Joint Mobs Flashcards
GH: Distraction
Supine
Arm in resting position (or approximating restricted ROM)
Stand facing client. Grip proximal humerus close to axilla, from medial and lateral side
Distract lateral, anterior, and inferior (perpendicular to joint surface)
GH: Lateral Distraction
Supine
Arm beside body
Stand facing client
Place hand on medial humerus, by axilla, forearm against ribcage. Stabilize with other arm.
Distract laterally using forearm against ribs.
GH: Inferior Glide
Abduction
Arm in resting (or approximating restricted ROM)
Stand at head of client. Mobilizing hand at proximal humerus. Support arm with other hand.
Traction, then distract inferiorly, using legs and hips to generate movement.
GH: Posterior Glide
Flexion, internal rotation, horizontal adduction
Supine. Angle slightly obliquely, or place pillow under shoulder.
Mobilizing hand at proximal humerus. Other hand supports distal humerus.
Distract, then glide posteriorly
GH: Anterior Glide
External rotation, extension, horizontal abduction
Supine. Arm in resting position.
Stand at side of client, facing GH joint. Mobilizing hand under proximal humerus. Other hand supporting arm
Traction, then glide anteriorly. Direct with supporting hand.
(Can also be done prone)
Humero-Ulnar Distraction
Supine. Upper arm resting on table, elbow positioned off table, forearm on clinician’s shoulder
Stand (or sit) at hip, facing elbow.
Stabilizing hand grips anterior humerus; mobilizing hand grips proximal ulna. (Or both hands on prox forearm) Don’t squeeze too hard.
J glide: posterior, inferior
Humero-Radial Distraction
Supine
Stand at side, facing elbow
Stabilizing hand holds distal anterior humerus; mobilizing hand grips distal radius
Distract perpendicular to joint surface
Humero-Radial Compression
Supine. Elbow joint at 90º flexion, 5º supinated, wrist extended
Stand at side, facing elbow
Stabilizing hand supports distal humerus; mobilizing hand grips palm of hand
Compress downward
Humero-Radial Posterior Glide
Extension
Supine, shoulder medially rotated so radial head on top
Stand at side, facing elbow. Grip from side.
Stabilizing hand holds humerus; mobilizing hand grips head of radius
Glide posteriorly
*same position as anterior
Humero-Radial Anterior Glide
Flexion
Supine, shoulder medially rotated so radial head on top
Stand at side, facing elbow. Grip from side
Stabilizing hand holds humerus; mobilizing hand grips head of radius
Glide anteriorly
*same positioning as posterior
H-Ulnar/H-Radial Lateral Glide
Supine
Stand at side, facing client
Stabilizing hand holds distal humerus from lateral side; mobilizing hand grips proximal radius from medial side
Traction, glide laterally
H-Ulnar/H-Radial Medial Glide
Supine
Stand at side, between torso and arm
Stabilizing hand holds distal humerus from medial side; mobilizing hand grips proximal radius from lateral side
Traction, glide medially
H-Ulnar/H-Radial Lateral Gap
Lateral epicondylitis Supine, elbow in slight flexion Stand at side, between arm and torso. Stabilizing hand supports forearm from lateral side.. Mobilizing hand grips medial elbow at joint line Mobilize laterally
Proximal RadioUlnar Joint: Dorsal/Posterior Glide
Pronation
Seated with forearm on table. Or Supine. Shoulder medially rotated so radial head on top.
Stabilizing hand holds under proximal ulna; mobilizing hand grips radial head.
Mobilize posteriorly
*same positioning as anterior glide
Proximal RadioUlnar Joint: Volar/Anterior Glide
Supination
Seated, forearm on table. Or Supine. Shoulder medially rotated so radial head on top.
Stabilizing hand holds under proximal ulna; mobilizing hand grips radial head.
