#5 Joint Mobilization/Manipulation Self-Assessment Quizzes

PT631 Therapeutic Exercises I, Oregon Tech

Which of the following terms best describes movements that a patient can control actively/voluntarily?

Physiological movement

Each of the following is true about joint mobilization or manipulation techniques except:

Techniques involve the application of accessory joint movements but not physiological movements

Which of the following techniques combines the application of sustained accessory joint movements by a therapist and active, end-range physiological movements performed by the patient?

Mobilization with movement techniques

Which of the following is an indication for joint mobilization?

Pain

The normal accessory joint movement of roll occurs with which of the following?

Sliding

Which of the following is a false statement about joint mobility or joint mobilization techniques?

The more congruent the joint surfaces, the more rolling of one joint surface on the other occurs

Which of the following is a false statement about joint mobilization?

Grade III mobilizations can be used safely and effectively to increase the ROM during an acute flare of arthritis when there is loss of motion

To determine the point of tissue resistance and how sensitive a joint is, you would use which of the following grades of sustained mobilization?

Grade II

Which of the following mobilization techniques can be used to stretch a joint?

Oscillation grade III

If a patient exhibits signs of joint hypermobility or joint effusion/inflammation, which of the following mobilization techniques is contraindicated?

Sustained grade III

In what way does mobilization with movement (MWM) differ from passive mobilization techniques? MWM:

Integrates active movements by the patient during the mobilization procedure to reduce/eliminate the barrier of pain during the technique

Your patient has a painful right wrist from typing a very large report. You find that she has full active and passive ROM and normal strength. Of the following mobilization techniques, which is most appropriate for management of this patient's signs and symptoms?

Anterior-posterior grade II oscillations

Your patient has a forward shoulder posture with associated joint restrictions throughout the shoulder complex. In which of the following directions should you apply mobilization of the sternoclavicular joint to improve the patient's posture?

Posterior

Moving the proximal row of carpals on the radius in a volar direction increases which wrist motion?

Extension

A posterior glide of the head of the femur on the surface of the acetabulum increases which of the following hip motions?

Flexion and internal rotation

Joint mobilization techniques are thought to be safer than passive angular stretching using physiological ROM to increase mobility of capsular and ligamentous structures because:

Mobilization techniques direct forces specific to the involved capsular and ligamentous tissues without causing compressive damage to the articular cartilage

Which of the following describes an inappropriate procedure for safe and effective application of joint mobilization techniques?

Combine a grade III distraction with a grade III sustained glide

A long-axis distraction of the humerus provides which direction of gliding?

Inferior

Your patient's knee was immobilized in a long leg cast for more than a month. To improve knee ROM, you have been treating the knee with a grade III posterior glide of the tibia with the knee in the resting position. To progress the mobilization procedure for which this treatment was intended, you could:

Take the joint to the end of the range of flexion, internally rotate the tibia, and apply a sustained grade III distraction

Your patient has rheumatoid arthritis and currently is exhibiting acute symptoms in the wrist. This patient will benefit from grade I or II mobilization techniques at this time because these techniques:

Temporarily relieve pain, thereby allowing freer motion of the wrist

To increase flexion of the shoulder, position the patient in the supine position, stabilize the scapula, and:

Place the glenohumeral joint in the resting position, apply a posterior glide of the humeral head

Your patient had a cast removed last week following a distal tibiofibular fracture. He now has limited motion of the ankle and foot. Which of the following joint mobilization techniques would you use to increase ankle dorsiflexion?

Posterior glide of talus on tibia

Which of the following joint mobilization procedures matches the desired goal?

Lateral glide of the calcaneus on talus⎯increase subtalar inversion

Which of the following joint mobilization procedures at the elbow matches the desired goal?

