CCEP Joint Mobilization 2 — Questions and Answers
Question 1: Which Maitland grade of mobilization uses large-amplitude oscillations at the end of the available range?
- Grade I
- Grade II
- Grade III (Correct answer)
- Grade IV
Correct answer: Grade III
Grade III mobilizations are large-amplitude oscillations performed at the end of the available range, engaging the tissue resistance.
Question 2: The convex-concave rule states that when a convex surface moves on a fixed concave surface, the roll and glide occur in which directions?
- Same direction
- Opposite directions (Correct answer)
- Roll only, no glide
- Glide only, no roll
Correct answer: Opposite directions
When a convex surface moves on a concave surface, the roll and glide occur in opposite directions.
Question 3: Which joint mobilization technique is most appropriate for treating a dorsal glide restriction of the proximal interphalangeal (PIP) joint?
- Volar glide of the proximal phalanx
- Dorsal glide of the proximal phalanx (Correct answer)
- Medial distraction
- Lateral tilt of the middle phalanx
Correct answer: Dorsal glide of the proximal phalanx
A dorsal glide restriction at the PIP joint is treated by applying a dorsal glide to the proximal phalanx to restore normal arthrokinematics.
Question 4: At the glenohumeral joint, which direction of glide is indicated to restore restricted external rotation?
- Anterior glide of the humeral head (Correct answer)
- Posterior glide of the humeral head
- Superior glide of the humeral head
- Inferior glide of the humeral head
Correct answer: Anterior glide of the humeral head
An anterior glide of the humeral head is used to restore restricted external rotation at the glenohumeral joint.
Question 5: Which of the following best describes a Grade IV+ (Grade IV plus) mobilization according to Maitland?
- Large-amplitude oscillation in mid-range
- Small-amplitude thrust at the limit of range (Correct answer)
- Small-amplitude oscillation within the resistance
- Passive movement short of resistance
Correct answer: Small-amplitude thrust at the limit of range
Grade IV+ (or Grade V) refers to a small-amplitude, high-velocity thrust delivered at the limit of available range.
Question 6: During talocrural joint mobilization for restricted dorsiflexion, the talus should be glided in which direction?
- Anteriorly on the tibia
- Posteriorly on the tibia (Correct answer)
- Medially on the tibia
- Superiorly on the tibia
Correct answer: Posteriorly on the tibia
A posterior glide of the talus on the tibia is used to restore dorsiflexion at the talocrural joint.
Question 7: Which contraindication specifically applies to joint mobilization in the extremities?
- Mild joint stiffness after prolonged immobilization
- Unhealed fracture at or near the joint (Correct answer)
- Chronic osteoarthritis with mild hypomobility
- Post-surgical adhesive capsulitis
Correct answer: Unhealed fracture at or near the joint
An unhealed fracture at or near the target joint is an absolute contraindication to joint mobilization.
CCEP Joint Mobilization 2
Which Maitland grade of mobilization uses large-amplitude oscillations at the end of the available range?