ASSIGNMENT THERAPEUTICS 3rd

Define mobilization and manipulation

Mobilization :
“-Passive joint movement for increasing ROM or decreasing pain.”
 -Applied to joints and related soft tissues at varrying speed and amplitudes using
physiologic or acessory motion .
 -Force is light enough that patient can stop the movement .
Manipulation ;
Passive joint movement for increasing joint’s mobility .
Defined as” small amplitude, high -velocity thrust technique”
 Incorporates a sudden ,forcefull thrust that is beyond the patient’s control.
ARTHROKINEMATIC MOTION
It is the msnner in which adjoining joint surfaces move on each other during
osteokinematin motion.
So, osteokinematic motion is referred to as joint motion and and arthrokinematic motion is
joint surface motion.
Eg . as humerus rotates the capsule acts like a hammock and swings .
The type of motion occuring between bony partners in a synovial joint is influenced by shape
of joint surfaces .
 In ovoid joints ,one surface is convex other is concave .
 In saddle joints one surface is concave in onebdirection and convex in the other with the
opposing surface convex and concave respectively.

Difference between non- thrust oscillation tecniques and non- thrust sustained joint play
techniques:
1. NON-THRUST OSCILATION TECHNIQUES;
Grade-1 small amplitude at bigining of range
1. Pain imhibition and fluid movement
Grade – 2 large amplitude within the range
2. Pain inhibition and fluid movement
Grade -3 large amplitude upto the limit into rasistance .
3. Streaching maneuver
Grade- 4 small amplitude at the limit into resistance
4. Streaching maneuver
2. NON THRUST SUSTAINED JOINT PLAY TECHNIQUES
GRADE -1 loosen small amplitude distraction
5. Pain releif
Grade -2 thighten : distraction or glide to thighen tissues
6. Pain releif ,assesses joint sensitivity and maintain joint play
GRADE-3 strech : distraction or glide
7. Increase joint play
CHARACTERISTICS OF MOBILIZATION AND MANIPULATION
TECHNIQUES
 Rate of application of force
 Location in range of available movement
 Direction of force as applied by the therapist
 Target of force (the specific structure to which the force is applied is described identifing
palpable anatomical structures .
 Relative structural movement ( the structure that is to move is identified first , followed
by structure that is ti kept stable .)
 Patient position .

STUDENT NAME :Mubshara Khursheed

ROLL NO: 07
SESSION : DPT 3rd year