Ptha 2217 - Issues In Health Care - Stetz Lecture - Quiz 2

Front 1

What is (joint) mobilization per Kisner and Colby? ***

Back 1

passive, skilled manual therapy techniques, applied to joints and related soft tissues at varying speeds and amplitudes using physiologic or accessory motions

Front 2

Name another term for "mobilization." ***

Back 2

manipulation (the terms are synonymous)

Front 3

What is the definition of joint mobilization/manipulation per the APTA Guide to PT Practice? ***

Back 3

the skilled passive movement of a joint and/or related soft tissues at varying speeds and amplitudes up to and including a small amplitude, high velocity thrust

Front 4

What is a thrust? ***

Back 4

high-velocity, short amplitude motion performed at end of pathologic limit to alter position or snap adhesions

Front 5

What are physiologic movements? ***

Back 5

- voluntary motions that occur within the joint ROM
- occur in cardinal planes
- a.k.a. osteokinematic, or swing, motions
- e.g., flexion, extension

Front 6

What are accessory movements? ***

Back 6

- involuntary movements
- necessary for normal ROM

Front 7

Name two accessory movements. ***

Back 7

- component motions
- joint play

Front 8

What are component motions? ***

Back 8

- accessory motions that occur with voluntary movement
(e.g., shoulder flexion with shoulder girdle rotation; scapula & AC / SC movement; tibia & femur with the "screw home" motion)

- these motions cannot occur independently, but must occur for normal joint movement

Front 9

What is joint play? ***

Back 9

- occurs within joint
- necessary for full ROM
- only passive; usually a combination

Front 10

What is another name for joint play? ***

Back 10

arthrokinematics

Front 11

List the arthrokinematic/joint play motions. ***

Back 11

- roll
- spin
- slide/glide
- distraction
- compression

Front 12

What is distraction (or traction)? ***

Back 12

separation of joint surfaces

Front 13

What is compression? ***

Back 13

decrease in joint space between bony partners

Front 14

What is a roll? ***

Back 14

new points on one surface meet new points on opposing surface

Front 15

What is a spin? ***

Back 15

rotation of moving joint surface on fixed adjacent surface

Front 16

What is a slide/glide? ***

Back 16

same point on one surface comes into contact with new points on opposing surface

Front 17

What two arthrokinematic/joint play motions are used with mobilization/manipulation? ***

Back 17

- distraction

- slide/glide

Front 18

What is the close-packed position? ***

Back 18

- joint surfaces are maximally congruent
- ligaments are taut

- joint has most stability, least mobility, but is susceptible to injury

Front 19

What is the loose-pack (open-packed) position? ***

Back 19

- articulating joint surfaces are maximally separated
- ligaments are relaxed

- joint has the most give, is least stable, but can absorb forces

Front 20

What determines the direction of movement for joint mobilization/manipulation? ***

Back 20

the treatment plane

Front 21

What is the treatment plane? ***

Back 21

- plane perpendicular to a line running from axis of rotation to middle of concave articular surface

- plane is in concave partner

Front 22

How are distraction and slide/glide applied, relative to the treatment plane? ***

Back 22

- distraction/traction techniques applied perpendicular to treatment plane

- sliding/gliding techniques applied parallel to treatment plane

Front 23

What is the concave-convex rule with respect to joint mobilization/manipulation? ***

Back 23

- if surface of moving bone is convex, sliding is in opposite direction of swing

- if surface of moving bone is concave, sliding is in same direction of swing

Front 24

Describe the slide/glide motion of a convex moving bone. ***

Back 24

if surface of moving bone is convex, sliding is in opposite direction of swing

Front 25

Describe the slide/glide motion of a concave moving bone. ***

Back 25

if surface of moving bone is concave, sliding is in the same direction of swing

Front 26

Traction techniques are applied _______ to the treatment plane. ***

Back 26

perpendicular

Front 27

Gliding techniques are applied ________ to the treatment plane. ***

Back 27

parallel

Front 28

Inferior glide of the glenohumeral joint is used to increase a(n) ________ restriction. ***

