NPTE Roll and Glides for joint mobilizations

What is the pattern to remember for joint mobilizations?

It alternates Opp and Same so

Shoulder- opp

Elbow- same

Proximal RU- opp

Distal RU- same

Wrist- opp

Fingers- same

Hip- opp

Knee- same

Ankle- opp

Toes- same

Shoulder

Opp roll and glide

To improve joint arthrokinematics perform:

Inferior for ABD

Posterior for early flexion (0-45 deg)

Posterior for IR

Posterior for Horizontal ADD

Anterior for extension/ER

Anterior for horizontal ABD

Anterior for late flexion (120-180 deg)

Elbow

Same roll and glide

To improve joint arthrokinematics perform:

Anterior for flexion

Posterior for extension

Proximal Radioulnar joint

Opp roll and glide

To improve joint arthrokinematics perform:

Posterior for pronation

Anterior for supination

Distal Radioulnar joint

Same roll and glide

To improve joint arthrokinematics perform:

Anterior for pronation

Posterior for supination

Radiocarpal

Opp roll and glide

To improve joint arthrokinematics perform:

Anterior for extension (volar)

Posterior for flexion (dorsal)

Ulnar for radial deviation

Radial for ulnar deviation

Fingers

Same roll and glide

To improve joint arthrokinematics perform:

Anterior for flexion

Hip

Opp roll and glide

To improve joint arthrokinematics perform:

Inferior/caudal for ABD

Anterior for ER/ext

Posterior for flexion/IR

Knee

Knee roll and glide

To improve joint arthrokinematics perform:

Anterior for extension/medial/lateral

Posterior for flexion

Ankle

Opp roll and glide

To improve joint arthrokinematics perform:

Posterior for DF

Anterior for PF

Toes

Same roll and glide

To improve joint arthrokinematics perform:

Anterior for extension

CMC for flexion/ext

Same roll and glide

To improve joint arthrokinematics perform:

Ulnar glide for flexion

Radial glide for extension

CMC for ABD/ADD

Opp roll and glide

To improve joint arthrokinematics perform:

Posterior for ABD

Anterior for ADD

Subtalar

Opp roll and glide

To improve joint arthrokinematics perform:

Medially for Eversion

Laterally for inversion