mobilization.pptx

SELF- MOBILIZATION ( AUTO MOBILIZATION)-
Self stretching techniques that specifically used joint traction and glides that directs the stretch force to the joint force.

MOBILIZATION WITH MOVEMENT (MWM)- Concurrent application of a sustained accessory mobilization applied by a clinician and an active physiological movement to end range applied by the patient.
Applied in a pain free direction

1. FACULTY OF PARAMEDICAL SCIENCES

2. MOBILIZATION Dr. Gulwish Sadique Assistant Professor (Dept of Physiotherapy) RIPS, Rama University, Kanpur .

3. TERMINOLOGY JOINT MOBILIZATION- Slow passive movement imparted to an A rticular surface and muscle energy. JOINT MANIPULATION- Defined as a technique involving movement of One A rticular surface in relation to other. Eg - Performed on an A rticular structure that has been shown to be im physical dysfunction. Or Specific technique in which the A rticular capsule is stretched by delivering a quick thrust manuable to joint.

4. TERMINOLOGY SELF- MOBILIZATION ( AUTO MOBILIZATION)- Self stretching techniques that specifically used joint traction and glides that directs the stretch force to the joint force. MOBILIZATION WITH MOVEMENT (MWM)- Concurrent application of a sustained accessory mobilization applied by a clinician and an active physiological movement to end range applied by the patient. Applied in a pain free direction .

5. Pain in adjacent segments that may aggravated by Mobilization. Any indication of Vertebrobacillar insufficency in the upper cervical spine. Rheumatoid Arithritis in cervical spine. Traumatised upper cervical ligament. Cowdaequina Syndrome. Spinl cord involvement. Spondylolisthesis /. Scoliosis. Spinal Annurysm . Pregnancy.

6. Positive Neurological SIGN Genetic Disorder affecting the spine . Such as Down Syndrome, when Cervical spine being considered.

7. Factors that may alter joint Mechanics Pain and Muscle Guarding. Joint Hypomobility . Joint Effusion. Contractures or Adhesions in the joint Capsules or supporting ligaments. Malalignment or subluxation of bony surfaces.

8. TERMINOLOGY PHYSIOLOGICAL MOVEMENTS- Movements done voluntarily. Osteokinematics - Motions of Bones. ACCESSORY MOVEMENTS- Movements within the joint and surrounding tissues that are necessary for normal range of motion, but cannot be voluntarily performed. Component Motions- Motion that accompany active motions, but are not under voluntarily control. Eg - Upward rotation of Scapula & rotation of Scapula that occur with shoulder flexion. JOINT PLAY- Motions that occur with in the joint. Determined by joint capsules laxity. Can be demonstrated passively, but not performed actively.

9. TERMINOLOGY ARTHROKINEMATICS- Motions of bone surfaces within the joint. -5 motion – Roll, Slide, Compression, Distraction, Spin. Muscle Energy- Use an active Contraction of deep muscles that attach near the joint and whose line of pull can cause the desired accessory motion. - Clinician Stabilizes segment on which the distal aspect of muscle attaches, command for an isometric contraction of the muscle is given, which causes the accessory movement of joint. THRUST- High Velocity, Short amplitude motion that the patient cannot prevent. - Performed at end of Pathologic limit of the joint (Snap adhesions, Stimulate Joint receptors)

10. TERMINOLOGY CONCAVE- Hollowed or Rounded Inward. CONVEX- Curved or Rounded Outward. CONCAVE-CONVEX RULE- Concave joint surfaces slide in same direction as the bone moves. If Concave joint is moving on Stationary Convex surface- glide occurs in same direction as roll. CONVEX-CONCAVE RULE- Convex joint surfaces slide in opposite direction of the bone movement. If Convex surface is moving on stationary Concave surface- gliding occurs in opposite glide to roll.

11. CONCAVE- CONVEX RULE/ CONVEX- CONCAVE RULE-

12. GRADES OF MAITLAND MOBILIZATION Grade 1-[PAIN REDUCTION] Slow. Small Amplitude Oscillatory Movement Parallel to Concave joint Surface that does not take the joint up to the patient tissue stop. Grade 2- Slow, Larger Amplitude Oscillatory movement Parallel to the Concave joint surface that does not take joint up to the 1 st tissue stop. (Reduce pain, Increase periarticular , Extensibility, Correct positional faults, Release Meniscoid Impingement). Grade 3- [PAIN REDUCTION] Same as Grade 2 that takes the joint up to and slightly through the 1 st tissue stop.

13. Grade 4- [PAIN REDUCTION] Slow, Small Amplitude Oscillatory Movements parallel to Concave joint surface that takes the joint up to and slightly through 1 st tissue stop. Grade 5- Fast, Small Amplitude, High Velocity Non-Oscillatory movements parallel to Concave joint surface that begins at the 1 st tissue stop . (To reduce spinal disc herniation ).

14. INDICATIONS Increase joint Extensibility . Correcting positional fault. Nutrition. Pain control. Muscle relaxation. Meniscoid Impingement. Reduction of disc herniation . Psychological Benefits.

15. CONTRAINDICATIONS Any undiagnosed relation. Joint Ankylosis . Joint Hypermobility . Any infection in the area being treated. Malignancy. An Unhealed Fracture. Inflammatory Arithritis . Metabolic Bone Diseases. Considerable joint Effusion. Considerable joint Irratitabilty . Protective Muscle Spasm.

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