Mobilize anteriorly
*same positioning as posterior glide
Distal RadioUlnar Joint: Posterior Glide
Supination
Seated, forearm on table. Or supine. Arm rotated so radius on top.
Stabilizing hand holds distal ulna; mobilizing hand grips distal radius. (thumbs together)
Mobilize posteriorly
*same positioning as anterior glide
Distal RadioUlnar Joint: Anterior Glide
Pronation
Seated, forearm on table. Or supine. Arm rotated so radius on top.
Stabilizing hand holds distal ulna; mobilizing hand grips distal radius. (thumbs together)
Mobilize anteriorly
*same positioning as posterior glide
RD/UMT Joints: Distraction
Sitting or supine. Forearm supported by pillow.
Hold on either side of joint line (thumbs posterior, second fingers anterior). Thumbs and middle fingers on either side of joint lines.
To distract, bring index fingers between middle fingers.
RD/UMT: Anterior Glide
Extension
Forearm pronated and supported by pillow.
Distract
Glide carpals anteriorly (down)
RD/UMT: Posterior Glide
Flexion
Forearm supinated and supported by pillow
Distract
Glide carpals posteriorly.
RD/UMT: Medial Glide
Radial deviation
Seated or supine. Forearm supinated, supported by pillow
Distract .
Glide carpals medially
RD/UMT: Lateral Glide
Ulnar deviation
Seated or supine. Forearm supinated, supported by pillow
Distract .
Glide carpals laterally
Acetabular Femoral: Distraction
Supine, diagonal along table
Knee over shoulder, hands linked at mid-upper thigh, at 10:00
Distract lateral and inferior
Acetabular Femoral: Long-Axis Distraction/Inferior Glide
Abduction
Supine, diagonal along table
Interlace fingers under distal thigh
Distract inferiorly
Acetabular Femoral: Posterior Glide
Flexion, internal rotation Supine, diagonal Stand beside lateral side of leg Supportive hand holds medial distal thigh; mobilizing hand placed on anterior proximal thigh Distract, glide posteriorly
Acetabular Femoral: Anterior Glide (Blacksmith)
Extension, external rotation
“Hug table”, hip crease on end of table
Control calf between bicep and torso; stabilizing hand beneath distal thigh/knee; mobilizing hand on proximal hamstrings.
Distract, glide anteriorly
Acetabular Femoral: Anterior Glide (prone)
Extension, external rotation
Prone, angled, so knee slightly off table, pillow under treatment side hip, shins
“Figure 4” leg.
From opposite side of table, stabilize above knee, mobilizing hand at greater trochanter,
Glide anteriorly
Acetabular Femoral: Postero-lateral glide
Internal rotation
Prone. Knee flexed
Find joint line in between ischial tuberosity and greater trochanter. Move just medial, by acetabular rim. Use PIPs. Take time.
Stabilizing hand on ankle.
Glide acetabulum anterior, which means femoral head glides postero-lateral
Can be sensitive
Acetabular Femoral: Lateral glide
Adduction, medial rotation
Supine
Knee over shoulder, hands linked at mid-upper thigh, at 9:00.
Glide directly lateral
Tibial-Femoral Joint: Distraction
Seated. Pillow under distal thigh
Grip distal tibia from medial and lateral sides
Distract inferiorly and a little anteriorly
Tibial-femoral: Posterior glide
Flexion
Supine. Leg bent. Foot stabilized.
Grip proximal tibia with both hands, with webspace anterior (chokehold); or stabilize under femur with one hand and mobilize proximal tibia
Glide posteriorly
Tibial Femoral: Anterior Glide
Extension
Supine. Leg bent. Foot stabilized (knee & pillow).
Grip proximal tibia with both hands, thumbs anterior, fingers posterior
Glide anteriorly, monitoring joint line with thumbs
Tibial Femoral: Medial Glide
Flexion, extension
Supine
Stand on medial side of leg, with lower leg between biceps and torso.
