Study Peripheral Joint mobilization (PTA 102) Flash Cards

 
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Peripheral Joint mobilization (PTA 102)

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What are the precautions of joint mobilizations?
-MALIGNANCY
-BONE DISEASE
-UNHEALED FX
-EXCESSIVE PAIN
-TOTAL JT REPLACEMENTS
-NEWLY FORMED OR WEAKENED CONNECTIVE TISSUE OR CORTICOSTEROIDS
-SYSTEMIC CONNECTIVE TISSUE DISEASES SUCH AS RHEUMATOID ARTHRITIS
-ELDERLY PATIENTS WITH JEOPARDIZED CONNECTIVE TISSUE
Name the contraindications of joint mobilizations?
-HYPERMOBILITY
-INFLAMMATION
-JOINT EFFUSION
Describe a joint restriction using sustained translatory?
MINIMUM OF A 6 SECOND STRETCH FORCE FOLLOWED BY A PARTIAL RELEASE, THEN REPEAT WITH SLOW INTERMITTENT STRETCHES 3-4 SECOND INTERVALS
Describe a painful joint using sustained translatory?
INTERMITTENT DISTRACTION FOR 7-10 SECONDS WITH A FEW SECONDS OR REST BETWEEN SEVERAL CYCLES (NO GLIDE ENVOLVED)
Vary the speed of oscillations for different effects. Low amplitude and high speed to?
-INHIBIT PAIN
-SLOW SPEED TO RELAX MUSCLE GUARDING
Smooth, regular at 2-3 per second for 1-2 minutes?
GRADES II AND III (OSCILLATIONS)
Usually rapid similar to vibrations (small amplitudes)?
GRADES I AND IV (OSCILLATIONS)
Uses of Grade III sustained translatory?
-INCREASE JOINT PAIN
Uses of Grade II sustained translatory?
-USED TO ASSESS THE SENSITIVITY OF JOINT.

-INHIBIT PAIN
Uses of Grade I sustained translatory?
PAIN RELIEF
What are the techniques for graded oscillations?
-OSTEOKINEMATICS
-ARTHROKINEMATICS
Describe Grade III sustained translatory?
DISTRACTION OR GLIDE IS APPLIED WITH AN AMPLITUDE LARGE ENOUGH TO PLACE A STRETCH ON THE JOINT CAPULE AND ON THE SURROUNDING PERIARTICULAR STRUCTURES (STRETCH)
Describe Grade II sustained translatory?
DISTRACTION OR GLIDE IS APPLIED TO TIGHTEN THE TISSUES AROUND THE JOINT (GOES TO POINT OF RESTRICTION) (TIGHTEN)
Describe Grade I sustained translatory?
SMALL AMPLITUDE DISTRACTION IS APPLIED WHERE NO STRESS IS PLACES ON THE CAPSULE
Grades III and IV oscillations are primarily used for stretching?
TRUE
True/False

Grades I and II oscillations are specifically used for increasing ROM?
FALSE

DECREASING PAIN
Grades III and IV oscillation is used for?
DECREASING PAIN/INCREASING MOTION/STRETCHING TISSUES (NON CONTRACTILE)
Oscillatory is AKA?
MAITLAND
True/False

