Download - Definitions Joint Mobilization
![Page 1: Definitions Joint Mobilization](https://reader030.vdocument.in/reader030/viewer/2022012414/616eb91088fca64f7c52ee5d/html5/thumbnails/1.jpg)
1
1
JointMobilization
Kinesiology 157Therapeutic Exercise
2
Definitions
Mobilization
Physiologic Movements/Mobilization
Accessory/Joint Play Movement
Manipulation
3
Osteokinematics:movement of
the bone
Arthrokinematics:movement of
the joint surface
4
Joint Surfaces
SellarOvoid
5
A
Roll
6
AB
Roll
![Page 2: Definitions Joint Mobilization](https://reader030.vdocument.in/reader030/viewer/2022012414/616eb91088fca64f7c52ee5d/html5/thumbnails/2.jpg)
2
7
AB
C
Roll
8
D
AB
C
Roll
9
A
Glide
10
A
B
Glide
11
A
B
CGlide
12
A
B
C
DGlide
![Page 3: Definitions Joint Mobilization](https://reader030.vdocument.in/reader030/viewer/2022012414/616eb91088fca64f7c52ee5d/html5/thumbnails/3.jpg)
3
13
A
Spin
14
A
Spin
15
A
Spin
16
A
Spin
23
Knee:Glide... Roll…Spin
24
Knee:Glide... Roll
![Page 4: Definitions Joint Mobilization](https://reader030.vdocument.in/reader030/viewer/2022012414/616eb91088fca64f7c52ee5d/html5/thumbnails/4.jpg)
4
25
Knee:Glide... Roll
26
Knee:Glide... Roll
27
Knee:Glide... Roll…Spin
28
Knee:Roll /Glide
Knee:Roll /No Glide
29
concave
convex
30
concaveconcave
convex
convexconvex
Convex on Concavejoints
Concave on Convexjoints
concave
Name all Name all
![Page 5: Definitions Joint Mobilization](https://reader030.vdocument.in/reader030/viewer/2022012414/616eb91088fca64f7c52ee5d/html5/thumbnails/5.jpg)
5
31
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.
32
Glenohumeral:Roll / Glide
33
Glenohumeral:Roll /Glide
34
Glenohumeral:Roll / Glide
35
Glenohumeral:Roll /Glide
36
Glenohumeral:Roll / Glide
![Page 6: Definitions Joint Mobilization](https://reader030.vdocument.in/reader030/viewer/2022012414/616eb91088fca64f7c52ee5d/html5/thumbnails/6.jpg)
6
37
Glenohumeral:Roll / No Glide
38
Glenohumeral:Roll / No Glide
39
Glenohumeral:Roll / No Glide
40
Glenohumeral:Roll / No Glide
41
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
42
Knee:Posterior GlidePosterior Swing
![Page 7: Definitions Joint Mobilization](https://reader030.vdocument.in/reader030/viewer/2022012414/616eb91088fca64f7c52ee5d/html5/thumbnails/7.jpg)
7
43
Knee:Posterior GlidePosterior Swing
44
Knee:Posterior GlidePosterior Swing
45
Knee:Posterior GlidePosterior Swing
46
Ankle:Plantar Flexion
What do you expect?
47
Ankle:Plantar Flexion
48
Ankle:Plantar Flexion
![Page 8: Definitions Joint Mobilization](https://reader030.vdocument.in/reader030/viewer/2022012414/616eb91088fca64f7c52ee5d/html5/thumbnails/8.jpg)
8
49
Ankle:Plantar Flexion
50
Ankle:Plantar Flexion
51
MTP:Flexion
What do you expect?
52
MTP:Flexion
53
MTP:Flexion
54
MTP:Flexion
![Page 9: Definitions Joint Mobilization](https://reader030.vdocument.in/reader030/viewer/2022012414/616eb91088fca64f7c52ee5d/html5/thumbnails/9.jpg)
9
55
MTP:Flexion
56
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
57
Increase Glenohumeral Flexion:
Increase Knee Extension:
Problem Solving #1, Page 67
Problem Solving #3, Page 68
58
JointDistraction
59
Hip:Distraction
60
Hip:Distraction
![Page 10: Definitions Joint Mobilization](https://reader030.vdocument.in/reader030/viewer/2022012414/616eb91088fca64f7c52ee5d/html5/thumbnails/10.jpg)
10
61
Joint Traction: Longitudinal pull along the shaft of the long bone
62
Hip:Traction
63
Hip:Traction
64
Spine Traction:Longitudinal pull along the line of the spinal column
65
Spine TractionVertebral Bodies Separate
66
Spine TractionVertebral Bodies Separate
![Page 11: Definitions Joint Mobilization](https://reader030.vdocument.in/reader030/viewer/2022012414/616eb91088fca64f7c52ee5d/html5/thumbnails/11.jpg)
11
67
Spine TractionFacets Glide Apart Foramen Open
68
Spine TractionFacets Glide Apart Foramen Open
69
Which direction is: Traction? Distraction?
Which direction is: Traction? Distraction?
70
Effects of Joint Mobilization
Synovial Fluid
Stretching
Improve tissue tensile strength
Decrease Pain (Neurophysiological) Mechanical Receptor: Gate Mechanism
Increase Relaxation (Neurophysiological)
71
Contraindications/Precautions
See ROM/Stretching
Hypermobility
Inflammation and Joint Effusion
72
Pain Resistance Relationship
I
N
T
E
N
S
I
T
Y
BeginROM
EndROM
R1
R2
P1
P2
RANGE OF MOTION
![Page 12: Definitions Joint Mobilization](https://reader030.vdocument.in/reader030/viewer/2022012414/616eb91088fca64f7c52ee5d/html5/thumbnails/12.jpg)
12
74
Grades of Vigor
I
II
III
IV
Begin Available
Range
End Available
Range
III-IV-