Term
True or False?
If joint play is compormised, proper osteokinematic movements may also be compromised |
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Definition
True
*assess mm, then joint* |
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Term
| In addition to joint capsule, what other structures may be affected by mobilization techniques? |
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Definition
All periarticular structures ie:
ligaments, mm, tendons, fasciae, nn, BV, lymphatics |
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Term
True or False?
Joint mobilization may be indicated even if bones are fused.
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Definition
False
Only joint mob. techs are useful when jt ROM is comprised from soft tissue restrictions are reversible
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Term
Name indications for use of joint mobilization
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Definition
Pain relief
Muscle guarding
Muscle spasm
*indications for low grade jt mob. tech. to stimulate neurophysiologic & mechanical effects* |
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Term
| Which type of joint mobilization will stimulate mechanoreceptors? |
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Definition
Small amplitude oscillatory and distraction movements can stimulate mechanoreceptors
*inhibits transmission of nociceptive stimuli at the SC or brain stem level (neurophysiological effect)* |
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Term
| Which type of joint mobilization technique may enhance synovial fluid motion? |
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Definition
small amplitude (low grade) distraction or gliding mvmts of the jt
*synovial fluid motion is the pathway to bringing nutrients into the avascular portions of the articular cartilage and intra-articular cartilage* |
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Term
| Which jt mobilization technique would you use to enhance nutrient exchange? |
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Definition
Low grade: gentle jt mobilization techs
*nutrient exchange prevents painful and degeneration effects of stasis; when a joint is swollen or painful and cannot move through an optimal ROM* |
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Term
| What are the benefits of gentle jt mobilization, with the intent to increase nutrient exchange? |
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Definition
| Nutrient exchange prevents painful and degenerating effects of stasis (when a joint is swollen/painful and cannot move through its optimal ROM) |
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Term
| Should low grade joint mobilization techniques place a stretch on the tissue? |
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Definition
NO
small amplitude jt mob. tech used to treat pain/m guarding/m spasm should NOT place a stretch on the reactive tissue
*stretch = grade 2* |
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Term
| What grade of jt mob. tech should you use to elongate hypomobile capsular and ligamentous connective tissue? |
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Definition
High-grade, sustained or oscillatory stretch forces are used to lengthen the shortened tissue
*high-grade = stretch placed*
*oscillatory = on a specific place a shake up* |
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Term
True or False?
A client comes in with a presenting complaint associated to a disease. You then always refer to using low grade jt mob techniques. |
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Definition
False
The amount of distraction or glide is dictated by the person's response to tx and the present state of the disease
*maintain available ROM or slow down progression of mechanical restrictions* |
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Term
| What techniques will you use to prevent degeneration and restrictive effects of immobility? |
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Definition
Low-grade gliding or distracting techniques
*low-grade = no stretch* |
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Term
| Can you change the disease process of disorders (ie: RA) with jt mob? |
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Definition
NO
Jt mob techs will not change the disease process, nor will it alter the inflammatory process of injury.
*tx: minimize pain, maintain available jt play and ↓ effect of mechanical limitations* |
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Term
| What are absolute contraindications for use of joint mobilization? |
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Definition
Absolute CIs
> any undiagnosed lesion
> joint ankylosis (fused joint)
> closed-packed position of a joint (puts too much compression force on the articular surface)
*some authors say we can only perform low-grade* |
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Term
| When can you perform jt mob techs to a client with RA? |
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Definition
| Only when RA is not on stages of inflammation |
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