Mobilization 1 Flashcards

1
Q

where should the mobilizing hand be when performing a mob

A

as close t the joint line as possible
and
allow one digit to palpate the joint line when possible

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2
Q

if a patient has osteoprosis should we still perform a mobilization

A

no

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3
Q

what type of mobilization areused to increase peri-art extensibility

A

grade 3-5

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4
Q

Grade 3 mobs are performed up until was

A

the limit of the ROM

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5
Q

what is the beneficial effect of grade 1 and 2 mobs

A

neurophysiologic

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6
Q

mobilization force applied parallel to the treatment plane in the concave joint surface

A

glide

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7
Q

The articulating facets of the lumbar vertebrae are oriented where in terms of the transverse plane

A

90-deg

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8
Q

The articulating facets of the cervical and thoracic vertebrae are oriented where in terms of the transverse plane

A

45 degrees to the transverse plane and 60 degrees to the transverse plane in the thoracic spine.

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9
Q

can u mob someone with a fx

A

nope

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10
Q

what are contraindications to joint mobs

A

active disease
infection
advanced osteoporosis
articular hypermobility
fracture
acute inflammation
muscle guarding
joint replacement

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11
Q

what does 1/5 mean

A

the pt’s muscle contracts but there is no movement of the joint

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12
Q

2-/5 means

A

the patient does not complete the ROM in the gravity min position

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13
Q

2/5 means

A

poor

the subject completed the ROM in the gravity eleminated position

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14
Q

2+/5 means

A

the subject is able to iniate movement against gravity

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15
Q

3-/5 means

A

pt does not complete ROM against gravity

but does complete more the 1/2 of the range

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16
Q

3/5 means

A

the subject able to completed ROM against gravity without resistance

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17
Q

3+/5 means

A

the subject completes ROM against gravity with only min resitance

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18
Q

4-/5 means

A

pt completed ROM againts min/med resiatnce

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19
Q

4/5 means

A

pt completes ROM against moderate resistance

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20
Q

4+/5 means

A

pt completes ROM against gravity with med-max resisatnce

21
Q

5/5 means

A

the subject completed ROM against max resistance

22
Q

what is dynamometry

A

process of measuring forces that are doing work

23
Q

handheld dynamometry used to assess what

A

hand grip strength

muscle group strength

24
Q

non-dominant hand vs dominant hand dyano

A

dominant hand is normally 5-10 lbs stronger

25
what is isometric dyno measure
measures the static strength of a muscle group without any movements
26
what are the benefits of isometric dyno
attains peak and average force data
27
isometric dyno cautions
caution with patients with orthodepdic injury, osteoprosis or hernia this meathod is contraindicated for those with a fx
28
what is isokinetic dyno for
measures the strength of a muscle group during movement with a constant predetermined speed the muscle group with max contract throughout the moevement
29
what is a make test
a test where a pt is asked to apply a force against a dyno
30
what is a break test
eval procedure where a pt is asked to hold a contraction againt pressure that is applied in the direction opp of the contraction
31
what is the MMT testing position for the lats
prone
32
what is muscle insufficiency
limited muscle contraction strength 2/2 excessive lengthening or shortening of the muscle
33
where does the biceps femoris insert into
the head of the fibula
34
how do we test the lats - where do we give resistance
prone against the forearm in the direction of abduction and flexion of the arm
35
what do we have to avoid when testing the coracobrachialis
coracobrachialis is tested with the elbow in flexion and the forearm in supination. This position is necessary since it dramatically reduces the ability of the biceps brachii to flex the shoulder.
36
what is the function of the coracobrachialis
to produce flexion and adduction of the arm at the shoulder join
37
pectoralis minor ONIA
O: ribs three to five I: coracoid process of the scapula
38
what is the MMT for the pect minor
supine pressure is applied against the anterior aspect of the shoulder, downward toward the table
39
teres major muscle action
adduct, extend, and medially rotate the shoulder
40
what nerve innervates the teres major
lower subscapular nerve
41
what innervates the supraspinatus
Suprascapular nerve
42
what innervates the teres minor
axiallary nerve
43
what innervates the subscapular muscle
upper and lower subscapular nerves
44
strong and painful
minor lesion - muscle strains and tendonitis
45
how do we test for a minor lesion
MMT
46
pinch gauge function
able to assess all types of pinch techniques, including tip pinch, pad to pad, three-point chuck, and lateral pinch
47
what is A cylinder grip
a type of power grasp primarily utilizing force generated from digits 3-5 against the hypothenar eminence.
48
A cylinder grip is best assessed using what
a handheld dynamometer.