Question 1

In what way does mobilization with movement (MWM)differ from passive mobilization techniques? MWM:
A) Is appropriate for hypomobile or hypermobile joints.
B) Uses only joint distraction techniques to mobilize joints.
C) Integrates active movements by the patient during the mobilization procedure to reduce/eliminate the barrier of pain during the technique.
D) Is performed only in the midrange of available motion to ensure patient comfort.

Accepted Answer

Mobilization with movement (MWM) integrates active movement by the patient during the mobilization procedure to reduce/eliminate the barrier of pain during the technique. This is in contrast to passive mobilization techniques, which do not involve active participation by the patient. Additionally, MWM is primarily used for hypomobile joints, while passive mobilization techniques may also be used for hypermobile joints. Finally, MWM is not limited to the midrange of available motion and can be performed throughout the joint's available range of motion.

Question 2

If a patient exhibits signs of joint hypermobility or joint effusion/inflammation,which of the following mobilization techniques is contraindicated?
A) Sustained grade I
B) Sustained grade II
C) Sustained grade III
D) Oscillation grade II

Accepted Answer

Sustained grade III mobilization techniques are contraindicated in patients with joint hypermobility or joint effusion/inflammation as they can exacerbate the condition and cause further damage. The other options, sustained grade I, sustained grade II, and oscillation grade II, may still be appropriate depending on the patient's individual needs and condition.

Question 3

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:
A) Increase the range of motion by stretching restrictions.
B) Temporarily relieve pain,thereby allowing freer motion of the wrist.
C) Retard synovitis and the progression of the disease process,if only temporarily.
D) Reduce preexisting deformity.

Accepted Answer

Grade I or II mobilization techniques are gentle techniques designed to temporarily relieve pain and increase joint mobility. In the case of a patient with rheumatoid arthritis experiencing acute symptoms in the wrist, these techniques can be beneficial by relieving pain and allowing for freer motion of the affected joint. These techniques do not address the underlying disease process or deformity associated with rheumatoid arthritis.

Question 4

Which of the following is an indication for joint mobilization?
A) Pain
B) Joint effusion
C) Muscle contracture
D) Joint hypermobility

Accepted Answer

The answer of Which of the following is an indication...

Question 5

Which of the following is a false statement about joint mobilization?
A) When the therapist passively moves the articulating surface in the direction in which the slide of the bone normally occurs,the technique is called glide.
B) Gliding or traction techniques are used to treat painful symptoms during the acute and early subacute stages when applied at a low,nonstretch dosage.
C) Joint mobilization is safer than passive angular stretching through an arc motion because it avoids the compressive forces that occur during passive angular stretching through the range.
D) Grade III joint techniques can be used safely and effectively to increase the ROM during an acute flare of arthritis when there is loss of motion.

Accepted Answer

Grade III joint techniques involve a larger amplitude of movement and should not be used during an acute flare of arthritis with loss of motion as they can cause further pain and inflammation. Therefore, option D is false. The other options are true statements about joint mobilization.

Question 6

Each of the following is true about joint mobilization/manipulation techniques except:
A) Techniques can be applied using gliding or oscillation techniques that involve low or high amplitudes and velocities.
B) Techniques involve the application of accessory joint movements but not physiological movements.
C) They are appropriate to use if a joint is painful or inflamed to decrease or inhibit the perception of pain.
D) Techniques can be applied to restore or maintain joint play.

Accepted Answer

Joint mobilization/manipulation techniques involve the application of both accessory and physiological joint movements. physiological movements involve the normal movements of a joint, while accessory movements involve extra movements necessary for normal joint function.

Question 7

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?
A) Anterior
B) Inferior
C) Posterior
D) Superior

Accepted Answer

Mobilization of the sternoclavicular joint in a posterior direction will help to retract the shoulder and improve forward shoulder posture. This will also help to open up the joint spaces and improve mobility in the shoulder complex. Mobilization in other directions may not be as effective in targeting the correct areas to improve posture and joint restrictions.

Question 8

Which of the following terms best describes movements that a patient can control actively/voluntarily?
A) Joint play
B) Accessory movement
C) Physiological movement
D) Component movement

Accepted Answer

Physiological movement refers to movements that a patient can control actively/voluntarily. Joint play refers to passive movements that occur within the joint capsule, accessory movements refer to movements that occur within joint structures and are necessary for joint mobility, and component movements refer to the small movements that occur within a joint during larger movements.

Question 9

Which of the following mobilization techniques can be used to stretch a joint?
A) Sustained grade I
B) Sustained grade II
C) Oscillation grade II
D) Oscillation grade III

Accepted Answer

Oscillation grade III mobilization technique is the best choice to stretch a joint as it involves a high amplitude, low-frequency movement that can help break up adhesions and scar tissue, and further improve joint mobility. Sustained grade I and II mobilization techniques involve low force and are used to decrease pain and improve joint function, but may not be effective in stretching a joint. Oscillation grade II mobilization technique involves a small amplitude, high-frequency movement and is used to improve joint function and increase joint play.

Question 10

Moving the proximal row of carpals on the radius in a volar direction increases which wrist motion?
A) Flexion
B) Extension
C) Radial deviation
D) Ulnar deviation

Accepted Answer

Moving the proximal row of carpals on the radius in a volar direction (towards palm) will increase extension at the wrist joint. This is because the proximal row of carpals includes the scaphoid, lunate, and triquetrum which articulate with the radius at the wrist joint. Moving them in a volar direction will cause the hand to move away from the forearm and increase the angle between them, resulting in extension at the wrist joint.

