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Mobilizations are passive movements performed in such a way that the patient is always in conrol of the movements and can prevent the movements anytime.
Mobilizations
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Indications for Mobilizaitons?
- Pain
- Ligament and/or joint tightness
- Muscle tightness
- Limited ROM
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Containdications for Mobilizations?
- Unstable fracture
- hypermobility
- active infection
- bone tumor
- marked demineralizaiton
- acute inflammtory stage of athritis
- Rarely done on RA
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Scapulothoracic (Joint Mobilization Techniques)
- -Perform movemments in upward and downward positions and then medial and lateral positions
- -if not comfortable can put a pillow under elbow
- -take to the end point and do osolations in direction of tightness
- -get scapula to loosen up
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Glenohumeral: Inferior Glide I
(Joint Mobilization Techniques)
- -sidelying position
- -stabilze the arm
- -pull down and then osolation
- -one hand on humerus (pull down) and put other hand in axial area
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Glenohumeral- Inferior glide 2
(Joint Mobilization Techniques)
- -on back
- -elbow at 90 degrees, horizontal abduction
- -one hand at head of humerus and push inferiorly and with other hand at elbow
- -just move the head of the humerus
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Glenohumeral: Anterior glide
(Joint Mobilization Techniques)
- -on back
- -distract humerus head anteriorly with elbow flexed
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Glenohumeral: Posterior Glide
(Joint Mobilization Techniques)
- -on back
- -stabilize arm with your side
- -pushing head of humerus posteriorly
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Humeroulnar: Dislocation
(Joint Mobilization Techniques)
- -hands distract the ulna out and down
- -pull on ulnar side
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Humeroulnar: Side Tilting
(Joint Mobilization Techniques)
Jackson does not prefer
- -stabilizing wrist and elbow and moving ulnar side to side
- -be careful
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Humeroulnar: Side Glide of Ulna
(Joint Mobilization Techniques)
- -on back and with a towl rolled under their elbow, just proximal to elbow
- -pronate, grap ulnar and apply pressure downward
- -moderate pressure, slowly, and can feel a little give
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Radiohumeral: Dislocation (hold radius only)
(Joint Mobilization Techniques)
- -on back
- -grap muscle and radius, then distally
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Radiocarpal: Distraction
(Joint Mobilization Techniques)
- -sitting
- -could stabalize at forearm and pull wrist
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Radiocarpal: Palmer Glide of Scaphoid and Lunate on Distal Radius
(Joint Mobilization Techniques)
- -therapist locates Lister tubercle with his thumb and then slide thumb down onto scaphoid
- -therapist holds the radius with this index finger under patient's hand
- -therapist provides distraction of the scaphoid nad lunate towards the radius
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Radiocarpal: Palmer Glide of Capitate on Scaphoid and Lunate
(Joint Mobilization Techniques)
- -capitate move on scaphoid and lunate
- -therapist places thumbs over patient's capitate and index finger over the scaphoid and lunate
- -distraction is provided from the capitate onto the scaphoid and lunate
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Distal Radioulnar: A-P Glide
(Joint Mobilization Techniques)
- -therapist grasps the head of the ulna while stabilizing patient's on the radial side
- -therapist performs distractions and glides anteriorly and posteriorly at the head of the ulna
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TFCC: A-P Glide
(Joint Mobilization Techniques)
- -therapist places index finger over patient's pisiform and thumb over the dorsal aspect on the shaft of the unla
- -therapist performs a pinching motion with his index finger causing an anterior and posterior glide of the ulna
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MCP/PIP/DIP Disraction
(Joint Mobilization Techniques)
- -therapist stabilizes the joint proximally with one hand and then provides distraction iwth other hand at the joint
- -take caustion not to bruise the patient by squeezing with too much pressure
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MCP/PIP: Volar and Dorsal Glides
(Joint Mobilization Techniques)
-therapist stabilizs the joint proximallywith one hand and then provides glides volarly and dorsally with the other hand
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Thumb CMC: A-P Glide
(Joint Mobilization Techniques)
- -patient's hand in neutral positioned on a towel allowing ulnar deviation in wrist
- -therapist stabilizes patient's trapezium with one hand and then grasps patient's CMC with the other hand
- -therapist provides anterior and posterior glides wiht the thumb CMC joint
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