Joint Motion and Immobilization

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What is the effect of joint motion on the articular cartilage?

It increases the growth of the articular cartilage

It has no effect on the articular cartilage

It causes atrophy of the articular cartilage (correct)

It repairs the damaged articular cartilage

What type of receptors are found in the superficial joint capsule and are responsible for sensing static position and speed of movement?

Type II receptors

Type I receptors (correct)

Type III receptors

Type IV receptors

What is the result of gentle mobilizations and stretching techniques in joint mobilization?

Increase in joint contractures

Increase in muscle tone

Reducing pain and muscle guarding (correct)

Weakening of ligaments

What is the effect of small-amplitude oscillatory and distraction movements?

Reducing pain, muscle guarding, and spasm Signup and view all the answers

What type of receptors are found in the fibrous capsule, ligaments, articular fat pads, periosteum, and walls of blood vessels?

Type IV receptors Signup and view all the answers

What is the purpose of joint mobilization techniques?

To prevent the painful and degenerating effects of stasis when a joint is swollen or painful Signup and view all the answers

What is the effect of joint immobilization on the articular cartilage?

It causes atrophy of the articular cartilage Signup and view all the answers

What is the result of using joint mobilization techniques indiscriminately?

Joint trauma or hypermobility Signup and view all the answers

What is the goal of progressive joint-play stretching?

To elongate hypomobile capsular and ligamentous connective tissue Signup and view all the answers

What is a limitation of joint mobilization and manipulation techniques?

Joint techniques cannot change the disease process of disorders such as rheumatoid arthritis Signup and view all the answers

What is the importance of screening patients before applying joint mobilization techniques?

To prevent joint trauma or hypermobility Signup and view all the answers

What is the purpose of sustaining or oscillating stretch forces in joint mobilization techniques?

To distend the shortened tissue mechanically Signup and view all the answers

What is the primary reason for not mobilizing a joint with stretching techniques in the presence of joint effusion?

Because the capsule is already on a stretch Signup and view all the answers

What is the consequence of stretching a joint with inflammation?

Increased pain and muscle guarding Signup and view all the answers

Which of the following conditions may allow for mobilization with stretching techniques, but with extreme care?

Malignancy Signup and view all the answers

Why should joints with bone disease detectable on radiographs be approached with caution during mobilization?

Because the bone disease may be exacerbated by mobilization Signup and view all the answers

What is the primary purpose of gentle oscillating or distraction motions in the presence of inflammation?

To reduce pain and muscle guarding Signup and view all the answers

What should be done before mobilizing a joint with excessive pain?

Determine the cause of pain and modify treatment accordingly Signup and view all the answers

When should forceful techniques be avoided in passive joint techniques?

In both A and B Signup and view all the answers

What is the primary goal of treatment in a patient with acute pain?

Relieving pain Signup and view all the answers

What is a sign of capsular restriction?

Passive ROM for that joint is limited in a capsular pattern Signup and view all the answers

Why is examination and evaluation important in passive joint techniques?

To decide which tissues are limiting function and the source of pain Signup and view all the answers

What happens to tissue in the acute stage?

It begins to heal Signup and view all the answers

Why should gentle procedures be used in patients taking certain medications?

Because the medications weaken connective tissue Signup and view all the answers

What is the characteristic of a joint with a hard end-feel?

The motion is stopped by bone contacting bone Signup and view all the answers

What is the characteristic of an empty end-feel?

The motion is stopped in response to the patient's request due to pain Signup and view all the answers

What is a common response to joint mobilization techniques in adhered or contracted ligaments?

Pain relief and increased joint play Signup and view all the answers

What can cause limited motion in a joint?

All of the above Signup and view all the answers

What is the characteristic of a soft end-feel?

The motion is stopped by soft tissues being compressed Signup and view all the answers

What type of technique may respond to subluxation or dislocation of one bony part on another?

Thrust techniques Signup and view all the answers