Mobilising Flashcards
(10 cards)
What is the purpose of joint mobilisation?
To prevent or reverse reduced range of movement (ROM), restore function, and target structural and neural mechanisms.
List three methods of joint mobilisation.
Active exercise, assisted exercise (e.g. gravity-, auto-, therapist-assisted), and passive stretching or movements.
What is the ‘window of opportunity’ in joint mobilisation?
A period within 6–12 weeks post-immobilisation where plastic deformation of tissues is possible and ROM can be most effectively restored.
What are the effects of through-range mobilisation?
Increased synovial fluid volume and movement, improved cartilage lubrication, and reduced resistance to movement.
What are the effects of end-range mobilisation?
Increased stretch tolerance, reduced antagonist activity, pain modulation, collagen synthesis, and potential plastic tissue deformation.
How does static stretching affect joint ROM?
It increases maximum joint ROM, mainly by increasing stretch tolerance rather than changing muscle tensile properties.
What is PNF stretching?
Proprioceptive Neuromuscular Facilitation involves contracting and relaxing the antagonist muscle to increase ROM and stretch tolerance.
What are key features of an effective mobilising programme?
Includes through- and end-range movement, frequent repetition, gravity-assistance, minimal inertia/friction, and large, fast, continuous movements.
How do Newton’s Laws apply to mobilisation exercises?
Law 1 (Inertia): Start movement with assistance; Law 2 (Motion): Speed up to increase force; Law 3 (Action-Reaction): Minimise friction for smoother motion.
What considerations help ensure practical mobilisation exercises?
Ease of patient positioning, use of assistance, exercise frequency, intensity, and sustained holds to maximise effect.
