158 Questions
What is the purpose of a low grade joint mobilization?
To help maintain the current level of mobility and range within a joint
Which direction should a candidate perform joint mobilization if the limb moves forward and the concave head rolls forward?
In the posterior direction
What does a patient feel during a high grade sustained glide joint mobilization?
Moderate to heavy pressure
When should a candidate perform a high grade joint mobilization?
To increase range of motion within a restricted joint
What must the candidate do before performing a joint mobilization technique?
Perform a mini-assessment of the joint
How should a candidate perform joint mobilization when a convex surface moves within a concave surface?
In the inferior direction
During a low grade sustained glide joint mobilization, what does the patient feel?
Light to moderate pressure
What is the key difference between performing joint mobilization on a convex surface moving within a concave surface versus a concave surface moving over a convex surface?
'Same' and 'opposite' direction relationship with limb movement, respectively
'Are you ok for me to perform another cycle?' is asked after which phase of performing a joint mobilization technique?
'Are you ok for me to perform another cycle?'
What should the candidate do if the restricted range is not indicated in the exam?
Perform PR ROM to the ankle
When should the candidate place the patient's joint in an open-packed position?
After assessing and identifying the restricted range
What sets a baseline for the patient’s tolerance level for a joint mobilization technique?
Asking the patient about their comfort level
When should the candidate proceed with an indicated joint mobilization?
After assessing and identifying the restricted range
What should be done prior to performing a sustained glide or oscillation?
Checking in with the patient’s comfort
What is the main purpose of a Low Grade Gr. 1 joint mobilization?
Range of motion maintenance and pain management
What characterizes a High Grade Gr. 3 joint mobilization?
'Large amplitude movement just before the tissue barrier'
What should be performed after completing a joint mobilization technique?
Reassess the joint for changes to restrictions
Which action should be taken if the exam indicates 'sustained glide or oscillation'?
Follow only indicated joint mobilization after tissue barrier is established
What should be performed prior to performing a grade 4 sustained glide?
Check in with patient's comfort level
The purpose of cupping is to decrease ______, and/or stimulate airway or mucus clearance in the lungs.
pain
You should not experience any pain or ______ with this technique. You will feel my cupped hands patting you on your back quickly giving the sensation of suction cups tapping on your back.
discomfort
It is normal to feel as though you need to ______ as I progress with this technique, it is ok for you to go ahead and do that.
cough
The purpose of a stretch technique is to lengthen and relax the ______.
muscle
This should not be a painful or uncomfortable technique for the ______.
patient
How is the ______?
pressure
A convex surface moving within a concave surface will always have the joint mobilization in the ______ direction of the movement of the limb.
opposite
A concave surface moving over a convex surface will always have the joint mobilization in the ______ direction of the movement of the limb.
same
The exact sensation during a low grade sustained glide is a light to moderate pressure between the joint ______.
surfaces
The patient will feel a light rhythmic pressure and release between the joint ______ during a low grade oscillation.
surfaces
The patient will feel a moderate to heavy pressure between the joint ______ during a high grade sustained glide.
surfaces
The patient will feel a heavy and deep rhythmic pressure and release between the joint ______ during a high grade oscillation.
surfaces
The candidate should confirm patient consent for the ______.
technique
The candidate should warm up the area with effleurage and petrissage unless the exam indicates ______.
otherwise
The candidate must perform a mini-assessment of the joint to determine which ranges are ______.
restricted
Performing a high grade joint mobilization aims to ______ range of motion within a restricted joint.