Dorsal glide of the head of the radius on the humerus⎯increase elbow extension

Your patient has a stiff foot after a long period of immobilization in a cast. Each of the following mobilization techniques will increase supination and the arch of the foot except:

Stabilize the talus and dorsal-glide the navicular

To increase flexion of the carpometacarpal (CMC) joint of the thumb:

Glide the base of the first metacarpal in an ulnar direction on the trapezium

To increase abduction of the thumb, stabilize the trapezium and:

Dorsally glide the base of the first metacarpal

Mobilizations to increase extension of the wrist include all the following except:

Stabilize the scaphoid and volar-glide the radius

The safest way to progress stretching the glenohumeral joint capsule to increase external rotation is:

Position the arm in the resting position with the humerus externally rotated as far as possible and do a distraction

All of the following gliding techniques match except:

Dorsal-glide first phalanx on metatarsal head⎯metatarsophalangeal flexion

Which joint mobilization technique is the concurrent application of a therapist-applied mobilization and an active movement to end range by the patient?

Mobilization with movement

Movements of joint play can include any of the following except:

Subluxation

A type of joint mobilization that includes an isometric muscle contraction to cause accessory movement is:

Muscle energy

Indications for joint mobilization include any of the following except:

Joint effusion

A sustained joint play technique that has an amplitude large enough to place a stretch on the joint capsule is described as which of the following?

Grade III

When using a grade III gliding technique, which of the following distractions should be used with it?

Grade I

The initial resting position of the humerus to mobilize the glenohumeral joint is:

55° Shoulder abduction, 30° horizontal adduction

The PT has done shoulder joint mobilization techniques and has asked you to instruct the patient in interventions to maintain the new ROM. You could choose from any of the following except:

Isometric strengthening of targeted muscle groups

The initial resting position of the femur to mobilize the hip joint is:

30° Hip flexion, 30° abduction, slight external rotation

The initial resting position of the knee to mobilize the patellofemoral joint is:

Full extension

Which of these is LEAST likely to alter joint mechanics and lead to impaired range of motion?

Impaired circulation

Which of these is NOT considered a joint mobilization technique that addresses capsular restrictions?

Self-stretching

To clearly distinguish between thrust and non-thrust mobilization and/or manipulation techniques, all of these should be documented EXCEPT:

The target muscles

A self-stretching technique that specifically uses joint traction or glides to direct the stretch force to specific parts of the capsule is known as:

Auto-mobilization

Movements in the joint and surrounding tissues that are involuntary but necessary for normal range of motion is the definition of:

Accessory movements

Which of these is NOT the typical position for testing joint play or applying initial joint mobilizations?

Closed-pack position

Using active, resisted isometric contractions of deep muscles whose line of pull can cause the desired accessory motion is a technique known as:

Muscle energy techniques

While moving an ovoid-shaped joint, new surfaces of one bone come in contact with new surfaces of the opposing joint surface. This arthrokinematic movement is known as:

Roll

During application of mobilization techniques, the proximal convex surface is held still, while the distal concave surface is moved. The length of the corresponding distal bone will move or swing in which direction as compared to the moving concave joint surface?

In the same direction

Regardless of whether the joint surface is concave or convex, the accessory movement of joint roll is always in which direction as compared to the swinging bone?

In the same direction

Which of the following is considered a contraindication or precaution for joint mobilization/manipulation?

Excessive pain in the area

Which of these patients might be a candidate for more aggressive mobilization/manipulation techniques?

Scapulothoracic mobilization with glenohumeral subluxation 3 months post stroke

When performing non-thrust oscillation techniques, which of these grades involve large-amplitude rhythmic oscillations within the available range, applied at a rate of 2 to 3 per second for 1 to 2 minutes?

Grade II

While working with a patient with whom range of motion is contraindicated, the therapist applies gentle, intermittent distractions to inhibit pain. The distraction motion is enough to tighten surrounding tissues but stops short of stretching the capsule. This is an example of which grade of non-thrust sustained joint play techniques?

Grade II

In order to achieve distraction of the glenohumeral joint, which of these positions and forces are necessary?

Patient supine, shoulder flexed to 90 degrees, internally rotated and elbow flexed; therapist uses a waist belt looped proximally around the patient’s arm and leans back gently