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By
Muhammad Shahid
MSPT,BSPT,NARIC (UK)
Lecturer ZCPT, ZU
Ä| ^ assive joint movement for
increasing ROM or decreasing ain
^ A ied to joints & reated soft tissues at varying s eeds &
am itudes using hysioogic or accessory motions
^ orce is ight enough that atient¶s can sto the movement
Ä | ^ assive joint movement for
increasing joint mobiity
^ Incor orates a sudden, forcefu thrust that is beyond the
atient¶s contro
Äë
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^ movements done vountariy
^ Osteokinematics ^ motions of the bones
Ä a |
^ movements within the joint &
surrounding tissues that are necessary for norma ROM, but
can not be vountariy erformed
^ à ^ motions that accom any active motion,
but are not under vountary contro
Ä ? U ward rotation of sca ua & rotation of cavice that occur with
shouder fe ion
^ [ ^ motions that occur within the joint
Ä retermined by joint ca sue¶s a ity
Ä Can be demonstrated assivey, but not erformed activey
Ä a ^ motions of bone
surfaces within the joint
^ motions - Ro, Side, S in, Com ression,
ristraction
Äà
^ hoowed or rounded inward
Äà
^ curved or rounded outward
r
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Ä Biomechanics of joint motion
^ Physioogica motion
Ä Resut of concentric or eccentric active musce contractions
Ä Bones moving about an a is or through fe ion, e tension,
abduction, adduction or rotation
^ Accessory Motion
Ä Motion of articuar surfaces reative to one another
Ä Generay associated with hysioogica movement
Ä Necessary for fu range of hysioogica motion to occur
Ä Ligament & joint ca sue invovement in motion
[
Ä Y
^ one surface is Ä ty es of joint
conve , other surface is arthrokinematics
concave ^ Ro
^ hat is an e am e of an ^ Side
ovoid joint? ^ S in
^ Com ression
Ä ^ one surface
^ ristraction
is concave in one direction
& conve in the other, with
the o osing surface conve Ä 3 com onents of joint
& concave res ectivey mobiization
^ hat is an e am e of a sear ^ Ro, S in, Side
joint? ^ oint motion usuay often
invoves a combination of
roing, siding & s inning
r
ÄA series of oints on one articuating
surface come into contact with a series
of oints on another surface
^ Rocking chair anaogy; ba roing on ground
^ ? am e emora condyes roing on tibia ateau
^ Ro occurs in direction of movement
^ Occurs on incongruent (unequa) surfaces
^ Usuay occurs in combination with siding or s inning
Ä Occurs when one bone rotates around a
stationary ongitudina mechanica a is
Ä Same oint on the moving surface creates an arc of a
circe as the bone s ins
Ä ? am e Radia head at the humeroradia joint
during ronation/su ination; shouder
fe ion/e tension; hi fe ion/e tension
^ S in does not occur by itsef during norma
joint motion
Ä S ecific oint on one surface comes
into contact with a series of oints on
another surface
Ä Surfaces are congruent
Ä hen a assive mobiization
technique is a ied to roduce a
side in the joint ^ referred to as a
GLIr?
Ä Combined roing-siding in a joint
^ The more congruent the surfaces are, the
more siding there is
^ The more incongruent the joint surfaces
are, the more roing there is
Ä Com ression ^
^ recrease in s ace between two joint surfaces
^ Adds stabiity to a joint
^ Norma reaction of a joint to musce contraction
Ä ristraction -
^ Two surfaces are ued a art
^ Often used in combination with joint
mobiizations to increase stretch of ca sue
!
!!
r
Ä Basic a ication of correct mobiization
techniques - 44
^ Reationshi of articuating surfaces associated with
siding/giding
Ä One joint surface is MOBIL? & one is STABL?
Ä Concave-conve rue concave joint surfaces
side in the direction as the bone
movement (conve is STABL?)
^ If concave joint is moving on stationary conve
surface ^ gide occurs in same direction as ro
Conve -concave rue conve joint
surfaces side in the Y Y
direction of the bone movement
(concave is STABL?)
If conve surface in moving on
stationary concave surface ^
giding occurs in o osite
direction to ro
[
Ä Resting osition
^ Ma imum joint ay - osition in which joint ca sue and igaments are
most rea ed
^ ?vauation and treatment osition utiized with hy omobie joints
Ä Loose- acked osition
^ Articuating surfaces are ma imay se arated
^ oint wi e hibit greatest amount of joint ay
^ Position used for both traction and joint mobiization
Ä Cose- acked osition
^ oint surfaces are in ma ima contact to each other
Ä Genera rue ? tremes of joint motion are cose- acked, &
midrange ositions are oose- acked
