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Ortho III 2009
Peripheral Joint Mobilizatoin
Question | Answer |
---|---|
when the concave surface is stationary, convex surface moving, the gliding movement in the jt occurs in the _______direction., mobilization force should be applied in the _____of bone movement. | opposite |
oscillating movements to decrease____ | pain |
best position for joint mob, loose or closed-packed? | loose |
when convex surface stationary, concave moving, gliding occurs in ______direction, mobilization force should occur? | same |
gliding movement with sustained stretch to increase__ | extensibility |
joint end feel elbow ext | bone to bone |
jt end feel knee flex | soft tissue approximation |
jt end feel wrist flex | springy tissue (hard) |
abnormal joint end feels | mm spasm, springy block, empty end feel, loose end feel |
shoulder capsular pattern | ER, ABD, IR |
grade 1 jt mob | sm amp, at beginning of range |
grade 2 jt mob | lg amp, w/in range, not reaching limit & not returning to beginning |
grade 3 jt mob | lg amp, to the limit |
grade 4 jt mob | sm amp performed at limit of range |
indications for jt mob | non-acute pain, restriction in jt movement (abnormal end feel), restriction in accessory movement |
to decrease pain w/jt mob | sm amp, oscillatory movements to inc proprioceptive input to spinal cord to inhibit ongoing nociceptive input to anterior horn cells, GATE theory, grade I or II |
what technique for jt mob for inc tissue extensibility | gliding to end range, apply rhythmically w/o abrupt chgs in speed or duration, grade II, III, IV |
contraindications for jt mobs | undiagnosed lesion, osteoporosis, RA (EXTREME CAUTION), jt hypermobility (EXTREME CAUTION), neuro symtoms (EXTREME CAUTION), jt ankylosis, closed pack position, pregnancy & sondylolisthesis, bone disease, cancer, infection, CNS disorders (ABSOLUTE CONTRA) |
Jt mob precautions | jt effusion, DJD, metabolic bone disease (Paget's, TB), internal derangement, unossified jts, total jt replacement |
jt mob direction for Restircted ABD of GH | inferior mob of humerous |
jt mob direction for knee extension (tibia | anterior mob of tibia |
jt mob direction of IR and shoulder flexion | superior (?) |