Joint Mobilization
Terms
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- relative contraindication
- an infection in the area being treated
- loose packed postion of Hip LIgamentous
- 30 degrees FLEX, 30 degrees ABD, slight ER
- Humeroradial distal moving bone is_________ shape is _______ gliding direction is _________
- radius, concave, same
- loose packed postion of 2nd-5th MCP joint
- slight FLEX
- close packed postion of 1st MCP joint
- full EXT
- 6= grading of accessory joint motion
- unstable
- general rule for performing joint mobs
- both the stabilizing force and the mobilizing fore should be as close to the joint surface as possible for good control
- loose packed postion of Prox. Radioulnar joint
- 70 degrees FLEX, 35 degrees SUP
- close packed postion of IP (foot) joint
- full EXT
- relative contraindication
- metabolic bone diseases, such as osteoporosis, Paget's disease, and tuberculosis
- grading of treatment techniques =1
- Small amplitude oscillation, beginning of the range (no resistance)
- 3= grading of accessory joint motion
- Normal
- loose packed postion of Talocrural joint
- 10 degrees plantarflexion
- close packed postion of Prox. Radioulnar joint
- 5 degrees SUP, full EXt
- Radiocarpal distal moving bone is __________ shape is ____________ gliding direction is _________
- carpal, convex, oppostie
- 0 grading of accessory joint motion
- Ankylosed
- relative contraindication
- inflammatory arthritis in th area being treated, esp. if in a state of exacerbation
- IP (foot) distal moving bone is______ shape is_______ gliding direction is__________
- distal phalanx, concave, same
- 5= grading of accessory joint motion
- considerable hypermobility
- relative contraindication
- considerable joint effusion in the area, since it is difficult to obtain an accurate assessement of joint extensibility when swelling has taken up the slack in the joint capsule
- grading of treatment techniques=5
- High velocity manipulation past the end of passive range
- relative contraindication
- RA
- close packed postion of Tibiofemoral joint
- full FLEX & ER
- general rule for performing joint mobs
- patient must be relaxed, (positioning for comfort and support, temperature)
- Close-Packed:__________ contact between joint surfaces
- maximal
- Distal Interphal distal moving bone is _________ shape is ________ gliding direction is________
- DIP , concave, same
- closed packed postion of MTP;s joint
- full EXt
- general rule for performing joint mobs
- hondholds should be firm but comfortable
- general rule for performing joint mobs
- never mobilize a joint in the close-packed positon
- what is accessory motion (arthrokinematics)?
- movement between 2 joint surfaces: spinning, rolling and gliding (translation), limited by ligaments or joint capsules
- close packed postion of Patellofemoral joint
- full FLEX
- general rule for performing joint mobs
- do not move into pain, there is a difference between discomfort of soft tissues stretch and pain with muscle gaurding
- relative contraindication
- an unhealed fx in the area being treated
- loose packed postion of Radiocarpal joint
- neutral with slight ulnar deviation
- What is physiologic motion (osteokinematics)?
