Accessory mobilisations to a peripheral joint Flashcards
What is the rationale behind using this treatment (pain/increase ROM/strengthen etc)?
pain (grades 1 and 2)
increased ROM (grades 3 and 4)
What are the physiological effects of the treatment?
promote blood circulation to the joint and surrounding tissues
stimulate sensory receptors within the joint capsule which can modulate pain signals sent to the CNS
reduce muscle tension and spasm by promoting muscle relaxation
reduce excessive tightness of ligaments
increase extensibility of joint capsule and so improve ROM
promote the distribution of synovial fluid to lubricate joint surfaces and reduce friction
What structures are affected by the technique?
joint capsule
ligaments
blood circulation
What principles are used in carrying out the technique?
direction of mobilisation needs to be reasoned
make sure patient is safe and comfortable throughout
When a convex surface (i.e Humeral Head) moves on a stable concave surface (i.e Glenoid Fossa) the sliding of the convex articulating surface occurs in the opposite direction to the motion of the bony lever (i.e the Humerus.)
When a concave surface (i.e Tibia; talocrural joint) is moving on a stable convex surface (i.e Talus) sliding occurs in the same direction of the bony level.
To improve shoulder flexion you would perform an A-P mobilisation due to the way the convex humerus articulates with the concave glenoid fossa.
Precautions and contraindications?
cancer
recent fracture
open wound
active bleeding
infective arthritis
joint fusion
What grades are in resistance?
3 and 4
What grades are out of resistance?
1 and 2
when doing accessory mobilisations of the lower limb, what should you use to pull?
arms
What is grade 1?
small oscillations out of resistance
What is grade 2?
bigger oscillations out of resistance
What is grade 3?
larger resistance
big oscillations in resistance
What is grade 4?
little oscillations fully in resistance
Go on LC and go through practicing accessory mobilisations
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