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PT 670 > JointMobilizations brainscape > Flashcards

JointMobilizations brainscape Flashcards

(63 cards)

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1
Q

Joint Play

A

The assessment f accessry motions at a Joint→examinatin f Joint

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2
Q

Thrust

A

High velcity, low amplitude therapeutic mvement within r at the end range f motion
Thrust is anther name used for manipulatin r grade 5 mbilizatin.

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3
Q

Nn-thrust

A

Thse manipulatins that d nt invlve thrust

Anther term used for grade I-IV mbilizatins.

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4
Q

stekinematics

A

Physilgical mvements that take place at a Joint
The position f one bone in relatinship to other bone
Due tomuscle cntractin r gravity

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5
Q

Arthrkinematics

A

Mvement between tw articulating surfaces withut reference t any external force being applied t the Joint

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6
Q

Accessory Motion

A

Mvement ccurring between tw Joint surfaces that are prduced by forces applied by the examiner
Assessed by applying external forces t the Joint
Necessary for normal rangeo f motion and are not under vluntary cntrl

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7
Q

Cmpressin

A

Decrease in space between tw Joint surfaces
Adds stability t a Joint
Nrmal reactin f a Joint t muscle cntractin

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8
Q

distraction

A

Tw surfaces are pulled apart

ften used in cmbinatin with Joint mbilizatins t increase stretch f capsule

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9
Q

Cncave n Cnvex

A

Gliding is in the same direction as the bone mvement
Restrictin and bny motion in the same direction
Knee flexin Restrictin: psterir glide is restricted

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10
Q

Treatment for Wrist Flexin Restrictin

A

Drsal Glide

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11
Q

Treatment for Wrist Extensin Restrictin

A

Palmar Glide

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12
Q

Treatment for Ulnar Deviatin Restrictin

A

Radial Glide

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13
Q

Treatment for Radial Deviatin Restrictin

A

Ulnar Glide

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14
Q

Treatment for Knee Flexin Restrictin

A

Psterir Glide

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15
Q

Treatment for Knee Extensin Restrictin

A

Anterir Glide

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16
Q

Treatment for Shulder Abductin Restrictin

A

Inferir Glide

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17
Q

Treatment for Shulder External Rtatin

A

Anterir Glide

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18
Q

Treatment for Shulder Internal Rtatin

A

Psterir Glide

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19
Q

Cnvex on Cncave

A

Gliding is in the oppsite direction
Restrictin and bony motion in the oppsite direction
G-H Joint decreased abd: decreased inferir glide restricted

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20
Q

Treatment Plane

A

Lies n the cncave articular surface

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21
Q

Example f Treatment Plane: Knee

A

Glidoes are parallel t the tibial Joint surface
distraction is peropendicular t the tibial Joint surface
scillatins (which can be added t glidoes) take place parallel t the tibial
Joint surface

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22
Q

Zer Psitin

A

Ostekinematic r anatmical position
Usually defined as the starting position for gnimetry
DO NOT MOBILIZE IN THIS position

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23
Q

Resting Psitin

A

Arthkinematic position where capsule and periarticular structures are most relaxed
Joint surfaces are LEAST cngruent
Joint play is greatest in this position, thus, this is the position t examine the mbility

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24
Q

Actual Resting Psitin

A

position Joint is placed in when yu can’t btain the resting position
This position is as clse t the resting position as range f motion will allw

