Mobs

Question 1

Why do a joint mob?

Answer 1

More for chronic than acute (dependent on P>R)

Restore a lost ROM

Increase ROM

Reduce capsule tightness

Muscle lengthening (possibly)

Decrease pain

Encourage bone/cartilage changes

Placebo effect? (BPS)

Question 2

What are SIN factors?

Answer 2

Severity - Intensity of symptoms

Irritability - how quickly does the pain come on/go?

Nature - of injury

Question 3

Discuss ‘Severity’ of the SIN Factors

Answer 3

Intensity of symptoms (low, moderate, high):

• Constant v intermittent
• Pain scale (at it’s best and worst)
• Night symptoms
• Level of medication
• Level of function
• Ability to work

Question 4

Discuss Irritability of the SIN Factors

Answer 4

(low, moderate, high)

• Aggs and eases
• How long the symptoms take to come on with an activity (what type of activity)
• How long the symptoms take to go
• How irratated does it become during the activity

Question 5

Discuss Nature of the SIN Factors

Answer 5

What tissue is involved? BPS?

Pain mechanisms (central/peripheral/chronic)

Stage of healing (acute/chronic)

Question 6

What guides the mob treatments?

Answer 6

Whether P>R, R>P or P=R

The patient’s SIN factors

Question 7

Mob treatment duration?

Answer 7

3x30 seconds - 2 minutes

Low SIN factor - longer treatment with more sets

High SIN factor - shorter treatment with less sets

Question 8

What are the grades for mobs?

Answer 8

(P>R) High SIN factor
Grade 1: Smaller movement performed at the beginning of range

Grade 2: Larger movement into resistance free part of range

(R>P) Low SIN factor
Grade 3: Larger movement performed into resistance part of range to limit of range

Grade 4: Smaller movement performed well into full resistance