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1

Why is the Oxford Scale used?

In order to test for power, symmetry and reproduction of symptoms

2

Different types of end feel

soft- soft tissue
hard- joint/bone
spongy- inflamed
soft with hard enfeeble- capsular or ligament stretch

3

Effects of joint mobilisations

improving AROM and PROM and accessory joint movement
increasing the length of the joint
relief of pain
decrease muscle spams

4

Grade 1-2 accessory mobilisations

high severity irritability
high levels of pain
acute condition

5

Grades 3-4 accessory mobilisations

stiffness worse than pain
low to moderate severity/irritability
lower levels of pain

6

Precautions of joint mobilisations

infection
tumour
acute inflammatory process
RA acute flare up
joint instability
hypermobility
fractures/dislocations

7

How to measure isometric strength

Oxford scale

8

What is the Oxford scale?

1- flicker of movement
2- movement of the joint with gravity eliminated
3- movement of the joint against gravity
4-movement against gravity with some resistance
5- movement against gravity with full resistance

9

How do you test ligaments?

accessory movements
if positive there will be pain and excessive movement
laxity or increased movement- rupture of a ligament