increase
The patient should be well-advised about the expected ______
sensation
The pain level should not exceed a FOUR out of TEN on the ______ scale
pain
The patient will feel a quick and deep rubbing ______ over the area indicated
sensation
Frictions are best performed with minimal to no ______
lotion
The candidate should apply a fast, consistent cross-fibre rubbing ______
motion
Pressure applied should be gradually increased up to the patient’s ______ tolerance level
pain
The friction motion can be maintained for up to 2 minutes or until the patient’s ______ level has been reached
tolerance
After completing the final cycle of frictions, the candidate must stretch out the tissue and place ______ on the area for 7 to 10 minutes
ice
The purpose of a friction technique is to soften scar tissue, improve and maintain mobility in the elbow joint, and increase local circulation to the ______
area
The candidate should verbalize that they would hold the stretch for at least 30 ______
seconds
The candidate should review the proper joint mobilization positioning and hand placement for the following joints: Cervical, Thoracic, Lumbar spine, Sternoclavicular joints, Costovertebral joints, Sacroiliac joint, Shoulder complex, Elbow complex, Wrist complex, Iliofemoral joint, Tibiofemoral joint, Talocrural joint
hip
The purpose of cupping is to decrease _______, and/or stimulate airway or mucus clearance in the lungs.
congestion
What should be done prior to performing a sustained glide or oscillation?
assessment
The patient will feel a light rhythmic pressure and release between the joint ______ during a low grade oscillation.
surfaces
What characterizes a High Grade Gr. 3 joint mobilization?
joint distraction
If the restricted range is not indicated, the candidate may be required to perform a quick passive range of motion assessment to identify which range is ______
limited
The candidate performs PR ROM to the ______ as an assessment
ankle
The exam may only state which range of motion the joint mobilization should benefit, such as GH flexion, or knee ______
flexion
The candidate performs a grade 2 sustained glide on the ______
ankle
The candidate must place the patient’s joint in an ______ position if the restricted range is indicated in the exam
open-packed
Once the tissue barrier is established, the candidate should ask the patient how that grade 2 glide felt - this sets a baseline for the patient’s tolerance level for this ______
technique
The candidate will perform a slight traction or distraction to the joint prior to performing a sustained glide or oscillation and check in with the patient’s ______
comfort
After the technique is completed, the candidate should reassess the joint for changes to the restrictions by performing passive range of motion (if they performed the initial assessment - if they did not then they do not need to do the ______)
reassessment
The candidate should flush out the area with effleurage and petrissage unless the exam indicates ______ to
not to
The purpose of a stretch technique is to lengthen and relax the ______
muscles
The candidate should confirm patient ______ for the technique.
consent
The candidate should ensure that the patient is in the optimal ______ for the stretch.
position
The quadriceps muscles can be stretched in prone, supine, or ______ positions.
side-lying
The supine position would require the patient to have their leg hanging off of the table which can present more ______ than if the candidate were to help the patient change positions to either side-lying (better) or prone (optimal).
risks
The candidate should warm up the muscle unless the exam ______ otherwise.
indicates
The candidate will bring the muscle slowly into a lengthened position, pushing just past the tissue ______.
barrier
The candidate will state that they would hold the stretch for THIRTY (30) seconds but for exam purposes they will hold it for at least TEN (10) ______.
seconds
The candidate should ideally perform the stretch TWO (2)-THREE (3) times, checking with the patient between and during each ______.
stretch
The purpose of a stretch is to help lengthen and ______ the muscle.
relax
The purpose of the friction technique is to soften scar tissue, increase local circulation to the area, and restore and maintain ______/joint mobility.
tissue
Which of the following is the primary purpose of cupping tapotement?
To decrease pain and stimulate mucus clearance
What sensation should the patient expect during cupping tapotement?
The sensation of suction cups tapping on the back
How should the therapist respond if the patient needs to cough during the cupping tapotement?
Inform the patient that coughing is normal and allow them to cough
What should the therapist do after starting the cupping tapotement technique?
Ask the patient if they are comfortable
Which of the following statements about the cupping tapotement technique is true?
The patient should not experience pain or discomfort
What is the appropriate response if the patient reports discomfort during the cupping tapotement?
Stop the technique and reassess the patient's tolerance
What is the primary purpose of the friction technique described in the text?
To increase circulation to the area
What is the expected pain level during the friction technique?
Moderate, not exceeding 4 out of 10
How long should the friction technique be maintained?