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25
Closed pack psitin
Joint capsule and periarticular tissues are most taut Joint surfaces are most cngruent Contraindicatedt perform Joint play in this position
26
Kaltenbrn Grades
distraction
27
Maitland
Glides
28
Kaltenbrn Grade I
slow, small amplitude mvement that does nt take the Joint capsule t the limit f the available Joint motion; does nt g t 1st tissue stop; unweighting Joint Structures affected: pain fibers
29
Kaltenbrn Grade III:
slow even larger amplitude mvement that takes the Joint through the limit f available Joint motion and int tissue resistance; through the 1st tissue stop Structures affected: capsule and periarticular structures
30
Kaltenbrn Grade II:
slow larger amplitude mvement that takes the Joint capsule t the limit f the available Joint motion and int tissue resistance; up t the 1st tissue stop Structures affected: pain fibers and capsule
31
Maitland Grade I
slow, small amplitude f oscillatry mvements that does nt take the Joint capsule t the limit f available Joint motion Nt up t the 1st tissue stop beginning f range Structures affected: pain receptrs; little r n stress t the capsule/ligaments
32
Maitland Grade II:
slow large amplitude f oscillatry mvements that does nt take the Joint capsule t the limit f the available Joint motion nt up t the 1st tissue stop First ½ f the range Structures affected: pain receptrs and Joint capsule and periarticular structures (n change in length)
33
Maitland Grade III:
slow, large amplitude f oscillatry mvements that takes the Joint up t and slightly through the limit f available Joint motion and int tissue resistance Up t the 1st tissue stop and back dwn int ½ f the elastic range Structures affected: Joint capsule and periarticular structures; prgressin glide t grade IV
34
Maitland Grade IV:
slow, small amplitude f oscillatry mvements performed through the limit f available Joint motion and int the tissue resistance Up t and slightly through the 1st tissue stop; never cmes back t the elastic range Structures affected: Joint capsule and periarticular structures
35
Mailtland Grade V:
High velcity, small amplitude nn-oscillatry mvement that begins at the limit f available Joint motion and takes the Joint int tissue resistance; Starts at the 1st tissue stop and cntinues Difficult t cntrl Structures affected: Joint capsule and periarticular structures; adhesins, positional faults
36
Hand Position-Therapist
Stable hand: positioned clse t the Joint line, with the ability t palpate the Joint line 90% f the time this will be the prximal bone Mbile hand: clse t Joint line, with forearm peropendicular t the bone 90% f the time this will be the distal bone
37
Body Position- Therapist
Close to the patient in order to Ensure resting position is maintained during the examinatin Minimize aberrant motions during testing and treatment
38
Purpses of Joint Mbility Testing (Joint Play)
Determine if ↓ RM is due t Joint (capsule) r periarticular structures Determine mbility f Joint (hyp vs. hyper) Determine end feel f accessry motion: bny r firm Determine if ligaments are cmprmised Establish baseline Determine prgress
39
Imdications of Joint Play
``` Decreased Joint extensibility/hypmbility (and abnrmal end feel Immbilizatin and inflammatin Joint capsule and sft tissues affected Decrease in water cntent f tissue Increase in crss linkage Increase in scar tissue formatin Decreased strength f the cllagen ```
40
Purpse f Joint Mbilizatin
Joint mbilizatin is thught t reverse these cnsequences by prmotiong mvement by helping realign the fibers and decrease the crsslinks that have develped
41
Extensibility and Joint Mbilizatin
Joint mbilizatin shuld be forceful enugh t bring the tissue t the plastic phase but nt t the breaking pint, except if gal is t break through adhesins
42
Restrictin n Joint Capsule
Kaltenbrn 2 r higher | Maitland 3 r higher
43
Factrs Affecting Extensibility
Amunt f force Speed Rapidly administered scillati Number f repetitins Creep
44
Creep
Stretch int plastic phase for an increased time forame increases the amunt f extensibility than ne f shrt duratin (Gr III-IV glidoes n the Maitland scale/ Gr II/III distractions n the Kaltenbrn scale
45
Impairments Treated with Joint Mbs
positional Faults, Decreased jing nuritin (motion necessary for nutrients t diffuse), Pain, Bny Cmpressin at Joint
46
How does Joint mbs affect pain
Grade I Kaltenbrn and Gradoes I and II Maitland primarily wrk n pain Joint mbilizatin decreases pain by stimulating Joint receptrs that blck pain impulses through the gate cntrl mechanism by prducing reflexive inhibitin in periarticular structures Stimulating fast cnducting large diameter prpriceptive nerve fibers that blck transmissin f the slow cnducting small diameter pain fibers, decreasing transmissin f pain t the brain
47
How does Joint mbs affect bny cmpressinq
Meniscal, labral, and capsular entrapment | When examining a Joint with cmpressin yu wuld find a decrease in the distraction→treat with distraction
48
Pain
Kaltenbrn – Grade I | Mailtland-Grade I and II
49
Relaxation
  Mailtland-Grade I and II
50
Decreased Joint Nutrition
Mailtland-Grade I-IV
51
Decreased Joint Extensibiity
Kaltenbrn II-III | Mailtland-Grade III-IV
52
Adhesions
Mailtland-Grade III-V
53
Bony Alignment
Mailtland-Grade IV-V
54
Increased Joint Cmpression
Kaltenbrn: Grade I-III
55
documentationJoint Mbs
``` Joint play to include exam grade you gave pt and the position the Joint was in i.e. documentationas normal Joint mbilizatin for treatment position of the Joint Grade (in Rman numbers) Number of sets and reps ```
56
Cntraindicatins: Joint Issues
``` Unstable Joint (hypermbility) Recent foracture over open epiphyseal plates Cnsiderable Joint effusion Aggravate Joint May make Joint appear hypombile Ankylsing/fused Joints ```
57
Cntraindicatins: Other
``` Advanced diabetes Nutritinal issues at skin surface May cause skin tearing Impaired nutritin t bone steprsis Kidney dysfunction Vascular abnrmalities Spine cntraindicatin: vertebral artery test Bacterial infectin in the area t be mbilized ```
58
Cntrandicatins: Bony diseases
``` Osteoprsis Osteomyelitis TB Paget’s disease: prximal bone sftening f crtical bone leading t pssible foractures Undiagnsed pain RA: exacerbated stages ```
59
Paget's Disease
Chrnic disrder that typically results in enlarged and deformed bones. Excessive breakdwn and formatin f bone tissue that ccurs with Paget's disease can cause bone t weaken, resulting in bone pain, arthritis, deformities, and foractures.
60
Precautins to Joint Mbs
Joint irritability? pain Prtective muscle spasm/inability for the patient t relax Irritability f adjacent Joint structures Chrnic Debilitating Disease
61
Capsular Patterns
Patterns f capsular tightness that is characteristic t each Joint and is determined by the amunt f mbility in the Ostekinematic mvements abut that Joint Usually present when entire capsule is affected (arthritic cnditins) If lack f RM matches capsular pattern, need t treat all directions See Kaltenbrn bk
62
Shulder Capsular Pattern
Shulder ER>ABD>IR
63
Knee Capsuslar Pattern
Knee- Flexin>Extensin If NON -CAPSULAR (NO LIMITATIONS IN EXT) NEED TO TREAT ONLY THE POST CAPSULE (ISOLATED TIGHTNESS)

PT 670 (5 decks)

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