Joint Mobs midterm review questions
which of the following are characteristics of arthrokinematic motion? a) necessary for full osteokinematic motion b) include roll, glide, and spin c) are unobservable d) may be limited by capsular tightness e) all of the above
e
which of the following are indications for joint mobilization? a) pain relief b) decrease muscle guarding c) increase joint mobility d) improve joint nutrition e) all of the above
e
which of the following mobilization techniques can be used to improve metacarpal phalangeal flexion? a) MCP distraction b) MCP dorsal glide c) MCP volar glide d) both a and b e) both a and c
e
according to the convex rule when performing wrist curls at the gym in what direction will the proximal row of carpal bones glide? a) dorsal b) ventral c)lateral d) there is no glide e) none of the above
a
what is the purpose of placing the mobilizing hand as close to the joint as possible? a) prevent joint torque b) prevent joint glide c) prevent joint play d) both a and b e) none of the above
a
What is Brian Mulligans main theory for why his techniques work? a. Correct minor positional faults b. Improve accessory motion c. Improve joint play d. Desensitize the nervous system e. None of the above
a
When performing the Mulligan shoulder elevation technique, in what direction is the GH joint glide? a. Posterior and lateral b. Posterior and medial c. Anterior and lateral d. Anterior and medial e. None of the above
a
What does Brian Mulligan recommend if the accessory motion produces an immediate increase in pain? a. Continue with less force b. Glide in the opposite direction c. Change the angle d. Distract the joint e. None of the above
b
when assessing joint play, what three variables are measured? a) excursion, over pressure, pain b) physiologic ROM, overpressure, pain c) excursion, end feel, pain d) physiologic ROM, crepitus, pain e) none of the above
c
which of the following mobilization techniques can be used to improve forearm pronation? a) proximal radioulnar anterior glides b) distal radioulnar posterior glides c) humeroradial distraction d) all of the above e) none of the above
c
which of the following mobilization techniques can be used to improve thumb extension? a) trapeziometacarpal volar glide b) trapeziometacarpal dorsal glide c) trapeziometacarpal radial glide d) trapeziometacarpal ulnar glide e) none of the above
c
What component of manipulation is the most important for patient safety? a. Producing sufficient speed b. Stabilizing the proximal bone c. Being close to the joint axis d. Controlling the amplitude e. Having the patient relax
d
How can the mobilization be applied in MWM? a. Manually b. With a treatment belt c. Applying Sports tape d. Using Theraband e. All of the above
e
what is the capsular pattern for the thumb? a) abd-flex b) abd-add c) ext-abd d) ext-flex e) none of the above
e
Who developed the manual therapy concept of mobilization with movement? a. Stanley Paris b. Robin McKenzie c. Brian Mulligan d. Geoffrey Maitland e. None of the above
C
what physiological change occurs when connective tissue is immobilized? a) loss of water b) greater collagen inter fiber distance c) greater tensile strength of collagen d) both a and b e) none of the above
a
what two motions are needed to reduce Nursemaid's elbow? a) elbow flexion and forearm supination b) elbow flexion and forearm pronation c) elbow extension and forearm supination d) elbow extension and forearm pronation e) none of the above
a
when treating a joint hypo mobility how much of the slack should be taken up? a) up to the restrictive barrier b) up to the anatomical barrier c) up to the physiologic barrier d) both a and b e) all of the above
a
which grades of oscillations are generally used for pain inhibition vs improving mobility? a) grades I and II b) grades II and V c) grades V and VI d) both a and b e) both b and c
a
at what point in the stress strain curve is stress equal to strain? a) elastic region b) yield point c) plastic region d) failure point e) none of the above
b
Which of the following are characteristics of osteokinematic motion? a) not under voluntary control b) gross movement of bones at joints c) measured with joint glide d) unable to measure with a goniometer e) all of the above
b
According to the regional interdependence model, thoracic hypomobility will contribute to which of the following conditions? a. Shoulder Impingement b. Patella Tendonitis c. Carpal Tunnel Syndrome d. Hip Osteoarthrits e. All of the above
