Joint mobilization & manipulation

Kinesiology and Physical Therapy

1. Joint Mobilization & Manipulation Presented by : muhammad Arsal roll no : 212 dpt-2 submitted to : dr abbas jamil

2. Mobilization : P assive joint movement for increasing ROM or decreasing pain. Applied to joints & related soft tissues at varying speeds and amplitudes. “Small repetitive rhythmical oscillatory , localized , accessory or functional movements performed by the physiotherapist within availably ROM under patient’s control”

3. Uses of Mobilization : Used to modulate pain Used to increase ROM Used to treat joint dysfunctions that limit ROM Factors that may alter Joint Mechanics : Pain Joint hypomobility Joint effusion Contractures or adhesions

4. Joint Types :

5. Arthrokinematics : Types of joint motions -Rolling -Sliding -Spinning

6. Compressions : Decrease in space between two joint surfaces Increases Joint stability Distractions : Two surfaces are pulled apart Often used in combination with joint mobilizations to increase stretch of capsule

7. Joint Positions : Loose Packed Positions : Articulating surfaces are maximally separated. Closed Packed Positions : Joint surfaces are in maximal contact to each other Resting Positions : Positions in which joint capsules and ligaments are most relaxed

8. QUIZ

9. Effects of Joint Mobilization : M oves synovial fluid M aintains extensibility and strength of joint tissue P rovides sensory input Stimulates mechanoreceptors to decrease pain

10. Precautions and Contradictions : Hypermobility Bone diseases Inflammation Joint effusion Disk slip Bone fracture Congenital bone deformity

11. Manipulation : passive joint movement for increasing joint mobility It is a sudden , forceful thrust that is beyond the patient’s control

12. Manipulation of Joints by Physiotherapist : “ Accurately localized , single , quick decisive movements of small amplitude high velocity completed before the patient can stop it ”

13. Manipulation of Joints by Surgeon : “ The movements performed under anesthesia by a surgeon or physician to gain further range ” Used to break joint adhesions Stimulate joint receptors Point to be Noted : The increase in movement is maintained by Physiotherapist

14. Thrust Manipulation/ High-Velocity Thrust : S mall amplitude, high velocity O ne repetition U sed to snap adhesion or to report a dislocated joint

15. Controlled sustained Stretching of Tightened Structures : Passive stretching of muscles and soft tissues is given to ROM. Movement can be gained in these structures by stretching adhesions .

16. THANK YOU