Deck 15: Concepts of Joint and Soft Tissue Mobilization

Question 1

Which of the following patient considerations would be a contraindication for mobilization or manipulation?

A) Currently healing fracture
B) Bleeding disorders
C) Connective tissue instability
D) Anticoagulant therapy
E) All of the above

Answer 1

All of the above

Question 2

Which abnormal end-feel is characterized by a loss of elastic resistance normally encountered before the normal ROM?

A) Muscle spasm
B) Springy block
C) Loose end-feel
D) Capsular end-feel

Answer 2

Capsular end-feel

Question 3

Where do gliding and sliding occur?

A) Where one portion of the articular surface comes into contact with a series of locations on the corresponding joint surface
B) Where a portion of the ligament comes into contact with a muscle in the corresponding location
C) Where the joints are totally congruent in close-packed positions
D) None of the above

Answer 3

Where one portion of the articular surface comes into contact with a series of locations on the corresponding joint surface

Question 4

Select the stage of traction technique that involves stretching the soft tissues.

A) Stage I
B) Stage II
C) Stage III
D) Stage IV

Question 5

What is the definition of a grade V mobilization?

A) A high-velocity thrust of small amplitude at the end of the available ROM
B) A large-amplitude motion that occurs from midrange of motion to the end of available range
C) A larger amplitude motion occurring from the beginning of the ROM to near midrange
D) A small oscillation or small amplitude joint motion that occurs only at the beginning of the available ROM

Question 6

What is the definition of a grade I mobilization?

A) A high-velocity thrust of small amplitude at the end of the available ROM
B) A large-amplitude motion that occurs from midrange of motion to the end of available range
C) A larger amplitude motion occurring from the beginning of the ROM to near midrange
D) A small oscillation or small amplitude joint motion that occurs only at the beginning of the available ROM

Question 7

Which of the following interventions can aid in joint mobilization and manipulation?

A) Application of heat and/or ultrasound to the joint
B) Placing the patient in a comfortable position
C) Placing the joint in a loose-packed position
D) Reducing pain prior to mobilization
E) All of the above

Question 8

Which of the following is the definition of range of motion (ROM)?

A) Motions that occur in the cardinal planes of movement such as frontal,sagittal,and transverse
B) Motions that are not under voluntary control and are known as glide/slide,spin and roll
C) The active or passive motions of a given joint through one of the traditional cardinal planes of flexion,extension,abduction,adduction,or internal/external rotation
D) None of the above

Question 9

Which type of end-feel is described as a hard stretch,elastic resistance,or rising tension?

A) Bone-to-bone end-feel
B) Soft tissue approximation
C) Springy tissue stretch
D) Normal end-feel

Question 10

Which abnormal end-feel is characterized by joint hypermobility with no resistance felt at the end of ROM?

A) Muscle spasm
B) Springy block
C) Loose end-feel
D) Capsular end-feel

Question 11

What are the consequences of immobilization on a joint?

A) Fatty infiltration
B) Articular adhesions
C) Loss of strength and tolerance in ligaments
D) All of the above

Question 12

Which of the following noncapsular patterns is described as a restriction in one direction that causes pain and limitation of motion? Other motions remain unaffected and pain-free.

A) Ligamentous adhesions
B) Internal derangements
C) Extraarticular lesions
D) Normal capsular pattern

Question 13

Which of the following is a close-packed position?

A) Elbow bent at a 45°angle
B) Knee fully extended.
C) Mouth slightly open
D) Knee at 45° flexion

Question 14

Which of the following noncapsular patterns is described as a displaced or loose cartilaginous or bony fragment within the joint?

A) Ligamentous adhesions
B) Internal derangements
C) Extraarticular lesions
D) Normal capsular pattern

Question 15

Select the stage of traction technique used to take up the slack and treat pain.

A) Stage I
B) Stage II
C) Stage III
D) Stage IV

Question 16

What is joint play?

A) The movement of a joint through its normal ROM
B) Motion within the joint as a response to an outside force
C) A voluntary movement of the joint through spin,glide,and slide
D) Osteokinematic motions in the cardinal planes of movement

Question 17

Which joint is ready for mobilization and testing of joint play?

A) Spine in extension
B) Elbow fully extended
C) Arm resting by the side in normal physiologic position
D) Knee at 25° flexion
E) C and D

Question 18

Which of the following is a loose-packed position?

A) Spine in extension
B) Elbow fully extended
C) Supination of the midtarsal or tarsometatarsal
D) Arm resting by the side in normal physiologic position

Question 19

Which abnormal end-feel is characterized by pain and a sudden halt of movement that prevents full ROM?

A) Muscle spasm
B) Springy block
C) Loose end-feel
D) Capsular end-feel

Question 20

Which type of end-feel is described as yielding compression?

A) Bone-to-bone end-feel
B) Soft tissue approximation
C) Springy tissue stretch
D) Normal end-feel