JOINTS
osteokinematic movements of the GH joint
flexion, extension, internal and external rotation, abduction, adduction, horizontal adduction and abduction
joint play that can be performed at the SC joint
glides: superior, inferior, anterior, posterior
what structure is affected with higher grades of joint play
articular capsule, ligaments
The higher grades of joint mobilization and name both types
sustained - 3
oscillatory - 3,4
what is arthrokinematics
passive movements that occur between the joint surfaces
joint play that can be performed at the GH
traction, inferior glide, posterior glide, anterior glide
osteokinematic movements of the SC joint
elevation, depression, protraction, retraction
what type of joint are all synovial joints classified as
diarthrosis
name 2 indications for joint play
pain, hypomobility, muscle spasm
what does open packed position (aka loose packed) mean
when the joint surfaces are at most relaxed
Name of the bursa in the shoulder that helps prevent friction of structures
subacromial
purpose of joint play at the AC joint
helpful for general shoulder motion
name all of the osteokinematic movements of the scapulothoracic joint
elevation, depression, protraction, retraction, upward and downward rotation
your client has recently been diagnosed with OA of the hands, explain how joint play may be helpful at this stage
it provides nourishment of the joint through the synovial fluid
what is the capsular pattern at the GH joint
restriction in lateral rotation, abduction, medial rotation
direction of joint play that will help with external rotation
anterior glide
demonstrate all joint mobilizations at the proximal radioulnar joint
anterior and posterior glide
when performing a posterior glide of the GH joint, where do you stabilize and what do you mobilize
stabilize at outer part of upper arm and mobilize head of the humerus
Name 4 CI's to joint mobilization
bone cancer
recent fracture still healing
pregnancy
inflammation/swelling present
infection
instability
elderly/frail
advanced stages of OA
during inflammatory phase of RA
artificial joints
explain the convex concave rule at the 1st CMC
Concave for medial and lateral glide
Convex for anterior and posterior glide
if the client is lifting the arm into abduction, what is happening between the joint surfaces
roll is occurring superiorly and slide is occurring inferiorly
which 2 regions of the body are not "synovial" joints but joint play can still be performed here
distal tibiofibular joint, scapulothoracic joint
What are the 6 types of synovial joints
plane, hinge, pivot, condyloid, saddle, ball and socket
explain the convex and concave rule at the SC joint
convex for superior and inferior
concave for anterior and posterior
What are the 2 layers of a joint capsule (aka articular capsule)
fibrous
inner synovial membrane