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Principles of Joint Mobilization Physiopedia(联合动员Physiopedia原则)
Principles of Joint Mobilization
Edward P. Mulligan, MS, PT, SCS, ATC
VP, National Director of Clinical Education
HealthSouth Corporation – Grapevine, TX
Clinical Instructor
University of Texas Southwestern PT Department
Dallas, TX
The contents of this presentation are copyrighted © 2001 by continuing ED. They may not be utilized,
reproduced, stored, or transmitted in any form or by any means, electronic or mechanical, or by any
information storage or retrieval system, without permission in writing from Edward P. Mulligan.
continuing ED
Joint Mobilization
skilled passive
movement of the
articular surfaces
performed by a
physical therapist
to decrease pain
or increase joint
mobility
continuing ED
Presentation Objectives
Define osteokinematic and arthrokinematic motion
Explain the arthrokinematic rules of motion
Detect and classify joint dysfunction
Define the resting and closed pack position of a joint
Understand the treatment application principles
that govern passive joint mobilization
Investigate what the literature suggests regarding
mobilization effectiveness and efficacy
Memorize the morphological and capsular characteris-
tics of each joint
Demonstrate selected joint mobilization techniques
continuing ED
Objective 1
Define osteokinematic and
arthrokinematic motion
continuing ED
Osteokinematics
“Motion You SEE”
observable movements of bones in space as
represented
by a change in the angle of adjacent articular
segments
continuing ED
Arthrokinematics
“Motion You FEEL”
• Unobservable articular accessory motion between
adjacent joint surfaces
roll, glide, and spin
• These accessory motions take place with all
active and passive movements and are necessary
f
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