Manual Flashcards
What are some contraindications to manual therapy?
pregnancy malignancy recent or unhealed fracture joint replacement excessive pain active inflammation or infection
T/F: Joint effusion is a contraindication to mobilization.
false, just precaution
T/F: Grade 3 mob improves joint mobility.
false, just maintains
- only grade 4 improves
T/F: Patients with osteoporosis shouldn’t be mobed.
false, just a precaution
What types of graded mobes should be done in the presence of inflammation?
inflammation and pain = only grade I-II
- ex. acute exacerbation of RA
Do you take up the slack in a grade I mobilization?
no, working within the slack to promote relaxation
- considered small amplitude
What Maitland grades are considered large amplitude?
2 and 3
- not going past end range in either of these here
What does grade 3 get to, as far as end range goes?
begins in midrange, gets to maximal end range but doesn’t push past
What is a thrust manipulation?
high velocity, low amplitude at end range of movement
- considered grade V
What does grade 4 get to, as far as end range?
grade 4 = small amplitude
- pushes past pathological limit of range to normal end of range
- this is in contrast to grade 3, as that only gets to pathological end range and no further
Explain the Maitland grades for oscillation mobilizations and when they would be used.
Grade I: small amplitude in beginning of range
- for pain, maintaining joint mobility, indicated in subacute stage
Grade II: large amplitude into mid-range of joint
- (same as grade I)
Grade III: large amplitude into end-range of joint
- maintains joint mobility
- indicated in more advanced hypomobility or for impingement/motion restrictions
Grade IV: small amplitude past pathological end range of joint
- same as grade III
