JointMobilizationncst关节松动术科技期刊课件

1、Joint Mobilization第1页，共16页。Basic DefinitionsOsteokinematicsArthrokinematicsRelated TermsComponent Motions第2页，共16页。Athrokinematics involved in MotionRollNew points on one surface come in contact with new points on the opposite surfaceAlways occur in same direction as bone movementWhen roll occurs alo

2、ne:第3页，共16页。Athrokinematics involved in MotionRollGlide (Sliding)One specific point comes in contact with new points on opposing surfaceDirection depends on surface of jointCombined roll and glide movements 第4页，共16页。Athrokinematics involved in MotionRollGlide (Sliding)SpinCompressionDistraction or T

3、raction第5页，共16页。Convex Concave RulesMUST KNOWConvex Stationary + concave moving = gliding in same direction as angular motionConcave stationary = convex moving = gliding in opposite direction of angular motion第6页，共16页。Concave-convex rule第7页，共16页。What is the difference between passive stretching and

4、joint mobilization stretching?Passive Angular StretchingUse a leverJoint MobilizationSafer more selective because:第8页，共16页。Techniques in Joint MobilizationJoint PositionClosed packed positionLoose packed position第9页，共16页。JointClosed-packed PositionOpen-packed PositionGlenohumeral90o ABD & Full ER co

5、mbo55o flexion w/ 20-30o HABDElbow Humeroulnar Humeroradial RaduioulnarFull Extension90o flex w/ mid-pronationFull pronation or supination70o Flex w/ 10o supinationFull ext w/ full supination70o flex w/ 35o supinationDistal Radiocarpal JointFull extension & radial deviation or full flexNeutral posit

6、ionMCP joints2-51Full flexionFull opposition20o flexion20o flexionIP jointsFull Extension20o flexionHipFull IR, Ext & ABD55o flex w20-30o HABDKnee (tibiofemoral)Full Ext & ER20-25o flexionAnkle MortiseFull DF10o PFSubtalorFull EV or INVMidrange PF & DFForefootFull DF1 MTP = 20o DF2-5 MTP = 20o PFIPs

7、 = 20o PF第10页，共16页。Techniques in Joint MobilizationJoint PositionTreatment Plane第11页，共16页。Techniques in Joint MobilizationJoint PositionTreatment PlaneTreatment Force第12页，共16页。Techniques in Joint MobilizationJoint PositionTreatment PlaneTreatment ForceGrades Oscillation TechniquesI and II = pain reductionIII and Iv = stretching第13页，共16页。Techniques in Joint MobilizationJoint PositionTreatment PlaneTreatment ForceGrades Oscillation TechniquesSustained Traction MovementsGrade IGrade IIGrade III第14页，共16页。IndicationsNeurophysiologic EffectsMechanical EffectsNutritional Effects第15页，共16页