GJR

1 Posts
 
Posted - 06/07/2006 :  12:44:41  Show Profile  Reply with Quote
I am a student at UWM and am researching joint mobs for a biomechanics class. I was just wondering how PT's perform and grade the mobs?
thanks
George

Rehab Guy

4 Posts
 
Posted - 06/08/2006 :  12:03:39  Show Profile  Reply with Quote
As a therapist we follow the concave/convex rule in regards to performing joint mobs. To achieve the optimal results we perform joint mobs closest to the joint line. I utilize joint mobs in accordance with Maitland (see below).
Maitland’s 5 Grades
Grade I
•Small amplitude movement at the beginning range of joint play
•Used when pain and spasm limit movements early in ROM
Grade II
•Large amplitude movement at the midrange of joint play
•Used for pain control, spasm reduction which inhibit movement
Grade III
•Large amplitude movement at the end-range of joint play
•Reduce pain, increase periarticular extensibility, correct positional faults, and release meniscoid tissue in the spine
Grade IV
•Small amplitude movement at the end-range of joint play
•Reduce pain, increase periarticular extensibility, correct positional faults, and release meniscoid tissue in the spine
Grade V
•Manipulation of high velocity and low amplitude to the anatomical end point of a joint

I hope this helps.

grpt

15 Posts
 
Posted - 07/21/2006 :  11:34:47  Show Profile  Reply with Quote
Here is another informative site explaining joint mobilizations.
http://health.enotes.com/nursing-encyclopedia/joint-mobilization-manipulation