Back 28

abduction

Front 29

Anterior glide of the glenohumeral joint is used to increase a(n) ________ restriction. ***

Back 29

extension and/or external rotation

Front 30

Posterior glide of the glenohumeral joint is used to increase a(n) ________ restriction. ***

Back 30

flexion and/or internal rotation

Front 31

Volar glide of the radiocarpal joint is used to increase a(n) _______ restriction. ***

Back 31

extension

Front 32

Dorsal glide of the radiocarpal joint is used to increase a(n) _______ restriction. ***

Back 32

flexion

Front 33

Radial glide of the radiocarpal joint is used to increase a(n) _______ restriction. ***

Back 33

ulnar deviation

Front 34

Radial glide of the radiocarpal joint is used to increase a(n) _______ restriction. ***

Back 34

radial deviation

(Her lecture notes say radial glide to increase radial deviation restriction--should probably be ulnar though. Need to verify this!!)

Front 35

At the MCP and IP joints, volar glide is used to increase a(n) _____ restriction. ***

Back 35

flexion

Front 36

At the MCP and IP joints, dorsal glide is used to increase a(n) _____ restriction. ***

Back 36

extension

Front 37

At the tibiofemoral joint, posterior glide is used to increase a(n) ________ restriction. ***

Back 37

flexion

Front 38

At the tibiofemoral joint, anterior glide is used to increase a(n) ________ restriction. ***

Back 38

extension

Front 39

How many grades of Kaltenborn/sustained translatory joint play distraction are there? ***

Back 39

three

Front 40

What are the three grades of Kaltenborn/sustained translatory joint play distraction? ***

Back 40

- grade I - loosen
- grade II - tighten
- grade III - stretch

Front 41

Grade I Kaltenborn/sustained translatory joint play distraction operates within... ***

Back 41

the range of available joint play, but not to the point of tissue resistance

Front 42

Grade II Kaltenborn/sustained translatory joint play distraction operates within... ***

Back 42

the range of available joint play, up to the point of tissue resistance, but not into a stretch

Front 43

Grade III Kaltenborn/sustained translatory joint play distraction operates within... ***

Back 43

the range of tissue stretch, up to the anatomical limit

Front 44

Describe a Grade I Kaltenborn/sustained translatory joint play distraction. ***

Back 44

- loosening of the joint

- a small-amplitude distraction

Front 45

Describe a Grade II Kaltenborn/sustained translatory joint play distraction. ***

Back 45

- tightening of the tissues

- enough distraction or glide to "take up the slack"

Front 46

Describe a Grade III Kaltenborn/sustained translatory joint play distraction. ***

Back 46

- stretch

- enough distraction/glide to stretch the capsule and surrounding ST

Front 47

For what is a Grade I Kaltenborn/sustained translatory joint play distraction used? ***

Back 47

- pain relief

- with ALL glides

Front 48

For what is a Grade II Kaltenborn/sustained translatory joint play distraction used? ***

Back 48

- pain relief

- to maintain available joint play

Front 49

For what is a Grade III Kaltenborn/sustained translatory joint play distraction used? ***

Back 49

to stretch joint structures

Front 50

Describe a Grade I Maitland oscillation. ***

Back 50

small-amplitude rhythmic oscillations performed at beginning or range

Front 51

Describe a Grade II Maitland oscillation. ***

Back 51

large-amplitude rhythmic oscillation, not reaching limit

Front 52

Describe a Grade III Maitland oscillation. ***

Back 52

large-amplitude rhythmic oscillations performed up to limit of available motion, and stressed into tissue resistance

Front 53

Describe a Grade IV Maitland oscillation. ***

Back 53

small-amplitude rhythmic oscillations performed at limit of available motion, and stressed into tissue resistance

Front 54

Describe a Grade V Maitland oscillation. ***

Back 54

- small-amplitude,high velocity thrust performed to snap adhesions at limit of available motion

- NOT USED BY PTAs

Front 55

For what are Grades I and II Maitland oscillations used? ***

Back 55

- to treat pain

- to help move synovial fluid

Front 56

For what are Grades III and IV Maitland oscillations used? ***

Back 56

for stretching

Front 57

What are some of the specifics she listed for administration of mobilization/manipulation? ***

