Joint Mobilizations

 

A manual therapy technique comprising a continuum of skilled passive movements to the joint complex that are applied at varying speeds and amplitudes, that may include a small-amplitude/ high velocity therapeutic movement (manipulation) with the intent to restore optimal motion, function, and/ or to reduce pain. 

 

Joint mobilization can be performed on the cervical, thoracic, or lumbar spine/pelvis.

They can also be performed on peripheral joints, including shoulders, elbows, wrists, hands, hips, knees, ankles, and feet.

 

I use the Maitland approach and scale for grading mobilizations:

 

Grade I - Small amplitude rhythmic oscillating mobilization in early range of movement

Grade II - Large amplitude rhythmic oscillating mobilization in midrange of movement

Grade III - Large amplitude rhythmic oscillating mobilization to point of limitation in range of movement

Grade IV - Small amplitude rhythmic oscillating mobilization at endrange of movement

Grade V (Thrust Manipulation) - Small amplitude, quick thrust at endrange of movement