Transcript Joint Mobilization

Joint Mobilization
Basic Definitions
 Osteokinematics
 Arthrokinematics
 Related Terms
 Component
Motions
Athrokinematics involved in
Motion
 Roll
 New points on one
surface come in
contact with new
points on the
opposite surface
 Always occur in
same direction as
bone movement
 When roll occurs
alone:
Athrokinematics involved in
Motion
 Roll
 Glide (Sliding)
 One specific point
comes in contact
with new points on
opposing surface
 Direction depends
on surface of joint
 Combined roll and
glide movements
Athrokinematics involved in
Motion
 Roll
 Glide (Sliding)
 Spin
 Compression
 Distraction or
Traction
Convex Concave Rules
 MUST KNOW
 Convex Stationary + concave moving =
gliding in same direction as angular
motion
 Concave stationary = convex moving =
gliding in opposite direction of angular
motion
Concave-convex rule
What is the difference
between passive stretching
and joint mobilization
stretching?
 Passive Angular Stretching
 Use
a lever
 Joint Mobilization
 Safer
more selective because:
Techniques in Joint
Mobilization
 Joint Position
 Closed
packed position
 Loose packed position
Joint
Closed-packed
Position
Open-packed
Position
Glenohumeral
90o ABD & Full ER combo
55o flexion w/ 20-30o HABD
Elbow
Humeroulnar
Humeroradial
Raduioulnar
Full Extension
90o flex w/ mid-pronation
Full pronation or supination
70o Flex w/ 10o supination
Full ext w/ full supination
70o flex w/ 35o supination
Full extension & radial
deviation or full flex
Neutral position
MCP joints
2-5
1
Full flexion
Full opposition
20o flexion
20o flexion
IP joints
Full Extension
20o flexion
Hip
Full IR, Ext & ABD
55o flex w20-30o HABD
Knee (tibiofemoral)
Full Ext & ER
20-25o flexion
Ankle Mortise
Full DF
10o PF
Subtalor
Full EV or INV
Midrange PF & DF
Forefoot
Full DF
1 MTP = 20o DF
2-5 MTP = 20o PF
IP’s = 20o PF
Distal Radiocarpal Joint
Techniques in Joint
Mobilization
 Joint Position
 Treatment Plane
Techniques in Joint
Mobilization
 Joint Position
 Treatment Plane
 Treatment Force
Techniques in Joint
Mobilization
 Joint Position
 Treatment Plane
 Treatment Force
 Grades Oscillation
Techniques


I and II = pain
reduction
III and Iv = stretching
Techniques in Joint
Mobilization
 Joint Position
 Treatment Plane
 Treatment Force
 Grades Oscillation
Techniques
 Sustained Traction
Movements



Grade I
Grade II
Grade III
Indications
 Neurophysiologic Effects
 Mechanical Effects
 Nutritional Effects
Contraindications
 Hypermobility
 Joint Effusion
 Inflammation
 Fractures
 Arthritis
 Congenital Bone Deformities
 Manipulations