CCEP Joint Mobilization 4 — Questions and Answers
Question 1: Which of the following best describes the 'close-packed' position of the wrist joint?
- Neutral with slight ulnar deviation
- Full extension with radial deviation (Correct answer)
- Full flexion with ulnar deviation
- Mid-range flexion
Correct answer: Full extension with radial deviation
The close-packed position of the wrist is full extension with radial deviation, where articular surfaces are maximally congruent and ligaments taut.
Question 2: When performing elbow extension mobilization, a volar (anterior) glide of the radius on the capitulum primarily restores which motion?
- Pronation
- Supination
- Flexion
- Extension (Correct answer)
Correct answer: Extension
An anterior (volar) glide of the radial head on the capitulum is used to restore restricted elbow extension.
Question 3: Which structure is most at risk of injury if excessive force is applied during a posterior glide mobilization of the proximal tibiofibular joint?
- Anterior cruciate ligament
- Common peroneal nerve (Correct answer)
- Popliteal artery
- Posterior cruciate ligament
Correct answer: Common peroneal nerve
The common peroneal nerve wraps around the fibular head and is at risk of injury with excessive force during proximal tibiofibular mobilization.
Question 4: Maitland Grade I mobilizations are primarily used for:
- Stretching joint capsule adhesions
- Reducing acute pain and guarding (Correct answer)
- Increasing range of motion
- Breaking periarticular scar tissue
Correct answer: Reducing acute pain and guarding
Grade I oscillations are small-amplitude movements in the beginning of range, primarily used to reduce acute pain and muscle guarding.
Question 5: Which metatarsophalangeal (MTP) joint mobilization technique is indicated for hallux limitus (restricted extension of the first MTP)?
- Dorsal glide of the proximal phalanx (Correct answer)
- Plantar glide of the proximal phalanx
- Medial distraction
- Lateral distraction
Correct answer: Dorsal glide of the proximal phalanx
A dorsal glide of the proximal phalanx of the great toe restores restricted extension (dorsiflexion) at the first MTP joint in hallux limitus.
Question 6: The sternoclavicular joint's saddle-shaped articular surface means that clavicular elevation is accompanied by which accessory motion?
- Anterior glide of the medial clavicle
- Posterior glide of the medial clavicle
- Superior glide of the medial clavicle
- Inferior glide of the medial clavicle (Correct answer)
Correct answer: Inferior glide of the medial clavicle
Due to the saddle-shaped SC joint, clavicular elevation is accompanied by an inferior glide of the medial clavicle on the manubrium.
Question 7: Which of the following clinical findings indicates that joint mobilization is appropriate rather than manipulation (HVLA)?
- Presence of an end-feel that is hard/bony
- Joint hypomobility with a firm/springy end-feel and no acute inflammation (Correct answer)
- Acute hemarthrosis
- Active infection within the joint
Correct answer: Joint hypomobility with a firm/springy end-feel and no acute inflammation
A firm or springy end-feel with hypomobility in the absence of acute inflammation indicates joint mobilization is appropriate.
CCEP Joint Mobilization 4
Which of the following best describes the 'close-packed' position of the wrist joint?