Joint Play Assignment Q's MHVicars

List the following in correct order: the joint surfaces are separated; the client must be relaxed; slack is taken out of the joint; and the joint is stabilized proximally.

1.the client must be relaxed 2.the joint is stabilized proximally. 3.slack is taken out of the joint 4.the joint surfaces are separated

What technique is applied to the joint capsule once an area of dysfunction is determined?

An intermittent stretch

What is important to know for this technique to be applied safely?

Clear knowledge of anatomy, axes of motion, ROM of a joint along with accurate palpation skills

Describe the following sustained translator techniques: Grade 1 Grade 2 Grade 3

Grade 1- small amplitude distraction is applied Grade 2- distraction, then glide applied to take up slack Grade 3- distraction, then glide to place stretch on capsule

List four contraindications for joint play

acute conditions, pins, screws, rods, joint hyper mobility, inflammation.

How are restricted joints treated

apply distraction for 6 seconds then partially release, repeat at 3-4 second intervals

List five effects of joint play

asses joint disfunction, increase ROM, stretch tight joint capsules, reduce adhesions pain and spasm, encourage the successive action of joint

What does the term succussive action mean?

doing the joint movements in the order of succession

Describe spinous process oscillations

grasping the process and oscillating (wiggling) side to side

When is Grade 1 and 2 used and why

in acute phase to reduce pain

When is Grade 3 and 4 used and why?

in chronic conditions to stretch tissue

How are painful joints treated

intermittent distractions at right angles to the joint are applied for 10 seconds then released, for several repetitions

Describe anterior spinous challenge, or glide to the cervical spine.

isolate one spinous process with tips of fingers and glide anteriorly

Describe anterior spinous challenge, or glide to the thoracolumbar spine

isolate one vertebral spinous process with the heel of the hand and gently move anteriorly.

What should the therapist do if mobilizing in the direction of restriction is too painful?

mobilize in a pain free direction

List three conditions that indicate extreme caution for joint play

osteoarthritis when osteophytes are present, when weakened connective tissue is present, or after a period of disuse of the body part.

What are graded oscillation techniques primarily used for?

pain management and muscle spasm in muscles that cross the joint

Are joint play techniques active or passive joint mobilizations?

passive

What are sustained translatory joint play techniques primarily used for

regaining joint movement and functional ROM

How should techniques be applied in order to allow the connective tissue time to respond?

rhythmic and slow movements

Grade 3 oscillation

rhythmic large amplitude oscillations stressed to tissue resistance

Grade 1 oscillation

rhythmic small amplitude oscillations

Grade 4 oscillation

rhythmic small amplitude oscillations stressed into tissue resistance

Grade 2 oscillation

rhythmic, large amplitude oscillations

Before joint play is used, what treatment should be performed on the tissues surrounding the joint

soft tissue must be prepared with heat or massage

Describe the steps taken to assess a joint.

therapist uses one hand to stabilize proximal to affected joint and other hand to apply traction and movement, slack is taken out by fractioning the joint, and therapist uses small gliding movements to assess

Joint play is used to both assess and treat a dysfunctional joint: true or false

true