Back 57

- traction is perpendicular; slide is parallel

- patient must be comfortable and in agreement
- always stabilize with one hand, mobilize with other

- only one joint at a time to be mobilized
- joint placed in resting or loose-packed position

- do not move into pain
- use Grade I distraction first
- observe and assess as you treat

Front 58

What are some indications for joint mobilization/manipulation? ***

Back 58

- pain
- joint hypomobility

- muscle spasm
- muscle guarding

Front 59

Name some contraindications/precautions for joint mobilization/manipulation. ***

Back 59

- hypermobility
- excessive pain
- effusion
- inflammation

- unhealed fracture
- osteoporosis
- pregnancy
- elderly

- malignancy
- OA
- RA
- total joint replacement (precaution)

Front 60

What is Shankman's definition of mobilization? ***

Back 60

an attempt to restore joint motion or mobility, or decrease pain associated with joint structures using manual, passive accessory joint movement

Front 61

Open- and closed-pack positions for:

facet joints of spine

Back 61

- midway between flexion and extension

- extension

Front 62

Open- and closed-pack positions for:

TMJ

Back 62

- mouth slightly open

- clenched teeth

Front 63

Open- and closed-pack positions for:

glenohumeral joint

Back 63

- 55 degrees abduction, 30 degrees horizontal adduction

- abduction and external rotation

Front 64

Open- and closed-pack positions for:

acromioclavicular joint

Back 64

- arm resting by side in normal physiologic position

- arm abducted to 90 degrees

Front 65

Open- and closed-pack positions for:

sternoclavicular joint

Back 65

- arm resting by side in normal physiologic position

- maximum shoulder elevation

Front 66

Open- and closed-pack positions for:

ulnohumeral joint

Back 66

- 70 degrees flexion, 10 degrees supination

- extension

Front 67

Open- and closed-pack positions for:

radiohumeral joint

Back 67

- full extension, full supination

- elbow flexed to 90 degrees, forearm supinated 5 degrees

Front 68

Open- and closed-pack positions for:

proximal radioulnar joint

Back 68

- 70 degrees flexion, 35 degrees supination

- 5 degrees supination

Front 69

Open- and closed-pack positions for:

distal radioulnar joint

Back 69

- 10 degrees supination

- 5 degrees supination

Front 70

Open- and closed-pack positions for:

radiocarpal (wrist) joint

Back 70

- neutral with slight ulnar deviation

- extension with radial deviation

Front 71

Open- and closed-pack positions for:

carpometacarpal joint

Back 71

- midway between abduction-adduction and flexion-extension

- extension with radial deviation

Front 72

Open- and closed-pack positions for:

all metacarpophalangeal joints

Back 72

- slight flexion

- full flexion (fingers)
- full opposition (thumb)

Front 73

Open- and closed-pack positions for:

interphalangeal joints

Back 73

- slight flexion

- full extension

Front 74

Open- and closed-pack positions for:

hip joint

Back 74

- 30 degrees flexion, 30 degrees abduction, slight external rotation

- full extension, internal rotation

Front 75

Open- and closed-pack positions for:

knee joint

Back 75

- 25 degrees flexion

- full extension, external rotation of tibia

Front 76

Open- and closed-pack positions for:

talocrural joint (ankle)

Back 76

- 10 degrees plantar flexion, midway between maximum inversion and maximum eversion

- maximum dorsiflexion

Front 77

Open- and closed-pack positions for:

subtalar joint

Back 77

- midway between extremes of range of motion

- supination

Front 78

Open- and closed-pack positions for:

midtarsal joint

Back 78

- midway between extremes of range of motion

- supination

Front 79

Open- and closed-pack positions for:

tarsometatarsal joint

Back 79

- midway between extremes of range of motion

- supination

Front 80

Open- and closed-pack positions for:

metatarsophalangeal joint

Back 80

- neutral

- full extension

Front 81

Open- and closed-pack positions for:

interphalangeal joints

Back 81

- slight flexion

- full extension