a
What are differences between Maitland and Kaltenborn techniques and the Mulligan Concept of MWM? a. There is no system of grading the force and amount of movement in the Mulligan Concept as there is for Maitland and Kaltenborn techniques b. There is no system of grading the force and amount of movement in the Maitland and Kaltenborn techniques as there is in the Mulligan Concept c. The Mulligan Concept utilizes accessory motion glides and Maitland and Kaltenborn techniques do not d. Both a and c e. All of the above
a
What does Brian Mulligan expect if there's pain free overpressure at the symptomatic joint as a result of a MWM? a. Optimal recovery b. Limited range of motion c. Loss of joint play d. Poor prognosis e. None of the above
a
What is the term for increased joint play with extended, empty, very soft, end feel? a) hypermobility b) hypomobility c) guarding d) bony block e) none of the above
a
What three variables are assessed and documented with joint mobility testing? a) pain, excursion and end feel b) swelling, excursion and pain c) excursion, tone and end-feel d) end feel, bony blocks and pain e) end feel, pain and resistance
a
according to the convex-concave rule, what accessory motion is necessary for full pain free shoulder external rotation? a) anterior glide b) posterior glide c) inferior glide d) distraction e) compression
a
what are the four branches of PT first described by Mary McMillan? a) manipulation to muscle and joint, therapeutic exercise, electrotherapy, and hydrotherapy b) manipulation to muscle and joint, therapeutic exercise, ultrasound, and hydrotherapy c) manipulation to muscle and joint, therapeutic exercise, electrotherapy and motor learning d) namely-manipulation to muscle and joint, posture, electrotherapy,and hydrotherapy e) none of the above
a
what grade of oscillation mobilization is sometimes referred to as bending the fly's knees? a) grade I b) grade II c) grade III d) grade IV e) grade V
a
what is compression primarily used for in joint mobilization? a) assess the irritability of a joint b) assess joint play of a joint c) assess accessory motion of a joint d) both b and c e) none of the above
a
what is the loose pack position for the radiocarpal joint? a) slight flexion b) slight extension c) slight radial deviation d) slight ulnar deviation e) none of the above
a
what is the main difference between Kaltenborn technique and Maitland technique? a) Kaltenborn is more concerned with accessory motion loss and Maitland is more concerned with symptoms b) Maitland is more concerned with accessory motion loss and Kaltenborn is more concerned with symptoms c) Kaltenborn technique was developed in Australia and Maitland technique in Norway d) both a and c e) none of the above
a
What is the 1st step in the Mulligan Concept? a. Apply passive accessory motion to the joint b. Identify one or more comparable signs c. Bunch the skin an distract the joint d. Apply effleurage to the area to be treated e. None of the above
b
What is the most commonly cited successful MWM technique used in peripheral joints? a. Medial glide b. Lateral glide c. Distraction d. Medial rotation e. Lateral rotation
b
When performing the Mulligan technique to improve shoulder flexion, what is the purpose of the belt? a. Glide the GH joint posterior b. Distract the GH joint c. Apply a grade I distraction to the GH joint d. Glide the GH joint anterior e. None of the above
b
Where is the treatment plane of the joint located? a) convex bone b) concave bone c) either the convex or concave bone depending on body position d) both a and c e) none of the above
b
Who first introduced the convex-concave rule? a) John Mennell b) Freddy Kaltenborn c) James Cyriax d) Geoffrey Maitland e) Stanley Paris
b
how is overpressure applied after an active movement different from accessory motion testing? a) end feel assesses the quantity of movement and overpressure the quality of movement b) end feel assesses the quality of movement and overpressure the quantity of movement c) end feel assesses the quantity of joint excursion and overpressure is the quantity of capsular tightness d) end feel is the quantity of joint excursion and overpressure is the quality of capsular tightness e) none of the above
b
what grade of sustained stretch is used to evaluate joint irritability? a) grade I b) grade II c) grade III d) grade IV
b
what grades of mobilization are most appropriate for treating limitations in joint mobility? a) grade II oscillations b) grade III oscillations c) grade I sustained distraction d) grade II sustained glide e) both b and d
