Mobilising Exercising Flashcards
Justification of treatment, clinical reasoning, dosage, duration, benefits, physiological effects
What is mobilising exercises?
Place repairing soft tissue structure under tensile strain- ligaments, muscles, tendons, joit capsules. Enough strain to break unwanted collagen fibre cross links without macroscopic damage.
Where is mobilising exercises on the stress and strain curve?
Between linear region and failure
What is CREEP?
Soft tissue structure held under constant load will elongate slightly over time- ligaments, muscles, tendons, joint capsules, tempoary increase in ROM
What reps and load is used in mobilisation?
High repetitions, low load
What are the effects of immobilisation on ROM? (7)
- Neccesary to allow healing of soft tissues/ fractures.
- Neccessary in a flare up of OA, RA.
- Loss of bone density
- Cartilage degeneration.
- Tissue adhesions
- Loss of synovial fluid
- Fibrosis/ tightening of soft tissues e.g capsule, fascia, muscle atrophy and possible shortening.
Benefits of mobilisation (8)
- Helps joint surfaces to guide through their full posistions
- Improve fluid dynamics
- Aids blood circulation aand nutrition.
- Allows the cartilage to be compressed and decompressed
- Prevent formation of adhesions (scar tissue)
- Allows for continuous remodeling of soft tissues
- Stimulates collagen in soft tissued to align in the correct way
- Inhibits pain - pain gate mechanism
Methods used for mobilisation exercises. (8)
- Reciprocal pulley
- Pendular exercises
- Local relaxation (autogenic/reciprocal inhibition)
- Static stretching technique
- Sources of external forces e.g pole, body weight.
- Free active exercise
- Active assisted exercise
- Postural exercises
Principles of mobilising (8)
- Warm up
- Slow sustained stretch
- Repetition/load
- Speed/timing
- Moment/inertia
- Appropriate starting posistion/fixation
- Cool down
- Goal/motivation
- Home exercise
Dose and duration of mobilisation exercises.
High repetitions, low load. As many as they can.
