definitions joint mobilization
TRANSCRIPT
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JointMobilization
Kinesiology 157Therapeutic Exercise
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Definitions
Mobilization
Physiologic Movements/Mobilization
Accessory/Joint Play Movement
Manipulation
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Osteokinematics:movement of
the bone
Arthrokinematics:movement of
the joint surface
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Joint Surfaces
SellarOvoid
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A
Roll
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AB
Roll
2
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AB
C
Roll
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D
AB
C
Roll
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A
Glide
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A
B
Glide
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A
B
CGlide
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A
B
C
DGlide
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A
Spin
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A
Spin
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A
Spin
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A
Spin
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Knee:Glide... Roll…Spin
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Knee:Glide... Roll
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Knee:Glide... Roll
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Knee:Glide... Roll
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Knee:Glide... Roll…Spin
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Knee:Roll /Glide
Knee:Roll /No Glide
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concave
convex
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concaveconcave
convex
convexconvex
Convex on Concavejoints
Concave on Convexjoints
concave
Name all Name all
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Convex Concave Rule
A convex on a concave joint surface glides the opposite direction that the bone swings.
Example: When the humerus swings up into abduction, the head of the humerus glides downward.
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Glenohumeral:Roll / Glide
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Glenohumeral:Roll /Glide
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Glenohumeral:Roll / Glide
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Glenohumeral:Roll /Glide
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Glenohumeral:Roll / Glide
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Glenohumeral:Roll / No Glide
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Glenohumeral:Roll / No Glide
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Glenohumeral:Roll / No Glide
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Glenohumeral:Roll / No Glide
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A concave on a convex joint surface glides the same direction that the bone swings.
Example: When the tibia swings posteriorly in knee flexion, the tibial joint surface glides posteriorly.
Convex Concave Rule
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Knee:Posterior GlidePosterior Swing
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Knee:Posterior GlidePosterior Swing
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Knee:Posterior GlidePosterior Swing
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Knee:Posterior GlidePosterior Swing
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Ankle:Plantar Flexion
What do you expect?
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Ankle:Plantar Flexion
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Ankle:Plantar Flexion
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Ankle:Plantar Flexion
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Ankle:Plantar Flexion
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MTP:Flexion
What do you expect?
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MTP:Flexion
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MTP:Flexion
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MTP:Flexion
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MTP:Flexion
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CLINICAL IMPLICATIONS
Goal: Restore Normal Joint Play to Increase Pain-Free Joint ROM
Follow Convex Concave Rule
Treatment often combines Physiological Mobilization and Accessory Mobilization to restore a particular Movement
Example: Increase Knee Extension
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Increase Glenohumeral Flexion:
Increase Knee Extension:
Problem Solving #1, Page 67
Problem Solving #3, Page 68
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JointDistraction
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Hip:Distraction
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Hip:Distraction
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Joint Traction: Longitudinal pull along the shaft of the long bone
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Hip:Traction
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Hip:Traction
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Spine Traction:Longitudinal pull along the line of the spinal column
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Spine TractionVertebral Bodies Separate
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Spine TractionVertebral Bodies Separate
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Spine TractionFacets Glide Apart Foramen Open
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Spine TractionFacets Glide Apart Foramen Open
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Which direction is: Traction? Distraction?
Which direction is: Traction? Distraction?
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Effects of Joint Mobilization
Synovial Fluid
Stretching
Improve tissue tensile strength
Decrease Pain (Neurophysiological) Mechanical Receptor: Gate Mechanism
Increase Relaxation (Neurophysiological)
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Contraindications/Precautions
See ROM/Stretching
Hypermobility
Inflammation and Joint Effusion
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Pain Resistance Relationship
I
N
T
E
N
S
I
T
Y
BeginROM
EndROM
R1
R2
P1
P2
RANGE OF MOTION
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Grades of Vigor
I
II
III
IV
Begin Available
Range
End Available
Range
III-IV-