- movement between 2 bones: flexion, extenion, abduction, adduction,etc, often limited by muscle length or fascia
- grades 3 and 4 are used to
- increase joint accessory motion
- loose packed postion of Distal Radioulnar joint
- 10 degrees of SUP
- relative contraindication
- malignancy in the area being treated
- Humeroulnar distal moving bone is __________ shape is __________ gliding direction is________________
- ulnar, concave, same
- loose packed position of Humeroulnar joint
- 70 degrees FLEX, 10 degrees SUP
- close packed postion of IP ( hand)
- full EXT
- 2= grading of accessory joint motion
- slight hypomobility
- Prox. Radioulnar distal moving bone is_________ shape is ________ gliding direction is ________
- radius, convex, oppostie
- loose packed postion of Tibiofemoral joint
- 25 degrees FLEX
- loose packe postion of Patellofemoral joint
- full EXt
- loose packed postion of MTP's joint
- neutral
- grading of treatment techniques =2
- Large amplitude oscillation midrange (no resistance)
- general rule for performing joint mobs
- therapist must be relaxed, (good body mechanics and let gravity help)
- close-packed position of GH joint
- full ABD and ER
- 1= grading of accessory joint motion
- considerable hypomobility
- loose packed postion of Hip bony joint
- 30 degrees FLEX, 30 degrees ABD, slight ER
- 4= grading of accessory joint motion
- slight hypermobility
- Metacarpophalangeal distal moving bone is _____________ shape is _________ gliding direction is _________
- prox. phalanx, concave, smame
- Describe the Convex-Concave Rule
- the relationship between osteokinematics and arthrokinematics,
- Prox. Interphal distal moving bone is_________ shape is __________ gliding direction is____________
- IP , concave, same
- close packed postion of Hip Ligamentous
- full EXT, ABD,&IR
- close-packed postion of Humeroulnar joint
- full EXT & SUP
- relative contraindication
- considerable joint irritability
- Tibiofemoral distal moving bone is__________ shape is___________ gliding direction is__________
- Tibia, concave, same
- Loose-packed /Resting postion: ____________ joint surfaces contact, and joint capsule is relaxed/slackened; postion of ___________ accessory motion available
- minimal, maximal
- loose packed position of Humeroradial joint
- full EXT,& SUP
- close packed postion of Talocrural joint
- full dorsiflexion
- Metatarsophalangeal distal moving bone is______________ shape is ____________ gliding direction is ________
- Prox. phalanx, concave, same
- grades 1 and 2 can be used for
- pain reduction and increased joint nutrituon
- Absolute contraindications for performing joint mobilization
- any undiagnosed lesion, joint ankylosis(frozen), and joint hypermobility, if the technique pushes into resistance
- when a convex surface is moving, gliding occurs in the ___________ direction of bone movement.
- opposite
- loose packe postion of 1st MCP joint
- slight FLEX
- list the indications for joint mobilization
- Increasing accessory motion available at the joint, increasing joint nutrition to the articular surfaces, and pain control via counterirratant theory, stimulation of mechanoreceptors causes release of endorphins in the spinal cord that inhibit pain signal transmission to the brain
- GH distal moving bone is ________ and the shape is _________ gliding in ______ direction
- humerus, convex, opposite
- general rule for performing joint mobs
- assess joint movement in the loose-packed postion when possible
- relative contraindication
- protective muscle spasm to the extent that the clinician is unable to assess mobility
- close packed positon of Distal Radioulnar joint
- 5 degrees SUP
- close packed postion of 2nd-5th MCP joint
- full FLEX
- loose packe postion of IP (foot) joint
- slight FLEX
- Hip distal moving bone is _______ shape is ________ gliding direction is_________
- femur, convex, oppostie
- general rule for performing joint mobs
- motion should be assessed by comparing it to the corresponding joint on the other side of the body when possible
- Talocrural distal moving bone is ________ shape is ________ gliding direction is_______
- Talus, convex, opposite
- close packed position of Radiocarpal joint
- full EXT & radial deviation
- loose packed position of GH joint
- 55-70 degrees ABD, 30 degrees HADD, 0 degrees ROT
- close packed position of Humeroradial joint
- 90 degrees FLEX, 5 degrees SUP
- Distal Radioulnar distal moving bone is ___________ shape is _________________ gliding direction is______________________
- radius, concave, same
- loose packed postion of IP (hand)
- slight FLEX
- grading of treatment techniques =3
- Large amplitudes oscillation , into resistance
- closed packed postion of Hip bony joint
- 90 degrees FLEX, slight ABD & ER
- grading of treatment techniques =4
- Small amplitude oscilation, to end of passive range
- general rule for performing joint mobs
- each technique is used both evaluation and treatment
- when the concave surface is moving, gliding occurs in the_________ direction as bone movement
- same