Question 11

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 procedure for which this treatment was intended,you could:
A) Take the joint to the end of the range of flexion,internally rotate the tibia,and apply a sustained grade III distraction.
B) Use a grade IV posterior glide oscillation technique in the resting position.
C) Position the tibia in a resting position;then externally rotate the tibia and apply a grade III posterior glide.
D) Take the joint to the end of the range of flexion,position the tibia in external rotation,and apply a grade III sustained posterior glide.

Accepted Answer

The answer of Your patient's knee was immobilized in a...

Question 12

Which of the following describes an inappropriate procedure for safe and effective application of joint-mobilization techniques?
A) Combine a grade III distraction with a grade III sustained glide
B) Initiate joint mobilization procedures with the joint in the resting position of the joint
C) Combine a grade I distraction with a grade III sustained glide
D) Stabilize one of the articulating bones while applying the mobilization force close to the joint

Accepted Answer

Combining a grade III distraction with a grade III sustained glide is inappropriate because it can lead to excessive stress on the joint, potentially causing harm. Each grade of mobilization has specific indications, and combining high grades of different mobilizations increases the risk of injury.

Question 13

A normal accessory joint movement that occurs with roll is:
A) Sliding.
B) Swing.
C) Distraction.
D) Compression.

Accepted Answer

A normal accessory joint movement that occurs with roll is sliding.

Question 14

To determine the point of tissue resistance and how sensitive a joint is,you would use which of the following grades of sustained mobilization?
A) Grade I
B) Grade II
C) Grade III
D) Grade IV

Accepted Answer

The answer of To determine the point of tissue resistance...

Question 15

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?
A) Manipulative thrust techniques
B) Facilitative mobilization techniques
C) Muscle energy techniques
D) Mobilization with movement techniques

Accepted Answer

Mobilization with movement techniques combine sustained accessory joint movements by the therapist with active end-range physiological movements performed by the patient. Manipulative thrust techniques involve a quick thrusting movement to the joint, while facilitative mobilization techniques focus on improving joint mobility through rhythmic oscillatory movements. Muscle energy techniques involve the patient contracting their muscles against the therapist's resistance to release tightness in the joint.

Question 16

Joint mobilization techniques are thought to be safer than passive angular stretching using physiological ROM to increase mobility of capsular and ligamentous structures because:
A) A therapist has a better mechanical advantage (leverage)over the tight structures when using mobilization techniques.
B) Mobilization techniques replicate the less traumatic rolling motion of the bone surfaces.
C) Mobilization techniques direct forces specific to the involved capsular and ligamentous tissues without causing compressive damage to the articular cartilage.
D) Mobilization techniques are applied only in the resting positions of joints,not end-range positions.

Accepted Answer

Joint mobilization techniques direct forces specific to the involved capsular and ligamentous tissues without causing compressive damage to the articular cartilage, making them safer than passive angular stretching using physiological ROM to increase mobility of capsular and ligamentous structures. The other options may be true, but they do not address the safety aspect of joint mobilization techniques.

Question 17

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 managing this patient's signs and symptoms?
A) Anterior-posterior grade II oscillations
B) Sustained grade III distractions
C) Sustained grade III glides
D) Joint mobilization using these grades of sustained or oscillation techniques is not appropriate for this patient at this time.

Accepted Answer

The answer of Your patient has a painful right wrist...

Question 18

A posterior glide of the head of the femur on the surface of the acetabulum increases which of the following hip motions?
A) Flexion and external rotation
B) Extension and external rotation
C) Extension and internal rotation
D) Flexion and internal rotation

Accepted Answer

A posterior glide of the head of the femur on the surface of the acetabulum will cause the femoral head to move towards the back of the hip joint, which will increase flexion and internal rotation of the hip joint. Therefore, option D (Flexion and internal rotation) is the correct answer.

Question 19

A long-axis distraction of the humerus provides which direction of gliding?
A) Anterior
B) Inferior
C) Posterior
D) Superior

Accepted Answer

Long-axis distraction of the humerus involves pulling the humerus away from the shoulder joint, which effectively creates an inferior glide of the humeral head relative to the glenoid fossa of the scapula. This technique is used in physical therapy to increase joint mobility and decrease pain.

Question 20

Which of the following is a false statement about joint arthrokinematics?
A) The more congruent the joint surfaces,the more rolling of one joint surface on the other occurs.
B) In normal ovoid joints,rolling and sliding both occur.
C) If a moving joint surface is convex,sliding of that surface is opposite that of its swinging bone.
D) Movement of the head of the radius against the capitulum during pronation/supination is called spin.

Accepted Answer

The statement that the more congruent the joint surfaces, the more rolling of one joint surface on the other occurs is false. In fact, the more congruent the joint surfaces, the less rolling and more sliding occurs. In joints with less congruent surfaces, such as the shoulder, more rolling and less sliding occurs.

Quiz 5: Peripheral Joint Mobilizationmanipulation

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

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

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:

Which of the following is an indication for joint mobilization?

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

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

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?

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

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

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

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 procedure for which this treatment was intended,you could:

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

A normal accessory joint movement that occurs with roll is:

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

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?

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

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 managing this patient's signs and symptoms?

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

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

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