Maitland

Question 1

what is an accessory movement

Answer 1

Accessory or joint play movements are joint movements which cannot be performed by the individual. These movements include roll, spin and slide which accompany physiological movements of a joint. The accessory movements are examined passively to assess range and symptom response in the open pack position of a joint. Understanding this idea of accessory movements and their dysfunction is essential to applying the Maitland concept clinically

Question 2

Physiological movement

Answer 2

The movements which can be achieved and performed actively by a person and can be analysed for quality and symptom response

Question 3

list the directions a glide can be performed in

Answer 3

AP
PA
longitudinal caudad
longitudinal cephalad
joint distraction 
Medial Glide 
Lateral Glide

Question 4

Grade 1

Answer 4

small amplitude movement at the beginning of the available range of movement

Question 5

Grade 2

Answer 5

large amplitude movement at within the available range of movement

Question 6

grade 3

Answer 6

large amplitude movement that reaches the end range of movement

Question 7

Grade 4

Answer 7

small amplitude movement at the very end range of movement

Question 8

Grade 1 & 2 are for

Answer 8

decreasing pain and symptoms

Question 9

Grade 3 & 4 are for

Answer 9

stretch the joint capsule and passive tissues that stabilise the joint

Question 10

Rate of mobilisation

Answer 10

2Hz 120x/min

Question 11

Pain gate theory

Answer 11

• fall over - release of neurotransmitters (eg. adrenaline)
  -larger nerve fibres (proprioception/tactile) activated over smaller (type C) fibres
  Cortex receive stimulus through larger nerve fibres, therefore blocking C fibre input
  -