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    Joint Mobilizations

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    samcalvet
    Basic information on everything about Joint Mobilzations in the Athletic training field. Concave-Convex Rule. Open Packed positions for joints.

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    Joint Mobilizations

    Uploaded by

    samcalvet
    167 views3 pages
    Basic information on everything about Joint Mobilzations in the Athletic training field. Concave-Convex Rule. Open Packed positions for joints.

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    © © All Rights Reserved

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    Basic information on everything about Joint Mobilzations in the Athletic training field. Concave-Convex Rule. Open Packed positions for joints.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    167 views3 pages

    Joint Mobilizations

    Uploaded by

    samcalvet
    Basic information on everything about Joint Mobilzations in the Athletic training field. Concave-Convex Rule. Open Packed positions for joints.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    Samantha Calvet

    Joint Mobilizations
    Physiological Movement is movement as a result of concentric or eccentric
    muscle action. Also called osteokinematics and it is voluntary.
    Accessory motion is the manner in which an articulating joint surface
    moves relative to another. Also called arthrokinematics. This cannot
    occur alone but can be produced by an external force.
    Spin, Glide, Roll
    o Spin: Around stationary axis (radial head during
    pronation/supination)
    o Roll: Series of points on 1 articulating surface come in contact
    with series of points on another (femoral condyles on tibial
    plateau)
    o Glide/Translation: Specific point on 1 articulating surface
    comes in contact with a series of points on another (tibial
    plateau on fixed femoral condyles during anterior drawer test)
    Convex-Concave Rule:
    If concave surface is moving on a stationary convex surface, gliding will
    occur in the same direction as the rolling motion. Knee, Elbow, MCP and
    IP Joints.
    EG/ Tibiofemoral joint; Fixed convex femoral condyles and
    moving concave tibial plateau. Knee extends & tibia glides
    anteriorly. Mobilize tibia in the anterior direction to increase
    extension ROM.
    If a convex surface is moving on a stationary concave surface, gliding will
    occur in opposite direction to rolling. GH, Hip, Ankle, Radiocarpal
    EG/ GH joint. Fixed concave glenoid fossa, moving convex
    humeral head. As GH abducts, humeral head glides inferiorly.
    So mobilize humeral head in inferior direction to increase the
    abduction ROM
    Joint Positions
    Closed packed position: Maximal contact of articulating surfaces; no joint
    play
    Loose-packed position: Resting position, joint surfaces maximally
    separated; best for evaluation of joint play, traction and Joint Mob
    Initial mob techniques should be done in loose-packed position.
    o Subtalar: Neutral
    o Talocrural: 10 degrees PF
    o Knee: 25 degrees Flexion for tibiofemoral; full extension for
    patellofemoral
    o Hip: 30 degrees flexion, 30 abduction, slight ER
    o Elbow: Humeral-ulnar; elbow flexed 70 degrees, supinated 10
    degrees. Humeral-radial; full extension, supination.
    o GH: 55 degree abduction, horizontally adducted 30 degrees.

    Samantha Calvet
    o Wrist: Neutral
    Maitlands 5 mobilization grades
    Amplitude: Distance joint moves passively within total range
    Oscillations: Movement that glides or slides articulating surface in
    appropriate direction
    3-6 sets of 20-60 second oscillations w/1-3 oscillations/second
    1. Grade I: Small amplitude movement at beginning of ROM.
    i. Pain and spasm limit movement early in ROM
    2. Grade II: Large amplitude movement within midrange of movement
    i. Pain and spasm occur toward mid-ROM
    3. Grade III: Large amplitude movement from mid-range to the limit of
    ROM
    i. Pain, spasm or tissue tension/compression limit
    movement near end range
    4. Grade IV: Small amplitude movement at end range of motion
    i. Go to end range and perform small-amplitude
    oscillations
    5. Grade V: Small amplitude, manipulative movement performed
    beyond the end range of motion.

    WHEN TO USE WHICH ONE:


    Reduce pain
    o Grade I and II. Pain treated first and stiffness second.
    Stimulate the mechanoreceptors that limit transmission of
    pain perception. Treated daily.
    Hypomobility
    o Grade III and IV
    3-4 times a week
    Indications:
    Reduce pain
    Improve joint function
    Decrease muscle guarding
    Stretch/lengthen the tissue around joint (capsular and ligamentous)
    Proprioceptive effects to improve postural and kinesthetic
    awareness
    Contraindication
    Pain with mobilization technique
    Inflammatory arthritis
    Malignancy
    Bone disease

    Samantha Calvet

    Neurological development
    Bone fracture
    Vascular disorders

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