b
what is characteristic of a hypermobile end feel? a) soft resistance just before the usual end feel b) very soft and empty at the end of the range c) harsh stop before the expected end range d) more elastic and softer at the end range e) both a and b
b
what is the capsular pattern for the shoulder? a) IR-ABD-XR b) XR-ABD-XR c) ABD-XR-IR d) ABD-IR-XR e) none of the above
b
which of the following mobilization techniques can be used to improve radial deviation of the wrist? a) radiocarpal radial glide b) radiocarpal ulnar glide c) radiocarpal volar glide d) radiocarpal dorsal glide e) none of the above
b
which of the following mobilization techniques can be used to improve thumb abduction? a) trapeziometacarpal volar glide b) trapeziometacarpal dorsal glide c) trapeziometacarpal radial glide d) trapeziometacarpal ulnar glide e) none of the above
b
Which of the following mobilization techniques can be used to improve elbow flexion? a) humeroulnar distraction b) humeroradial posterior glide c) humeroradial anterior glide d) both a and b e) both b and c
e
In the Mulligan "Tennis Elbow" technique, where is the force applied with the practitioners hand at the elbow? a. Through the Radius b. Through the Ulna c. Through the Humerus d. Through the treatment strap e. None of the above
c
Which of the following are effects of HVLA thrust manipulation? a. Release entrapped nerve endings b. Increase serotonin levels c. Snap periarticular adhesions d. Stimulate muscle spindles e. All of the above
c
in order to prevent joint irritation what is applied prior to glide mobilization? a) massage lotion b) grade II distraction c) grade I distraction d) grade I oscillations e) none of the above
c
in which direction does distraction occur? a) parallel to the treatment plane b) oblique to the treatment plane c) perpendicular to the treatment plane d) both a and b e) none of the above
c
what cells cause increased tissue permeability after an injury that results in a joint becoming hot, red and swollen? a) leukocytes b) fibroblasts c) mast d) macrophages e) none of the above
c
what occurs arthrokinematically when the knee extends during open chain movement? a) the tibia glides posterior and rolls anterior b) the tibia glides anterior and rolls posterior c) the tibia glides anterior and rolls anterior d) the tibia glides posterior and rolls posterior e) none of the above
c
what step in assessing and treating accessory motion has similarities to cutting a 2x4 piece of wood in a vice grip? a) positioning the joint in the loose pack position b) using mobilization wedge c) stabilizing the proximal bone d) bunching up the skin e) applying a grade I distraction prior to the glide
c
what test is used to evaluate thoracic spine mobility? a) jump test b) coil test c) spring test d) thrust test e) none of the above
c
who first introduced the concept of the joint end-feel? a) John Mennell b) Freddy Kaltenborn c) James Cyriax d) Geoffrey Maitland e) Stanley Paris
c
Why does Brian Mulligan believe his techniques are very safe? a. They are applied without symptoms b. A small amount of force is required to achieve an improvement c. The patient is actively participating d. Both a and c e. All of the above
e
at what angle to the treatment plane is traction performed? a) perpendicular b) 45 degrees c) parallel d) 90 degrees e) both a and d
e
what is it called when the distal segment is moved perpendicular to the treatment plane? a) distraction b) traction c) joint play d) accessory motion e) all of the above
e
In the Mckenzie method what is Directional Preference? a. During the assessment the therapist determines what movement direction reduces the patients symptoms b. Exercise prescription is based upon the movement direction that reduces the patients symptoms c. Symptoms migrate into the midline of the body d. Both a and b e. All of the above
d
What does Brian Mulligan recommend if there is not complete resolution of symptoms when introducing the accessory motion? a. Increase or decrease the force b. Change the angle c. Glide in the opposite direction d. Both a and b e. All of the above
d
What is the best reference when assessing joint mobility? a) the amount of osteokinematic motion available b) experience with other patients and body types c) pain level d) comparing to the contralateral side e) none of the above
d
