By Susan L. Edmond, P.T., D.Sc., O.C.S. (Auth.)
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Extra resources for Joint Mobilization/Manipulation. Extremity and Spinal Techniques
For reasons related to patient safety and comfort, glides usually are performed with a grade I traction when feasible to decrease compression forces on the joint surfaces. Nevertheless, some clinicians advocate performing glides with compression23 because this might aid in reducing motion at adjacent joints. If the clinician, while mobilizing/manipulating a joint, perceives that a decrease in force is associated with a relatively large amount of deformation, this is a sign that the tissue being stretched has reached the necking point and is about to reach the breaking point in the stress-strain curve.
2. The guiding hand controls the position of the mobilizing/manipulating hand (see Fig. 3-13). Particulars 1. The clinician should use caution in performing this technique because this motion might be hypermobile. qxd 3/30/06 8:59 AM Page 62 62 CHAPTER 3 FIG. 3-14. Anterior glide of the clavicle on the sternum. ANTERIOR GLIDE OF THE CLAVICLE ON THE STERNUM (Fig. 3-14) Purpose • • • • • To examine for sternoclavicular joint impairment To increase accessory motion into sternoclavicular anterior glide To increase range of motion at the shoulder complex To decrease pain To improve periarticular muscle performance Positioning 1.
Gross AR, Aker PD, Goldsmith CH, Peloso P: Conservative management of mechanical neck disorders: a systematic overview and meta-analysis. Online Journal of Current Clinical Trials 1994;3. 30. Gross AR, Aker PD, Quartly C: Manual therapy in the treatment of neck pain. Musculoskel Med 1996;22:579-598. 31. Hurwitz EL, Aker PD, Adams AH, et al: Manipulation and mobilization of the cervical spine: a systematic review of the literature. Spine 1996;21:1746-1760. 32. Drechsler WI, Knarr JF, Snyder-Mackler L: A comparison of two treatment regimens for lateral epicondylitis: a randomized trial of clinical interventions.
Joint Mobilization/Manipulation. Extremity and Spinal Techniques by Susan L. Edmond, P.T., D.Sc., O.C.S. (Auth.)