Those little shapes are used, because it's easier to visualize a small box than an entire fretboard pattern when improvising. If my hand is somewhere around the 8th fret, I know I have a C at hand on the 6th string, so I can use one of my little mode boxes. If I was around the 3rd fret, I use that box starting on 5th string. If I was able to just visualize the entire C Ionian scale over the fretboard, then there'd be no problem, but I'm not there yet :)
"You must stab him in the heart with the Bone Saber of Zumacalis... well, you could stab him in the head or the lungs, too... and the saber, it probably doesn't have to be bone, just anything sharp lying around the house... you could poke him with a pillow and kill him."
- Aqua Teen Hunger Force, The Universal Re-Monster
- Aqua Teen Hunger Force, The Universal Re-Monster