MWMS Flashcards
Other names for MWM
NAGS
SNAGS
MWMS
Movement you can see
Osteokinematic
Movement you can feel
Arthrokinematics
Define osteokinematics
Movement of the shaft of bones that we can see (flexion, abd, extension, etc.)
Under voluntary control
Physiological motion
Define arthrokinematics
Movements taking place within the join at the joint surfaces
That we cannot see
Not under voluntary control
Accessory motion
What is the convex-CONCAVE rule?
Glide and roll in the same direction
Convex is fixed and concave moves
OK and AK in the same direction
To mobilize - move in same direction OK as AK
What is the CONVEX- Concave rule?
Glide and roll are in opposite directions
Concave is fixed convex moves
OK and AK in opposite directions
To mobilize - move in opposite
Maitland’s grades for mobs
Grade 1 to 5 (we don’t do grade 5)
Grade 1 of maitlands
Grade I – small amplitude movement at the beginning of
the available ROM
Grade 2 of maitlands
Grade II – large amplitude movement at within the
available ROM
Grade 3 of maitlands
Grade III – large amplitude movement that reaches the end
ROM
Grade 4 of maitlands
Grade IV – small amplitude movement at the very end
range of motion
Grade 5 of maitlands
Grade V – high velocity thrust of small amplitude at the end
of the available range and within its anatomical range
(manipulation)
Mobs considerations - grade I and II
Neurophysiological effect used daily to treat pain
Neutralizes joint pressure
Prevents grinding
Mobs considerations - grade III to V
Mechanical effect used 3-5 times/week to treat hypomobility and stiffness
Increase ROM through capsular mobility and plastic deformation
Mechanical distention or stretching of tissue
Distraction mobilization grade I to III
Grade I – unweighting or barely supporting the joint surfaces (piccolo)
Grade II – slack of the capsule taken up (eliminates joint pain)
Grade III – capsule and ligaments stretched
NAGS and why
Natural apophyseal glides for when applied to the cervical spine
SNAGS and why
Sustained Natural Apophyseal Glides for the rest of the spine
Principles of treatment (4)
- Use good body mechanics
- Allow gravity to assist
- Use short levers and place hands as close to joint as possible
- Mobilize below pain threshold (avoid muscle guarding)
- NEVER CAUSE PAIN
Treatment parameters (5 types)
- joint position
- direction of mobilization
- type of mobilization (oscillations vs sustained hold)
- grade of mobilization
- dosage of mobilization (sets and reps)
7 basic principles of applications - 1 to 3
- Techniques should never be painful
- Therapist should note one or more of the following signs as an indication to use MWMS: loss of joint movement;
pain associated with movement; pain associated with specific functional activities - A passive acccessory joint mobilizations (kaltenborg’s principles) - glide must be pain-free
7 basic principles of applications - 4 to 7
- Continuously monitor the patients reaction to ensure that no pain is recreated
- Technique should produce and immediate benefit
- Repetitions are necessary (3 sets of 10)
- There must be some lasting improvement. If symptoms reappear between visits then MWM must be discontinued
A greater loss of ___ rotation at the hip compared to ____ rotation is an early sign of degenerative hip pathlogy
greater loss in internal rotation compared to external rotation
Techniques for the hip
Hip internal rotation with lateral distraction
Hip flexion with lateral distraction
Hip extension with lateral or posterior distraction
