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26 Cards in this Set
- Front
- Back
Joint mobility Scale
GRADE 0 |
1- Definition
2- Treatment possibilities 1- no movement-joint ankylosed (can be purposfully fused) 2- no attempts should be made to mobilize |
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1
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the movement just stops
1-extremely hyopomobile 2- mobilization |
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2
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the movement just stops
1- slightly hypomobile 3- mobilization-manipulation |
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3
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1- normal
2- no dysfunction, no treatment needed |
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4-
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1- slightly hypermobile
2- look for hyopmobility in adjacent joints. Exercise, taping, bracing, etc. |
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5-
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1-Extremely Hypermobile
2- look for hyopmobility in adjacent joints. Exercise, taping, bracing, SPLINTING etc |
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6-
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1- Unstable
2- Bracing, splinting, casting, surgical stabilization |
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what is slack?
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All joints have a certain amount of joint play before the surrounding tissues tighten. This slack is necessary for normal joint function
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what is laxity?
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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 |
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what in instability?
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this is a pathological situation in which there is excessive or abnormal translation, displacement, or separation of the joint surfaces
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what is Disability
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it is a pathological situation in which there is PAIN associated with loss of function secondary to the excessive instability of the joint surfaces
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what is the main difference between instability and disability?
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disability has pain associated with it.
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TREATMENT PLAN
The treatment plane lies in the ________ articular surface. the axis of motion always lies in the __________ articular surface |
concave
convex |
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the treatment plane moves with the _______ surface. The treatment plane remains essentially still when the ______ surface moves
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concave
convex |
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Mobilization is how we _____ the joint
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stretch
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there are 2 types of mobilization
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1- traction
2- Gliding |
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Traction is the ____ mobilization
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global
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traction refers to the process of pulling one body surface away from the other. this is called
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joint separation
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traction refers to bone movement which is at a _______ _____ to the treatment plane
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right angle
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so in order to be Traction mobilization, the pulling needs to be at a right angle to the _______ ________
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treatment plane
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what are the 3 grades of traction grading?
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Grade 1- barely separating the joint surfaces
Grade 2- slack of the capsule taken up Grade 3- capsule and ligaments stretched. |
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what is the 2nd type of mobilization?
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Gliding.
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what is gliding?
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it refers to a translatory movement where the joint surfaces are passively displaced parallel to the treatment plane.
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Gliding always moves in the arthrokinematically glide. So for example, for flexstion of the wrist, the capsule is stretched which way?
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posteriorly.
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we have Gliding Mobilization Grading (NOT mobility!!)
what are the 5 grades of translatory glide? |
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) |
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so when we crack a nuckle, we are doing grade 5- a specific manipulation.
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is very controlled movement.
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