Mobs

Question 1

Shoulder:

Gh joint:

Answer 1

1.Traction/distraction
2.Inferior glide
oProgressive technique – incr. abduction
3.Posterior glide
oProgressive technique – incr. med rot, flexion, horz. add’n
4.Anterior glide – 2 techniques (prone + supine)
oProgressive technique – incr. ext. rotation, extension, horz abd’n
(*be aware that if shoulder is in 90 degrees ext. rotation, risk of anterior subluxation)

Question 2

Shoulder:

Scapulothoracic articulation:

Answer 2

1. Distraction
2. Superior glide – incr. ST elevation, lat rot
3. Inferior glide – incr. ST depression, med rot
4. Lateral glide – incr. ST protraction, elevation, lat rot
5. Medial glide – incr. ST retraction, depress, med rot

Question 3

Elbow:
Humeroulnar:

Answer 3

1. Distraction
2. Medial glide
3. Lateral glide
4. Medial gap
5. Lateral gap

Question 4

Elbow:
Humeroradial:

Answer 4

1. Traction/distraction
2. Compression
3. Posterior glide – incr. extension
4. Anterior glide – incr. flexion

Question 5

Elbow:

Proximal radioulnar:

Answer 5

1. Anterior glide – incr. supination

2. Posterior glide – incr. pronation

Question 6

Elbow:

Distal radioulnar:

Answer 6

1. Anterior glide – incr. pronation

2. Posterior glide – incr. supination

Question 7

Wrist:
Radiocarpal:

Answer 7

1.Traction/distraction
2.General glides:
•Posterior – incr. flex
•Anterior – incr. ext
•Radial – incr. ulnar dev
•Ulnar – incr. radial dev

Question 8

Wrist:

Midcarpal glides:

Answer 8

1.Anterior / Posterior glides – incr. gen mobility of hand

Question 9

Wrist:

MP and IP joints:

Answer 9

1. traction/distraction
2. volar/dorsal/radial/ulnar glides
3. rotation-traction

Question 10

Hip:

Answer 10

1. distraction
2. inferior glide – incr hip abd’n
3. posterior glide – incr hip flex, med rot
4. anterior glide (2 ways) – incr hip ext, lat rot
5. postero-lateral glide of femur on pelvis – incr med rot of hip
6. lateral glide/distraction – incr hip add’n, med rot

Question 11

Knee and leg:

Tibiofemoral:

Answer 11

1. traction/distraction
2. post glide (2 tech) – incr knee flex
3. anterior glide (3 tech) – incr knee ext
4. medial + lateral glides
5. medial + lateral gaps

Question 12

Knee and leg:

Patellofemoral:

Answer 12

1. superior glide
2. inferior glide – incr knee jt flexion
3. medial-lateral glides/tilts

Question 13

Knee and leg:

Prox. Tibiofibular:

Answer 13

1.ant glide/post glides

Question 14

Knee and leg:

Dist. Tibiofibular:

Answer 14

1. ant/post glides

2. sup/inf glides

Question 15

Ankle and Tarsal jts:

Talocrural:

Answer 15

1. traction-distraction
2. dorsal (posterior) glide – incr ankle dorsiflexion
3. ventral (anterior) glide – incr ankle plantarflexion

Question 16

Ankle and Tarsal jts:

Subtalar:

Answer 16

1. traction/distraction
2. medial/lateral glides
3. medial gap – incr subtalar eversion
4. lateral gap – incr subtalar inversion

Question 17

MTP, IP jts:

Answer 17

1.same as fingers (articulating sfc proximally is convex, distally concave) – plantar/dorsal/medial/lateral glides

Question 18

Joint mob indications:

Answer 18

• Pain •MM guarding
• Spasm •Reversible joint hypo-mobility
• Positional faults/subluxations •Progressive limitation
• Functional immobility •Nutrition

Question 19

Joint mob contraindication:

Answer 19

• Infections •Neoplasms
• Recent or unhealed fractures •Hypermobility

Question 20

Joint mob

Relative CI’s:

Answer 20

• Joint effusion/inflammation •RA
• Osteoporosis •Internal derangement
• General debilitation •Late stage pregnancy (regional): pelvis/SI
• Degenerative arthrosis (DJD)