1. Joint Mobilization

2. Basic Definitions Osteokinematics Arthrokinematics Related Terms
Component Motions

3. Athrokinematics involved in Motion
Roll
New points on one surface come in contact with new points on the opposite surface
Always occur in same direction as bone movement
When roll occurs alone:

4. Athrokinematics involved in Motion
Roll
Glide (Sliding)
One specific point comes in contact with new points on opposing surface
Direction depends on surface of joint
Combined roll and glide movements

5. Athrokinematics involved in Motion
Roll
Glide (Sliding)
Spin
Compression
Distraction or Traction

6. Convex Concave Rules MUST KNOW
Convex Stationary + concave moving = gliding in same direction as angular motion
Concave stationary = convex moving = gliding in opposite direction of angular motion

7. Concave-convex rule

8. What is the difference between passive stretching and joint mobilization stretching?
Passive Angular Stretching
Use a lever
Joint Mobilization
Safer more selective because:

9. Techniques in Joint Mobilization
Joint Position
Closed packed position
Loose packed position

10. Closed-packed Position Open-packed Position
Joint
Closed-packed Position
Open-packed Position
Glenohumeral
90o ABD & Full ER combo
55o flexion w/ 20-30o HABD
Elbow
Humeroulnar
Humeroradial
Raduioulnar
Full Extension
90o flex w/ mid-pronation
Full pronation or supination
70o Flex w/ 10o supination
Full ext w/ full supination
70o flex w/ 35o supination
Distal Radiocarpal Joint
Full extension & radial deviation or full flex
Neutral position
MCP joints
2-5 1
Full flexion
Full opposition
20o flexion
IP joints
Hip
Full IR, Ext & ABD
55o flex w20-30o HABD
Knee (tibiofemoral)
Full Ext & ER
20-25o flexion
Ankle Mortise
Full DF
10o PF
Subtalor
Full EV or INV
Midrange PF & DF
Forefoot
1 MTP = 20o DF
2-5 MTP = 20o PF
IP’s = 20o PF

11. Techniques in Joint Mobilization
Joint Position
Treatment Plane

12. Techniques in Joint Mobilization
Joint Position
Treatment Plane
Treatment Force

13. Techniques in Joint Mobilization
Joint Position
Treatment Plane
Treatment Force
Grades Oscillation Techniques
I and II = pain reduction
III and Iv = stretching

14. Techniques in Joint Mobilization
Joint Position
Treatment Plane
Treatment Force
Grades Oscillation Techniques
Sustained Traction Movements
Grade I
Grade II
Grade III

15. Indications Neurophysiologic Effects Mechanical Effects
Nutritional Effects

16. Contraindications Hypermobility Joint Effusion Inflammation Fractures
Arthritis
Congenital Bone Deformities
Manipulations