Maitland Concept

Question 1

Principles of use of mainland concept

Answer 1

Improves joint mobility and decreased joint pain restoring accessory movement

Mechanical and neurophysiological treatment goals:

Decrease goals
Decrease muscle guarding/resistance
Increase stretch or length of tissue
Proprioception

Accessory movement: hypermobile, normal, hypomobile

Question 2

What are the Types of mobilisations

Answer 2

Physiological - flexion, extension, abduction, adduction, internal rotation, external rotation.

Accessory- AP glide, PA glide, distraction, longitudinal, transverse, caudad/Cephalad

Question 3

What are the effects of joint mobilisation

Answer 3

Neuro-physiological effects - affects muscle spasm and muscle guarding- nociceptive stimulation

Nutritional effects- distraction or small gliding movements- causes synovial fluid movement.

Mechanical effects- improve mobility of hypomobile joints and maintains extensibility and tensile strength of articular tissues

Question 4

What is vertebral Manipulation

Answer 4

Manipulation is a passive technique where the therapist applies a specifically directed manual impulse, or thrust to a joint

Question 5

What is the mainland concept

Answer 5

Developed by jeffery mainland in 1954

The maitland concept is based on a holistic approach to treatment and use of gentle, passive, rhythmic, sand oscillatory movements being performed within or at end range

Question 6

What is the maitland concept grading system

Answer 6

Grades 1-4

Grades 1 and 2 are to help reduce pain
Grades 3 and 4 to help with a decrease in stiffness and increase in motion

Question 7

What duration would you do the treatment for

Answer 7

3-6 sets, 20-60 seconds Each