Grades I and II go to the point of tissue restriction?
FALSE

DO NOT GO TO POINT OF TISSUE RESTRICTION
What is the goal of grades I and II oscillations?
(STIMULATE MECHANICAL RECEPTORS WHICH WILL CLOSE THE GATE) DECREASE PAIN
Small amplitude rhythmic oscillations are performed at the limit of the available motion and stressed into the tissue resistance?
GRADE IV
Large amplitude rhythmic oscillatins are performed up to the limit of the available motion and are stressed into the tissue resistance?
GRADE III
Large amplitude rhythmic oscillations are performed within the range, not reaching the limit?
GRAGE II
Small amplitude rhythmic oscilations are performed at the beginning of the range?
GRADE I
What are the procedures for applying joint capsue tightness?
-PROM SHOWS CAPSULAR PATTERN
-FIRM CAPSULAR END FEEL WITH OVERPRESSURE
-DECREASED JOINT PLAY MOVEMENT WHEN MOBILITY TESTS ARE PERFORMED
What are joint mobs specifically used for?
TIGHT CAPSULES
What does the quality of pain determine?
-THE STAGE OF RECOVERY
-DOSAGE OF TECHNIQUES
What do you want to determine before applying a joint mob?
WHETHER TX WILL BE DIRECTED TOWARD DECREASING PAIN OR STRETCHING A JT OR SOFT TISSUE LIMITATION
What should happen when applying joint mobs?
-DECREASED PAIN
-LIMIT SOFT TISSUE SHORTENING
Describe Joint Glide Mobilization?
-FORCE USES SMALL LEVER LENGTHS (HAND PLACEMENT IS PROXIMAL TO JOINT)

-DIRECTION OF FORCE REPLICATES THE SLIDING/GLIDING COMPONENT OF THE JOINT MECHANICS AND DOES NOT COMPRESS THE CARTILAGE

-AMPLITUDE IS SMALL YET SPECIFIC TO THE RESTRICTED OR ADHERED PORTION OF THE CAPSULE OR LIGAMENTS THEREFORE FORCES ARE SELECTIVELY APPLIED TO THE DESIRED TISSUE
Hand placement is proximal to the joint?
JOINT GLIDE (MOBILIZATION)
Describe passive angular stretching?
-INCREASED LEVER LENGTH (HAND PLACEMENT IS DISTAL)

-FORCE CAUSES JOINT COMPRESSION IN THE DIRECTION OF THE ROLLING BONE (CAUSES FRICTION)

-ROLL W/OUT A SLIDE DOES NOT REPLICATE NORMAL JOINT MECHANICS
Describe a thrust?
-A SUDDEN MOVEMENT PERFORMED WITH A HIGH-VELOCITY, SHORT AMPLITUDE MOTION SUCH THAT THE PATIENT CANNON PREVENT THE MOTION.

-PERFORMED AT THE END OF THE PATHOLOGICAL LIMIT AND IS INTENDED TO ALTER POSITIONAL RELATIONSHIPS.

-USED TO SNAP ADHESIONS OR TO STIMULATE JOINT RECEPTORS.
Passive movement using physiiological or accessory motions which may be applied with a thrust or when the patient is under anesthesia?
MANIPULATION
A descriptive term that is used to describe the motions that occur between the joint surfaces as well as the distensibility or "give" in the joint capsule?
JOINT PLAY
What is an example of a Component Motion?
UPWARD ROTATION OF THE SCAPULA
Motions that accompany active motion but are not under voluntary control?
COMPONENT MOTIONS
A passive movement using physiologial or accessory motions which may be applied with a thrust or when pateint is under anesthesia?
MANIPULATION
A descreptive term that is used to describe the motions that occur between the joint surfaces as well as the distensibility or "give" in the jt capsule?
JOINT PLAY
Motion w/in the jt and surrounding tissues that are cecessary for normal ROM but that cannot be actively performed by the patient?
ACCESSORY MOVEMENT
The PASSIVE MOVEMENT performed by the therapist at a speed slow enough that the patient can stop the movement. utilized OSCILLATORY MOTION or sustained stretch intended to decrease pain and increase mobility?
MOBILIZATION
When performing joint mobs, what do we always duplicate?
THE GLIDE
Successful usde of joint mobilization depends on the practionter's ability to evaluate?
-ANATOMY
-ARTHROKINEMATICS
-PATHOLOGY OF THE MUSCLESKELETAL SYSTEM
-RECONGITION OF INDICATIONS AND CONTRADICATIONS
What pain theory is used to decrease a persons pain during joint mobilization?
GATE THEORY
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