Supporting hand holds medial distal femur; mobilizing hands holds lateral proximal tibfib
Distract and glide medially.
Tibial Femoral: Medial Gap
Flexion, extension, genu varum
Supine. Stand on lateral side of leg. Knee flexed.
Stabilizing hand holding medial distal lower leg, mobilizing hand grips lateral side of joint line.
Gap medially.
Tibial Femoral: Lateral Gap
Flexion, extension, genu valgum
Supine. Stand on lateral side of leg. Knee flexed.
Stabilizing hand holding lateral distal lower leg, mobilizing hand grips medial side of joint line.
Gap laterally.
Prox TibFib: Posterior Glide
Supine. Knee supported by pillow. Medially rotate the leg to bring fibular head more anterior.
Stabilizing hand holds medial/posterior proximal tibia. Heel of mobilizing hand on anterior surface of fibular head.
Glide posteriorly
Prox Tibfib: Anterior Glide
Prone. Lower leg supported by pillow.
Stabilizing hand holds proximal medial tibia, heel of mobilizing hand on posterior fibular head.
Glide posteriorly
Distal Tibfib: Posterior Glide
Supine. Pillow under calf, ankle. Heel off foot of table.
Stand at foot of table
Mobilizing hand grips lateral malleolus; stabilizing hand gribs medial malleolus, distal tibia
Glide fibula posteriorly
Distal Tibfib: Anterior Glide
Prone. Pillow under ankle
Stand at foot of table
Mobilizing hand grips posterior lateral malleolus; stabilizing hand grips distal tibia
Glide fibula anteriorly
Distal Tibfib: Superior Glide
Dorsiflexion Supine Stand at foot of table Mobilizing hand on inferior lateral malleolus; stabilizing hand grips distal tibia Glide superiorly
Distal Tibfib: Inferior Glide
Supine
Stand beside client, facing foot
Mobilizing hand on superior lateral malleolus; stabilizing hand on tibia
Glide inferiorly
Talocrural: Distraction
Supine. Pillow under knee.
Stand at foot of table, facing client
Grip talus with fingers intertwined
Distract by leaning away from joint
Talocrural: Posterior Glide
Dorsiflexion
Supine. Pillow under knee.
Stand at foot of table, facing client
Stabilizing hand blocks posterior tibial (fist)
Mobilizing hand grips anterior talus (below maleoli)
Distract and glide posteriorly
Talocrural: Anterior Glide
Plantarflexion
Supine variation. Pillow under knee.
Stand at foot of table, facing client.
Stabilizing hand grips posterior talus. Mobilizing hand grips anterior lower leg.
Mobilize tib/fib posteriorly.
or Prone
Pillow under knee. Stabilizing hand blocks anterior tibia (fist). Mobilizing hand grips calcaneus. Mobilize talus anteriorly
Subtalar: Distraction
Prone
Stand beside table, facing foot
Stabilizing hand grips anterior talus; mobilizing hand at posterior-superior calcaneus
Distract inferiorly
Subtalar: Medial Glide
Prone, Knee in flexion.
Stand beside table,
Stabilizing hand grips anterior talus; mobilizing hand grips calcaneus at posterior heel
Traction, glide medially
Subtalar: Lateral Glide
Prone, knee in flexion
Stand beside table
Stabilizing hand grips anterior talus; mobilizing hand grips calcaneus at posterior heel
Traction, glide laterally
Subtalar: Medial Gap
Eversion
Prone, knee flexed
Stand beside table
Stabilizing hand grips anterior talus; mobilizing hand grips calcaneus at inferior heel (wrench hold)
Drop elbow of mobilizing arm, tilting calcaneus in valgus direction
Subtalar: Lateral Gap
Inversion
Prone, foot off table
Stand at foot of table
Stabilizing hand grips anterior talus; mobilizing hand grips calcaneus at inferior heel (wrench hold)
Lift elbow of mobilizing arm, tilting calcaneus in varus direction
