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Joint Mobilizations Flashcards

(52 cards)

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1
Q

joint mobilization/manipulation

A

manual therapy technique comprising a continuum of passive movements at joints/soft tissues applies at varying speeds and amplitudes

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2
Q

joint play

A

assessment/examination of accessory motions at a joint

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3
Q

accessory motions

A

motion occurring between 2 joint surfaces that are produced by the examiner only

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4
Q

thrust/manipulation

A

high velocity, low amplitude therapeutic movement within or at end range of motion; grade V mobilization–manipulation

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5
Q

non-thrust

A

manipulations without thrust (grade I-IV)

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6
Q

osteokinematics

A

physiological movements that take place at a joint–the position of one bone in relation to the other due to muscle contraction/gravity

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7
Q

arthrokinematics

A

movement between two articulating surfaces without reference to any external force being applied

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8
Q

types of accessory motions

A

roll, glide, spin, compression, distraction

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9
Q

roll

A

series of points comes in contact with a series of points on another

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10
Q

glide

A

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

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11
Q

spin

A

one bone rotates around a stationary longitudinal axis; creates an arc of a circle

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12
Q

compression

A

Decrease in joint space, adds stability, normal reaction of joint to muscle contraction

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13
Q

distraction

A

two surfaces pulled apart, used with joint mob to increase capsule stretch

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14
Q

concave on convex

A

osteokinematic and arthrokinematic occur in the same direction

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15
Q

convex on concave

A

osteokinematic and arthrokinematic occur in opposite direction

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16
Q

treatment plane

A

lies on the concave articular surface

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17
Q

glide occurs

A

parallel to treatment plane

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18
Q

distraction occurs

A

perpendicular to treatment plane

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19
Q

zero position

A

osteokinematic/arthrokinematic anatomical position–starting position for goniometry

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20
Q

resting position

A

loose packed position; arthrokinematic position where capsule is most relaxed, joint play is greatest

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21
Q

Actual resting position

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A

position joint is placed when cant have resting position

22
Q

closed pack position

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A

arthrokinematic position where joint capsule and periarticular tissues are most taut, joint surfaces are most congruent

23
Q

kaltenborn

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A

grades for distraction

24
Q

maitland

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A

grades for glide

25
kaltenborn grade I
slow, small amplitude within limit of joint motion, not through first stop
26
kaltenborn grade II
slow, larger amplitude that takes to the limit of joint motion up to first stop
27
kaltenborn grade I affects
pain fibers
28
kaltenborn grade II affects
pain fibers and capsule
29
kaltenborn grade III
slow, even larger amplitude that takes through available motion and into resistance past the first stop
30
kaltenborn grade III affects
capsule, periarticular structures
31
maitland grade I
slow, small amplitude, not to limit or first stop, beginning of range
32
maitland grade I affects
pain receptors, little stress to capsule
33
maitland grade II
slow, large amplitude not to limit; beginning 1/2 of range
34
maitland grade II affects
pain receptors, joint capsule, periarticular structure
35
maitland grade III
slow, large amplitude takes joint to 1st tissue stop and back down into 1/2 of elastic range
36
maitland grade III affects
joint capsule, periarticular structures, progression glide to grade IV
37
maitland grade IV
slow, small amplitude performed through limit and into tissue resistance, through 1st stop and never back to elastic range
38
maitland grade IV affects
joint capsule/periarticular structures
39
maitland grade V
high velocity, small amplitude non-oscillatory that begins at limit and continues past 1st stop; difficult to control
40
maitland grade V affects
joint capsule/periarticular structures, adhesions, positional faults
41
3 categories describing arthrokinetic mobility
1. hypomobile 2. normal 3. hypermobile
42
documentation of joint play
describe direction, grade for treatment and assessment, reps, duration
43
stable hand
close to joint line, ability to palpate joint line
44
mobile hand
close to joint line, forearm perpendicular to bone
45
why test joint play?
determine if ROM is due to joint capsule or periarticular structures determine mobility of joint determine end feel of accessory motion: bony or firm determine if ligaments are compromised establish baseline determine progress
46
indications for joint mob
decreased joint extensability immobilization and inflammation: joint capsule and soft tissues affected, decrease in water content of tissue, increase in cross linkage, decreased strength of collagen--joint mob is thought to reverse by promoting movement
47
factors affecting joint extensibility
tissues respond to external force acc to stress strain curve force used speed number of repetitions
48
what do we treat with joint mob
positional faults (grade IV/V) decreased nutrition (grade I-IV) pain (grade I/I-II) bony compression of a joint (kaltenborn I-III) adhesions maitland III IV V relaxation maitland I II tissue extensibility maitland IV V, kaltenborn II-III
49
how does joint mob affect pain
stimulation of joint receptors that block pain impulses through gate control mechanism and stimulating fast conducting large diameter proprioceptive nerve fibers that block transmission of slow small diameter pain fibers which decrease pain transmission to brain
50
contraindications to JM
``` unstable joint recent fracture over open epiphyseal plates considerable joint effusion (could aggravate, make joint seem hypomobile) ankylosing/fused joints advanced diabetes bony disease undiagnosed pain exacerbated stages of RA ```
51
precautions to JM
joint irritability/pain protective muscle spasm irritability of adjacent joint structures chronic debilitating disease
52
capsular pattern
each joint has one--if LOM matches pattern, then need to treat each limitation because entire capsule is involved

Fundamentals (6 decks)

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