For 1 to 2 minutes
What should the candidate do after completing the friction technique?
Stretch the tissue and apply ice
What is the recommended hand position for performing the friction technique?
Using the pad of the middle or index finger, or the thumb
What should the candidate do before performing the friction technique?
All of the above
What is the purpose of the brisk, cross-fiber rubbing motion used in the friction technique?
All of the above
What position should the tissue be in if the muscle or tendon being worked on has a tendon sheath?
Lengthened position
What should the candidate do if the exam does not indicate the need for a warm-up before the friction technique?
Begin immediately with the friction technique
What is the purpose of reinforcing contact with the opposite hand during the friction technique?
To maintain the brisk nature of the technique
What is the main purpose of a low grade Gr. 1 joint mobilization?
To improve range of motion within a restricted joint
What should the candidate do before performing a joint mobilization technique?
Perform a mini-assessment of the joint
What characterizes a High Grade Gr. 3 joint mobilization?
A heavy and deep rhythmic pressure and release between the joint surfaces
What is the key difference between performing joint mobilization on a convex surface moving within a concave surface versus a concave surface moving over a convex surface?
The direction of the joint mobilization movement
What should be done prior to performing a sustained glide or oscillation joint mobilization technique?
Perform a mini-assessment of the joint
What should the candidate do before performing a friction technique?
All of the above.
What is the purpose of a friction technique?
To soften scar tissue, improve joint mobility, and increase local circulation.
How should the candidate perform the friction motion?
With a fast, consistent cross-fiber rubbing motion.
How long should the candidate maintain the friction motion?
Up to 2 minutes or until the patient's tolerance level has been reached.
What should the candidate do after completing the friction technique?
Reassess the joint for changes to the restrictions by performing passive range of motion.
How should the candidate drape the area before performing a friction technique?
Drape the entire body except for the area being treated.
What should the candidate do before performing a stretch?
All of the above.
How should the candidate perform the stretch?
Bring the muscle slowly into a lengthened position, pushing just past the tissue barrier.
How many times should the candidate ideally perform the stretch?
Two to three times, checking with the patient between and during each stretch.
What should the candidate do during the stretch?
Both b and c.
What should the candidate do if the exam does not specify to perform either sustained or oscillation when conducting a joint mobilization technique?
Perform sustained glide followed by oscillation
When should the candidate perform a grade 4 sustained glide during joint mobilization?
When the joint is required to be pushed past the tissue barrier
What is the main purpose of a High Grade Gr. 3 joint mobilization?
Stretch the joint capsule and increase range of motion
Which action should be taken after completing a joint mobilization technique?
Reassess the joint for changes
What should the candidate ask the patient after establishing the tissue barrier during a joint mobilization technique?
How did that feel? Can I proceed?
In what position should the patient's joint be placed if the restricted range is indicated in a joint mobilization examination?
Open-packed position
How should a candidate perform joint mobilization when the convex head of a joint rolls backward as the limb moves forward?
Perform the mobilization in the opposite direction of the limb movement
During a low grade oscillation joint mobilization, what sensation will the patient experience?
A light rhythmic pressure and release between the joint surfaces
What should the candidate do before performing a joint mobilization technique?
Confirm patient consent
What is the main purpose of a low grade joint mobilization?
To help maintain the current level of mobility and range within a joint
When should a candidate perform a high grade joint mobilization?
When the patient wants to increase range of motion within a restricted joint
What should the candidate do if the restricted range is not indicated in the exam?
Perform a mini-assessment of the joint to determine the restricted ranges
What should be performed prior to performing a grade 4 sustained glide?
Confirm patient consent and warm up the area
When should the candidate place the patient's joint in an open-packed position?
After completing the final cycle of joint mobilization
What sets a baseline for the patient's tolerance level for a joint mobilization technique?
The patient's feedback after the tissue barrier is established
What should be performed after completing a joint mobilization technique?
