MSK_Articulatory Techniques

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  1. Jt Mobilizations/Oscilliations/Manipulation (thrust) - RELATIVE Contraindications - 8
    • DJD
    • Metabolic bone disease - Osteoporosis, Paget’s, TB
    • Joint Hypermobility
    • Total jt replacement
    • Spondylolisthesis
    • Use of steroids
    • Radicular symptoms
    • Joint effusion
  2. Jt Mobilizations/Oscilliations/Manipulation (thrust) - ABSOLUTE Contraindications - 5
    • Acute inflammation/Infection
    • Joint ankylosis
    • Malignancy involving bone
    • Diseases that affect integrity of ligaments (RA; Down syndrome)
    • Arterial insufficiency
  3. Jt oscillations - used for what? - 3
    • Inhibit pain & mm guarding
    • Lubricate joints
    • Provide nutrition for joints
  4. Oscillations - small amplitude - 3
    • Grade I
    • Grade IV
    • Grade V
  5. Oscillations - large amplitude - 2
    • Grade II
    • Grade III
  6. Oscillations - range of jt play - Grade I
    @ Beginning of range
  7. Oscillations - range of jt play - Grade II
    @ midrange
  8. Oscillations - range of jt play - Grade III & IV
    • @ end range
    • III - up to end range
    • IV - into end range
  9. Oscillations - Indication for Grades I & II - 2
    • Improve joint lubrication/nutrition
    • DEC pain/mm guarding
  10. Oscillations - Indication for Grades III & IV - 1
    Stretch tight mms, capsules, & ligaments
  11. Oscillation - Indication for Grade V - 2
    • Improve mobility
    • DEC pain/mm guarding
  12. Oscillations - which grades are used for pain & mm spasms?
    Grade I, II, III
  13. Oscillations - how is Grade III different in respect to pain + mobility?
    • INC amount of fluid in jt, allowing jt to become less viscous & have more motion
    • DOESN'T CHANGE RANGE; just frees it up to move better
  14. Oscillations - Grades I & II - When are they done?
    Acute stage of joint inflammation & sprain
  15. Oscillations - to maintain jt mobility - 1
    Grade III
  16. Oscillations - to INC jt mobility - 1
    Grade IV
  17. Oscillations - When should Grade III & IV NOT be used?
    Inflammation & pain in joint
  18. Jt mobilization (non-thrust) - Kaltenborn - is for what? - 2
    • Stretch/lengthen/deform collagen to normal­ize arthrokinematic glide of jt structures
    • Translatory glides used TO STRETCH CAPSULE
  19. Jt mobilization (non-thrust) - Kaltenborn - Grade I - 3
    • “Loosening” transletoric glide
    • Small amplitude traction force - separate jt surfaces
    • INTO accessory range
  20. Jt mobilization (non-thrust) - Kaltenborn - Grade II - 2
    • “Tightening” transletoric glide or “taking up the slack”
    • THROUGH available accessory range WITHOUT stretching ligaments or jt capsule
    • Maintain joint mobility
  21. Jt mobilization (non-thrust) - Kaltenborn - Grade III - 3
    • “Stretching” transletoric glide
    • THROUGH available range stretching into limitation
    • Restores joint play
  22. Jt Manipulation (thrust) - is for what? - 2
    • DEC pain/ mm guarding
    • Improve translatoric glide in cases of joint dysfunction d/t restriction
  23. Sustained mobilizations are held for how long?
    20-30 sec INTO accessory ROM

Card Set Information

Author:
Tanuisha
ID:
325443
Filename:
MSK_Articulatory Techniques
Updated:
2016-11-07 20:36:39
Tags:
MSK Articulatory Techniques
Folders:
MSK
Description:
MSK_Articulatory Techniques
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