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� If you are viewing this course as a recorded course after the live webinar, you can use the scroll bar at the bottom of the player window to pause and navigate the course.
� This handout is for reference only. Non-essential images have been removed for your convenience. Any links included in the handout are current at the time of the live webinar, but are subject to change and may not be current at a later date.
No part of the materials available through the continued.com site may be copied, photocopied, reproduced, translated or reduced to any electronic medium or machine-readable form, in whole or in part, without prior written consent of continued.com, LLC. Any other reproduction in any form without such written permission is prohibited. All materials contained on this site are protected by United States copyright law and may not be reproduced, distributed, transmitted, displayed, published or broadcast without the prior written permission of continued.com, LLC. Users must not access or use for any commercial purposes any part of the site or any services or materials available through the site.
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Still having issues? � Call 866-782-6258 (M-F, 8 AM-8 PM ET) � Email [email protected]
• All materials in this presentation are the intellectual property of Therapeutic Articulations, LLC. The use of this material for any other reason then this course is expressly prohibited.
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Learner Outcomes
• Identify at least one clinician application for each of the 4 grades of joint mobilizations.
• Identify at least three absolute and relative contraindications related to joint mobilizations.
• Identify at least two advantages of being able to quantify mobilization techniques.
• Describe at least one mobilization for each of the joints presented in the presentation ( shoulder, elbow, wrist, knee, ankle).
• Dose joint mobilizations and evaluate the effects of joint mobilizations using the algorithm provided in the presentation.
After this course, participants will be able to:
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Disclaimer• The author wishes to disclaim the financial
interest in the following:– iOrtho Mobile App, Therapeutic Articulations, LLC– OrthoNotes, F.A. Davis Publishing– Mobilization Notes, F.A. Davis Publishing– Mobil-Aider device, Therapeutic Articulations, LLC
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The skilled, passive movement to a joint directed toward restoring
accessory (arthrokinematic) motionParis, 1974
Wise CH & Gulick DT. Mobilization Notes. FA Davis, 2009; used with permission5
Convex-Concave Rule
Direction of joint glide is opposite of the direction of osteokinematicmotion
Wise CH & Gulick DT. Mobilization Notes. FA Davis, 2009; used with permission6
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Concave-Convex RuleDirection of joint glide is in the same direction as osteokinematicmotion
Wise CH & Gulick DT. Mobilization Notes. FA Davis, 2009; used with permission7
Indications for Joint Mobilizations
Improve accessory or physiologic movement
Restore normal articular relationships
Symptom relief & pain control
Enhance motor function
Reduce muscle guarding
Wise CH & Gulick DT. Mobilization Notes. FA Davis, 2009; used with permission8
Wise CH & Gulick DT. Mobilization Notes. FA Davis, 2009; used with permission 99
References• Chang J, Chang Chien C, Chang G, Chung K, Has A. Adaptability of learning on joint mobilization skill with
augmented feedback by using a joint translation simulator. Physiotherapy. 2007;93(s1):S75 • deSouza MS, Venturini C, Teixeira LM, Chagas MH, deResende MA. Force-displacement relationship during
anteroposterior mobilization of the ankle joint. J Manipulative Physiol Ther. 2008;31:285-292 • Gorgos KS, Wasylyk NT, Van Lunen BL, Hoch MC. Inter-clinician and intra-clinician reliability of force
application during joint mobilization: a systematic review. Manual therapy. 2014;19(2):90-6. • Gulick DT. Reliability and Validity of an Innovative Device for ACL Testing: The Mobil-AiderTM. Journal of
Sport Rehab. Accepted March 2019, publication pending• Hattori K, Ogawa M, Tanaka K, Matsuya A, Uematsu K, Tanaka Y. Can joint sound assess soft and hard
endpoints on the Lachman test? Biomedical Materials and Engineering. 2016:27:111-118 • Maitland GD. Peripheral manipulation. 3rd ed. London; Boston: Butterworth-Heinemann; 1991. • Neumann, D. Kinesiology of the Musculoskeletal System, 3rd ed, 2017• Paris, SV, Loubert, PV: Foundations of Clinical Orthopaedics, Course Notes. St. Augustine, FL, Institute
Press, 1990.• Prentice WE. Joint Mobilization and Traction Techniques in Rehabilitation. In: Hoogenboom BJ, Voight ML,
Prentice WE. eds. Musculoskeletal Interventions: Techniques for Therapeutic Exercise, Third Edition New York, NY: McGraw-Hill; 2013.
• Silvernail JL, Gill NW, Teyhen DS, Allison SC. Biomechanical measures of knee joint mobilization. The Journal of manual & manipulative therapy. 2011;19(3):162-71.
• Snodgrass SJ, Rivett DA, Robertson VJ. Manual forces applied during cervical mobilization. J Manipulative Physiol Ther. 2007;30:17-25
• Tragord BS, Gill NW, Silvernail JL, Teyhen DS, Allison SC. Joint mobilization forces and therapist reliability in subjects with knee osteoarthritis. The Journal of manual & manipulative therapy. 2013;21(4):196-206.
• Tuttle N, Jacuinde G. Design and construction of a novel low-cost device to provide feedback on manually applied forces. JOSPT. 2011;41(3):174-179
• Wise CH, Gulick DT. Mobilization Notes: A Rehabilitation Specialist's Pocket Guide. Philadelphia, PA: Davis Publishing; 2009.
• Witt DW, Talbott NR. In-vivo measurements of force and humeral movement during inferior glenohumeralmobilizations. Manual Therapy. 2016;21:198-203
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Post-Course Questions• Dawn T Gulick, PhD, PT, AT, CSCS• [email protected]• www.iortho.xyz
• For PhysicalTherapy.com• Discount Code: PT20• 20% iOrtho+ Mobile App