Stretch out the tissue and place heat on the area
What is the main purpose of a stretch technique?
To lengthen and relax the muscle
What position is optimal for stretching the quadriceps muscles?
Prone
Why should the candidate help the patient change positions when stretching the quadriceps muscles?
Both b and c
What should the candidate do before performing the stretch technique?
All of the above
What should the patient feel during the stretch technique?
A pulling or stretching sensation that goes just beyond the normal tissue barrier
What is the main purpose of the stretch technique?
To lengthen and relax the muscle
What is the key difference between performing joint mobilization on a convex surface moving within a concave surface versus a concave surface moving over a convex surface?
The joint mobilization should be performed in the same direction as the limb movement.
When should the candidate proceed with an indicated joint mobilization?
All of the above.
What is the main purpose of a low grade Gr. 1 joint mobilization?
To help maintain the current level of mobility and range within a joint.
What sensation should the patient expect during a high grade oscillation joint mobilization?
A heavy and deep rhythmic pressure and release between the joint surfaces.
What should the candidate do before performing a joint mobilization technique?
All of the above.
What should the candidate ask the patient after establishing the tissue barrier during a joint mobilization technique?
Both a and b.
What is the purpose of a friction technique?
To break up adhesions and scar tissue in soft tissues.
What should the candidate do if the restricted range is not indicated in the exam?
Perform a quick passive range of motion assessment to identify the restricted range.
When should a candidate perform a high grade joint mobilization?
When the goal is to increase range of motion within a restricted joint.
What should the candidate do before performing the friction technique?
All of the above.
What is the recommended duration for performing a sustained glide during a joint mobilization technique?
20 seconds
During which grade of joint mobilization is the joint pushed past the tissue barrier to the anatomical limit?
Grade 3
What is the main purpose of a High Grade Gr. 4 joint mobilization?
Increase range of motion and stretch the joint capsule
What is the purpose of holding the stretch for at least ten seconds during an exam?
To comply with exam regulations
What should the candidate do after completing a joint mobilization technique?
Reassess the joint for changes
How many times should the candidate ideally perform the stretch?
Two to three times
What is the purpose of effleurage and petrissage after a joint mobilization technique?
Flush out the area
What should the patient feel during a friction technique?
A deep rubbing sensation
Which grade of joint mobilization should involve small amplitude movement between the starting position and just before the tissue barrier?
Grade 2
What should the candidate check with the patient during a stretch?
Patient's comfort level
When is a warm-up recommended before performing a friction technique?
When specified by the exam
How should the candidate handle discomfort reported during a friction technique?
Reduce pressure applied
What does the friction technique aim to achieve?
Soften scar tissue and increase circulation
What is the main reason for confirming patient consent for a friction technique?
For legal purposes and patient understanding
What should the candidate do to prepare for a friction technique, according to guidelines?
Warm up the muscle using focused effleurage
What should the patient ideally feel during a passive stretch?
Pulling and lengthening
What is the ideal recommendation regarding the use of lotion for performing frictions?
Use lotion sparingly, or not at all
How should the tissue be positioned during frictions if it has a tendon sheath?
In a lengthened position
What is the recommended duration for maintaining the friction motion during treatment?
At least 2 minutes
How should the candidate apply pressure during frictions?
Gradually increase pressure up to the patient's pain tolerance level
Which finger part can the candidate use during frictions for the brisk rubbing motion?
Pad of middle or index finger
What should the candidate do after completing the final cycle of frictions?
Apply ice on the area for 7-10 minutes
What is the purpose of placing ice on the area after frictions?
To increase local circulation and reduce inflammation
What is an example of a convex surface moving within a concave surface as per joint arthrokinematics?
Glenohumeral joint
In which direction should joint mobilization be performed if a convex surface moves on a concave surface based on arthrokinematics?
Opposite direction of limb movement
Review the steps required for performing the cupping tapotement technique, including stating the technique, purpose, and expected sensation. Practice your knowledge on how to perform Cupping Tapotement effectively.
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