What is the loose pack position for the glenohumeral joint? a) 30 abd, 55 flex, slight XR b) 55 abd, 30 flex, slight IR c) 30 flex, 55 add, slight XR d) 55 abd, 30 flex, slight XR e) none of the above
d
Which of the following are true according to the convex rule? a) the convex surface is stationary and the concave surface moves b) glide is in the opposite direction to roll c) glide is in the opposite direction of osteokinematic motion d) both b and c e) both a and b
d
Who first introduced graded oscillations for mobilizing joints? a) John Mennell b) Freddy Kaltenborn c) James Cyriax d) Geoffrey Maitland e) Stanley Paris
d
a limitation in shoulder flexion can be improved with what glenohumeral mobilization? a) anterior glide b) posterior glide c) inferior glide d) distraction e) compression
d
if a joint is painful when performing a mobilization, what adjustments can be made? a) make sure the glide is parallel with the treatment plane b) make sure a grade III distraction is applied c) make sure the primal bone is sufficiently stabilized d) both a and c e) both a and b
d
in what direction should you mobilize the clavicle if there is a limitation with shoulder abduction? a) anterior b) posterior c) superior d) inferior e) none of the above
d
what are characteristics of the loose pack position? a) intracapsular space is the greatest b) joint surfaces are the least congruent c) joint surfaces are the most congruent d) both a and b e) both a and c
d
what did Hippocrates recommend after joint manipulation? a) hot baths b) leeches c) massage d) exercise e) none of the above
d
what is produced when the mobilizing hand is distal to the joint space? a) rotation b) torque c) glide d) both a and b e) none of the above
d
which of the following are appropriate terms for a physical therapist to use when describing HVLA techniques? a) thrust b) adjustment c) grade V mobilization d) both a and c e) all of the above
d
which of the following are true according to the concave rule? a) convex surface is stationary and concave surface moves b) glide is in the same direction as the osteokinematic movement c) glide and roll are in the same direction d) all of the above e) none of the above
d
which of the following mobilization techniques can be used to improve radiocarpal extension? a) radiocarpal distraction b) radiocarpal volar glide c) radiocarpal dorsal glide d) both a and b e) both a and c
d
why is RCIG so important to the history of physical therapy in the US? a) It's where Edgar Cyriax trained before he went to work with James Mennell at St Thomas Hospital in London b) Many of the principles in Mary McMillan's physical therapy textbook originated from the RCIG c) David Daniel Palmer created chiropractic based on the philosophy of Per Henrik Ling d) both a and b e) all of the above
d
in which of the following situations would you NOT perform grade III or V oscillatory joint mobilizations? a) on a patient that you do not know the medical history b) on a patient who has osteoporosis c) on a patient who has been taking prednisone to control symptoms of an autoimmune disease d) on a patient who is apprehensive e) all of the above
e
What factors limit osteokinematic motion? a) pain b) swelling c) muscle tightness d) joint capsule shortening e) all of the above
e
What is the purpose of performing overpressure when evaluating osteokinematic motion? a) determine if accessory motion may be contributing to the loss of osteokinematic motion b) determine if the patient has capsular tightness c) determine if there is an alteration in arthrokinematics d) determine if there is a loss of joint play e) all of the above
e
What term did Maitland use to describe a task that a patient had difficulty completing due to pain or joint stiffness? a. Compatible sign b. Comparable sign c. Client Specific Impairment Measure d. Client Specific Immobilization Measure e. None of the above
e
When is a joint considered hypo mobile? a) hard stop before the expected end range b) no bounce or element of creep at end range c) excursion is less than the contralateral side d) both a and c e) all of the above
e
Which of the following are absolute contraindications to HVLA thrust manipulation a. Patient apprehension b. Osteoporosis c. Positive pre-manipulative hold d. Both B and c e. All of the above
e
Which of the following are true about normal end-feel? a. Normal end-feel is between R1 and R2 b. Normal end-feel is a firm stop with an element of creep c. Normal end-feel begins at the physiological barrier d. Both a and b e. All of the above
e
