- considerable increase, treat same as 4, only indicated to treat pain
6- unstable
capsular pattern
early sign of arthritis/arthrosis
joint mobilization is common way to treat
noncapsular pattern
pathology not associated with articular problems
(bursitis, tendonitis
distraction
separation of two articular surfaces, usually the FIRST process of mobilization, used for general PAIN RELIEF, increasing NUTRITION, and increasing ROM
distraction grades
1- barely unweighted
2- slack taken up
3- capsule and ligament are stretched
glide
refers to a technique that promotes movement in a specific direction
oscillation grades
1- slow, SMALL amplitude movement
pain control
anywhere in the range up to the point of resistance
2- slow, LARGE amplitude movement performed within the range but not reaching the limit of range, pain control
3- slow, LARGE amp performed INTO the resistance or to the limit of the range, just touches or nudges the resistance, begins to stretch capsular tissue (gain movement)
4- slow, SMALL amp at or through the limit of the range (gain movement)
5- thrust or fast/high velocity, short amp, used to alter positional relationships, stimulate joint receptors, and to snap adhesions
