Joint mobilization - Wikipedia

Joint mobilization is a manual therapy intervention, a type of straight-lined, passive movement of a skeletal joint that addresses arthrokinematic joint ... Jointmobilization FromWikipedia,thefreeencyclopedia Jumptonavigation Jumptosearch Typeofpassivemovementofaskeletaljoint Seealso:Jointmanipulation JointmobilizationSpecialtyphysicaltherapy[editonWikidata] Jointmobilizationisamanualtherapyintervention,atypeofstraight-lined,passivemovementofaskeletaljointthataddressesarthrokinematicjointmotion(jointgliding)ratherthanosteokinematicjointmotion.Itisusuallyaimedata'target'synovialjointwiththeaimofachievingatherapeuticeffect.Thesetechniquesareusedbyavarietyofhealthcareprofessionalswithspecifictraininginmanualtherapyassessmentandtreatmenttechniques. IFOMPTdefinesjointmobilizationas"amanualtherapytechniquecomprisingacontinuumofskilledpassivemovements thatareappliedatvaryingspeedsandamplitudestojoints,musclesornerveswiththeintenttorestoreoptimalmotion,function,and/ortoreducepain."[1] TheAPTAGuidetoPhysicalTherapistPracticedefinesmobilization/manipulationas“amanualtherapytechniquecomprisedofacontinuumofskilledpassivemovementsthatareappliedatvaryingspeedsandamplitudes,includingasmallamplitude/highvelocitytherapeuticmovement.”[2] ClassificationandMechanisms[edit] JointmobilizationisclassifiedbytheAustralianphysiotherapistGeoffreyDouglasMaitlandintofive'grades'ofmotion,eachofwhichdescribestherangeofmotionofthetargetjointduringtheprocedure.[3]Theyaregenerallydividedintofivegrades.Thedifferentgradesofmanipulationareknowntoproduceselectiveactivationofdifferentmechanoreceptorsinthejoint. GradeI-Lowamplitude,rhythmicallyoscillatingjointglideneartherestingpositionoftheavailablearthrokinematicjointplay.ActivatesTypeImechanoreceptorsthatinhibitnociceptionandprovideinformationregardingjointposition.Theyhavealowthresholdandrespondtoafewgramsoftension. Activatesmechanoreceptorsinthesuperficiallayerofthejointcapsule-Bulbouscorpuscles. GradeII-Relativelylargeamplitude,rhythmicallyoscillatingjointglidethatcarrieswellintotheavailablearthrokinematicjointplay.ActivatesTypeIImechanoreceptorsthatinhibitnociceptionandprovideinformationaboutjointacceleration.Theyalsohavealowthresholdandrespondtoafewgramsoftension. Activatesmechanoreceptorsinthedeeplayerofthejointcapsule-PacinianCorpuscles. GradeIII-Relativelylargeamplitude,rhythmicallyoscillatingjointglidethatcarriestotheendoftheavailablearthrokinematicjointplay. Designedtophysicallystretchthejointcapsule. GradeIV-Lowamplitude,rhythmicallyoscillatingjointglidethatisperformedattheendoftheavailablearthrokinematicjointplay. Designedtophysicallystretchthejointcapsule. GradeV-Thisgradereferstotheuseofasinglehigh-velocity,low-amplitudethrustperformedattheendoftheavailablejointplay. ActivatesGolgitendonorgan-likeendingsthatinhibitmuscletoneandmonitorthedirectionofjointmotion.Theyhaveahigherthresholdandrespondtoforcesontheorderofkilograms-Golgitendonorgans. Seealso[edit] Naturalapophysealglides Orthopedicmedicine Passiveaccessoryintervertebralmovements Passivephysiologicalintervertebralmovements References[edit] ^http://www.ifompt.org/site/ifompt/IFOMPT%20Standards%20Document%20definitive%202016.pdf ^GuidetoPhysicalTherapistPractice3.0.Alexandria,VA:AmericanPhysicalTherapyAssociation;2014. ^Maitland,G.D.PeripheralManipulation2nded.Butterworths,London,1977. Maitland,G.D.VertebralManipulation5thed.Butterworths,London,1986.Partsofthisarticle(thoserelatedtoISBN 9780702040665)needtobeupdated.Pleasehelpupdatethisarticletoreflectrecenteventsornewlyavailableinformation.(February2015) GuidetoPhysicalTherapistPractice3.0.Alexandria,VA:AmericanPhysicalTherapyAssociation;2014. Retrievedfrom"https://en.wikipedia.org/w/index.php?title=Joint_mobilization&oldid=939602643" Categories:ManualtherapyOsteopathyPhysicaltherapyOsteopathicmanipulativemedicineHiddencategories:WikipediaarticlesinneedofupdatingfromFebruary2015AllWikipediaarticlesinneedofupdatingArticleswithshortdescriptionShortdescriptionmatchesWikidata Navigationmenu Personaltools NotloggedinTalkContributionsCreateaccountLogin Namespaces ArticleTalk English expanded collapsed Views ReadEditViewhistory More expanded collapsed Search Navigation MainpageContentsCurrenteventsRandomarticleAboutWikipediaContactusDonate Contribute HelpLearntoeditCommunityportalRecentchangesUploadfile Tools WhatlinkshereRelatedchangesUploadfileSpecialpagesPermanentlinkPageinformationCitethispageWikidataitem Print/export DownloadasPDFPrintableversion Languages ItalianoСрпски/srpski Editlinks