Joint play & joint mobilization
Arthrokinematics
accessory joint movement movement that occurs between joint surfaces described in terms of direction of motions of mobile segment - spin, glide, roll, etc
Thrust
high velocity, low amplitude therapeutic movement within or at end range of motion
Convex moving on concave
joint glide direction opposite to direction of physiological movement
Concave moving on convex
joint glide direction same as direction of physiological movement
MTT procedures & modalities
manual lymphatic drainage manual traction massage mobilization/ manipulation passive range of motion
Accessory movement
normal laxity within a synovial joint that allows arthrokinemetic movement to occur; not under voluntary control; obtained passively by examiner; necessary for full, painless joint function
Mennell's rule for joint play testing
patient - relaxed, supported examiner - firm, comfortable grasp 1 joint at a time 1 movement at a time test unaffected side first stabilize 1 articular surface, move the other normal movements - not forced movements should not cause excessive discomfort or pain
Osteokinematics
physiological joint movement movement of a bone about an axis described in terms of limb segments motions - flexion, extension, etc.
Technique for manual therapy
position -patient - body, treated joint -therapist therapist hand placement stabilization force -direction -amount -amplitude -speed -duration ask for feedback -during -following
Manual therapy techniques/ MTT
skilled hand movements intended to: improve tissue extensibility increase ROM induce relaxation mobilize or manipulate soft tissue and joints modulate pain reduce soft tissue swelling, inflammation, or restriction