mobilization Flashcards

(83 cards)

1
Q

____: passive movement within physiologic joint space administered by a clinician for the purpose of increasing overall ROM

A

mobilization

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2
Q

____: passive movement within physiologic joint space administered by a clinician for the purpose of increasing overall ROM

A

mobilization

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3
Q

mobilization is applied to ___ and related __ ___ at varying speeds and amplitudes using physiologic or accessory motions

A

joints

soft tissue

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4
Q

force of the mobilization is light enough that the patient ___ stop it

A

can

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5
Q

___: passive movement of short amplitude and high velocity which moves the joint into the paraphysiologic range

A

manipulation

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6
Q

thrust of the manipulation causes the joint to ___ and may be accompanied by an ___ pop

A

gap

audible

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7
Q

purpose of CMT: removal of structural ___ of joint and muscles that are associated with neurological alterations

A

dysfunction

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8
Q

biochemical/nutritional effects of mobilization

- causes ___ ___ movement

A

synovial fluid

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9
Q

biochemical/nutritional effects of mobilization

- provides nutrients to ___ ___ and ___

A

articular cartilage

menisci

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10
Q

mechanical effects of mobilization

- improve mobility of ___ joints: loosens ___ and ___ ___ ___

A

hypermobile
adhesions
thickened CT

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11
Q

mechanical effects of mobilization

- maintains ____ and __ ___ of articular tissues

A

extensibility

tensile strength

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12
Q

neurophysiological effects of mobilizations

- stimulates mechanoreceptors to ___ pain

A

decrease

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13
Q

neurophysiological effects of mobilizations

- increase in awareness of ___ and ____ because of afferent nerve impulses - ____

A

position
motion
proprioceptors

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14
Q

maitland joint mobilizatioin

grade 1

A

small amplitude rhythmic oscillating movement at the beginning of ROM

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15
Q

maitland joint mobilizatioin

grade II

A

large amplitude rhythmic oscillating movement within midrange of movement

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16
Q

maitland joint mobilizatioin

grade I used for?

A

manage pain and spasm

acute conditions

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17
Q

maitland joint mobilizatioin

grade II used for

A

manage pain and spasm

maintain availible ROM

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18
Q

maitland joint mobilizatioin

grade III

A

large amplitude rhythmic oscillating movement performed into resistance up to limit of ROM

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19
Q

maitland joint mobilizatioin

grade III used for?

