Joint Mobilization
Download
Report
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