JOINT MOBILIZATION
EXERCISES
DEFINITION-
It is a hands on Rx and is a form of passive
movement technique for MS conditions
It s a manual therapy involves applying force that
would mimic glide that happens in btwn bones
It is usually performed at slow speed with or
without oscillations or stretch
It is usually graded and is varied based on 2
factors- pain tolerance and acuity of pt condition
Used to modulate pain, inc ROM, treat jt
dysfunctions
Aim-
To restore the normal joint play that might have
compromised by damage or injury
Normal motion of the joint will restored more
quickly if addressed early
Grades-
Range from 1-5
1-4 deal with knee ROM starting from partial
movement to end range of movement
Grade 5 is more of manipulation than
mobilization
Self mobilization-self stretching tech that uses jt
traction
Mobilization with movement- concurrent
application of sustained accessory mobilization
applied by therapist to end range
Physiologic mvmts-mvmt done voluntarily
Accessory mvmt- mvmt within jt& tissue are
needed for ROM but cannot be done voluntarily
Muscle energy- active contraction of deep muscle
Thrust-high velocity, short amplitude motion
Arthrokinematics- 5 types
Roll
Slide
Spin
Compression
Distraction
3 components of jt mob-combination of roll,
slide,spin
ROLL- series of point on 1 articulating surface
comes into contact on series of points on another
surface
eg: ball rolling on ground,femoral condyle rolling
on tibial plateau
Roll occur on direction of movement
Occur on unequal surface
Occur in combination with sliding/spinning
SLIDE-specific point on 1 surface comes in contact
with series of point on another surface
surface are congruent
When passive mob tech is applied to produce
slide in jt is reffered as GLIDE
SPIN-Occurs when 1 bone rotates around
stationary longitudinal mechanical axis
Eg: shoulder with flxn/extn, hip with flxn/extn,
radial head at humeroradial joint during
pronation/supination
Accessory motion that affect joint-
Compression- dec in space btwn 2 joint surface
add stability to a jt
Distraction-seperation/pulling apart
2 surface are pulled apart
Traction-in longitudinal pull
Convex - concave rule-
Convex jt surface slide in opp direction of bone
mvmt(concave is stable)
If convex surface in moving on stationary concave
surface-gliding occurs in opp direction to roll
Concave-convex rule-
Concave jt surface slide in same direction as bone
mvmt(convex stable)
If concave jt is moving on stationary convex
surface-glide occur in same direction as roll
Indications for joint mobilization-
Pain
Spasm
Jt hypomobility
Subluxation
Progressive limitation
Functional immobility
Contraindications-
Hypermobility
Jt effusion
Malignancy
TB
Osteoporosis
Bone disease
Fracture
Congenital deformity
Vascular disorders
Inflammatory arthritis
Ex considered jt mob are-
Flexion
Extn
Tibial femoral glide
Patellar motion
Long axis distraction
Lateral mvmt and rotation
When executed properly they can help in
reducing pain and to restore joint play
Maitland jt mob grading scale-
Grade 1&2 used for pain
Grade 3&4 used to increase motion
This concept uses passive & accessory mobilization
of spine to treat mechanical pain& stiffness
Joint position-
Resting position-jt capsule &lig are relaxed
Loose packed position(articulating surf are max
separated)
Close packed position(jt surf are max contact
with each other)
Joint mobilization application-
All jt mob follow convex concave rule
Pt realaxed
Explain the RX
evaluate befr and aftr RX
Stop the RX in case of pain
Use proper body mechanics
Use gravity to assist mobilization techniq
Begin and RX with grade 1&2 oscillations
Kalten born traction- it s complementary &
alternative medicine (CAM) method based on
gentle traction and passive motion. Used to
relieve pain
Myofascial release-
Used to release soft tissue from abnormal tight
fascia
Specialized form of stretch
Form of soft tissue mobilization
Positional release therapy-
Based on strain / counterstrain technique
Active release therapy-
Used to correct soft tissue problem caused by
fibrotic adhesions
THANK YOU!!!!!