A

increase ROM within a joint

stretches capsule and CT structures

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20
Q

maitland joint mobilizatioin

grade IV

A

small amplitude rhythmic oscillating movement performed well into resistance

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21
Q

maitland joint mobilizatioin

grade IV used for

A

more agressive forms of increasing ROM

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22
Q

maitland joint mobilizatioin

grade V

A

manipulation

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23
Q

maitland joint mobilizatioin

grade I and II mostly used for…

A

pain

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24
Q

maitland joint mobilizatioin

grade III and IV primarily used for…

A

increase motion

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25
___ ___ postion: articulating surface are maximally separated; position used for both traction and joint mobilization
loose packed
26
___ ___ position: joint surface are in maximal contact with each other
close packed
27
extremes of joint motion are ___ __ and midrange positions are ___ ___
closed packed | loose packed
28
___ ___: involved separating one articulating surface from another; performed perpendicular to treatment plane; decrease pain and/or reduce joint hypomobility
joint traction
29
Kaltenborn traction | grade I
neutralizes pressure in joint without actual surface separation produce pain relief by reducing compressive forces
30
Kaltenborn traction | grade II
separates articulating surfaces, taking up slack or eliminating play within joint capsule determine joint sensitivity
31
Kaltenborn traction | grade I short name
LOOSEN
32
Kaltenborn traction | grade II short name
tighten or take up slack
33
Kaltenborn traction | grade III
stretching of soft tissue surrounding joint | increase mobility in hypomobile joint
34
Kaltenborn traction | grade III short name
stretch
35
grade I traction used initially to reduce chance of ___ reaction
painful
36
grade III traction should be used in conjunction with mobilization glides for ___ joints
hypomobile
37
red flags for mobilization
ABSOLUTE - inflammatory arthritis - malignancy - TB - ligamentous rupture - severe OA - severe scoliosis - pts inabliity to relax - fracture - tendinous rupture
38
yellow flags for mobilization
RELATIVE - osteoporosis - herniated disk with/without nerve compression - congenital bone deformities - vascular disorders - pregnancy - total joint replacement - joint effusion (grade I or II)
39
mobilization is applied to ___ and related __ ___ at varying speeds and amplitudes using physiologic or accessory motions
joints | soft tissue
40
force of the mobilization is light enough that the patient ___ stop it
can
41
___: passive movement of short amplitude and high velocity which moves the joint into the paraphysiologic range
manipulation
42
thrust of the manipulation causes the joint to ___ and may be accompanied by an ___ pop
gap | audible
43
purpose of CMT: removal of structural ___ of joint and muscles that are associated with neurological alterations
dysfunction
44
biochemical/nutritional effects of mobilization | - causes ___ ___ movement
synovial fluid
45
biochemical/nutritional effects of mobilization | - provides nutrients to ___ ___ and ___
articular cartilage | menisci
46
mechanical effects of mobilization | - improve mobility of ___ joints: loosens ___ and ___ ___ ___
hypermobile adhesions thickened CT
47
mechanical effects of mobilization | - maintains ____ and __ ___ of articular tissues
extensibility | tensile strength
48
neurophysiological effects of mobilizations | - stimulates mechanoreceptors to ___ pain
decrease
49
neurophysiological effects of mobilizations | - increase in awareness of ___ and ____ because of afferent nerve impulses - ____
position motion proprioceptors
50
maitland joint mobilizatioin | grade 1
small amplitude rhythmic oscillating movement at the beginning of ROM
51
maitland joint mobilizatioin | grade II
large amplitude rhythmic oscillating movement within midrange of movement
52
maitland joint mobilizatioin | grade I used for?
manage pain and spasm | acute conditions
53
maitland joint mobilizatioin | grade II used for
manage pain and spasm | maintain availible ROM
54
maitland joint mobilizatioin | grade III
large amplitude rhythmic oscillating movement performed into resistance up to limit of ROM
55
maitland joint mobilizatioin | grade III used for?
increase ROM within a joint | stretches capsule and CT structures
56
maitland joint mobilizatioin | grade IV
small amplitude rhythmic oscillating movement performed well into resistance
57
maitland joint mobilizatioin | grade IV used for
more agressive forms of increasing ROM
58
maitland joint mobilizatioin | grade V
manipulation
59
maitland joint mobilizatioin | grade I and II mostly used for...
pain
60
maitland joint mobilizatioin | grade III and IV primarily used for...
increase motion
61
___ ___ postion: articulating surface are maximally separated; position used for both traction and joint mobilization
loose packed
62
___ ___ position: joint surface are in maximal contact with each other
close packed
63
extremes of joint motion are ___ __ and midrange positions are ___ ___
closed packed | loose packed
64
___ ___: involved separating one articulating surface from another; performed perpendicular to treatment plane; decrease pain and/or reduce joint hypomobility
joint traction
65
Kaltenborn traction | grade I
neutralizes pressure in joint without actual surface separation produce pain relief by reducing compressive forces
66
Kaltenborn traction | grade II
separates articulating surfaces, taking up slack or eliminating play within joint capsule determine joint sensitivity
67
Kaltenborn traction | grade I short name
LOOSEN
68
Kaltenborn traction | grade II short name
tighten or take up slack
69
Kaltenborn traction | grade III
stretching of soft tissue surrounding joint | increase mobility in hypomobile joint
70
Kaltenborn traction | grade III short name
stretch
71
grade I traction used initially to reduce chance of ___ reaction
painful
72
grade III traction should be used in conjunction with mobilization glides for ___ joints
hypomobile
73
red flags for mobilization
ABSOLUTE - inflammatory arthritis - malignancy - TB - ligamentous rupture - severe OA - severe scoliosis - pts inabliity to relax - fracture - tendinous rupture
74
yellow flags for mobilization
RELATIVE - osteoporosis - herniated disk with/without nerve compression - congenital bone deformities - vascular disorders - pregnancy - total joint replacement - joint effusion (grade I or II)
75
mobilization with movement (MWM) developed by ___ ___
brian mulligan
76
____ ____ ___: pain free mobilization technique designed to allow wide range loading
mobilization with movement
77
indications for MWM
restricted or painful movement
78
___ ___ ___: occur after injury or strain; results in movement restrictions and/or pain
minor postural faults
79
comparable signs of MWM
pain with active movement decreased AROM pain with specific functional activity
80
NAGS =
natural apophyseal glides
81
SNAGS =
sustained natural apophyseal glides
82
____: oscillatory mid to end range mobilization for facet joints of C2-C7; passive P-A glide applied along facet planes of affected joints
NAGS
83
____: sustained glide throughout the entire mobilization; can be C/S, T/S, L/S
SNAGS