6- Joint Mobility

Front 1

Joint mobility Scale

GRADE
0

Back 1

1- Definition
2- Treatment possibilities

1- no movement-joint ankylosed (can be purposfully fused)

2- no attempts should be made to mobilize

Front 2

1

Back 2

the movement just stops

1-extremely hyopomobile
2- mobilization

Front 3

2

Back 3

the movement just stops

1- slightly hypomobile
3- mobilization-manipulation

Front 4

3

Back 4

1- normal

2- no dysfunction, no treatment needed

Front 5

4-

Back 5

1- slightly hypermobile
2- look for hyopmobility in adjacent joints. Exercise, taping, bracing, etc.

Front 6

5-

Back 6

1-Extremely Hypermobile
2- look for hyopmobility in adjacent joints. Exercise, taping, bracing, SPLINTING etc

Front 7

6-

Back 7

1- Unstable
2- Bracing, splinting, casting, surgical stabilization

Front 8

what is slack?

Back 8

All joints have a certain amount of joint play before the surrounding tissues tighten. This slack is necessary for normal joint function

Front 9

what is laxity?

Back 9

it is the slackness in an unloaded joint. It is translation (gliding or sliding) which occurs between the limits of normal motion.

slack and laxity are the same thing. Is normal movement

Front 10

what in instability?

Back 10

this is a pathological situation in which there is excessive or abnormal translation, displacement, or separation of the joint surfaces

Front 11

what is Disability

Back 11

it is a pathological situation in which there is PAIN associated with loss of function secondary to the excessive instability of the joint surfaces

Front 12

what is the main difference between instability and disability?

Back 12

disability has pain associated with it.

Front 13

TREATMENT PLAN

The treatment plane lies in the ________ articular surface.

the axis of motion always lies in the __________ articular surface

Back 13

concave

convex

Front 14

the treatment plane moves with the _______ surface. The treatment plane remains essentially still when the ______ surface moves

Back 14

concave

convex

Front 15

Mobilization is how we _____ the joint

Back 15

stretch

Front 16

there are 2 types of mobilization

Back 16

1- traction
2- Gliding

Front 17

Traction is the ____ mobilization

Back 17

global

Front 18

traction refers to the process of pulling one body surface away from the other. this is called

Back 18

joint separation

Front 19

traction refers to bone movement which is at a _______ _____ to the treatment plane

Back 19

right angle

Front 20

so in order to be Traction mobilization, the pulling needs to be at a right angle to the _______ ________

Back 20

treatment plane

Front 21

what are the 3 grades of traction grading?

Back 21

Grade 1- barely separating the joint surfaces
Grade 2- slack of the capsule taken up
Grade 3- capsule and ligaments stretched.

Front 22

what is the 2nd type of mobilization?

Back 22

Gliding.

Front 23

what is gliding?

Back 23

it refers to a translatory movement where the joint surfaces are passively displaced parallel to the treatment plane.

Front 24

Gliding always moves in the arthrokinematically glide. So for example, for flexstion of the wrist, the capsule is stretched which way?

Back 24

posteriorly.

Front 25

we have Gliding Mobilization Grading (NOT mobility!!)

what are the 5 grades of translatory glide?

Back 25

The 5 grades of mobilization>

Grade 1- small amp movement at the beg if the available ROM

Grade 2- large amp movement at within the available ROM

Grade 3- large amp at the very end ROM

Grade 4- small amp at the very end ROM

Grade 5- high velocity thrust of small amp at the end of the available ROM and within its anatomical range (manipulation)

Front 26

so when we crack a nuckle, we are doing grade 5- a specific manipulation.

Back 26

is very controlled movement.