Joint Mobilizations

contraindications

• Hypermobility

• Joint effusion

• Inflammation

precautions

• Malignancy

• Bone disease

• Unhealed fx

• Excessive pain

• Hypermobility of associated joints

• Weak connective tissue

• RA

Grade I Mobilization

small amplitude movement at the beginning of the available range of movement

Grade II Mobilization

large amplitude movement at within the available range of movement

Grade III Mobilization

large amplitude movement that moves into stiffness or muscle spasm

Grade IV Mobilization

small amplitude movement stretching into stiffness or muscle spasm

GH joint (Shoulder) - Posterior Glide

Purpose: ↑ Internal rotation, flexion
Direction: Humeral head glides posteriorly

GH joint (Shoulder) - Anterior Glide

• Purpose: ↑ External rotation, extension

• Direction: Humeral head glides anterior

GH Joint (Shoulder) - Inferior Glide

• Purpose: ↑ Abduction

• Direction: Humeral head glides inferior

GH Joint (Shoulder) - Posterior Glide

• Purpose: ↑ Internal rotation, flexion

• Direction: Humeral head glides posterior

Humeroulnar Joint (Elbow) - Distraction

• Purpose: ↑ Flexion + extension

• Direction: Ulna distracted distally

Prox. Radioulnar Joint (Elbow/Forearm) - Radial Head Anterior Glide 

• Purpose: ↑ Supination

• Direction: Radial head glides anterior

Prox. Radioulnar Joint (Elbow/Forearm) - Radial Head Posterior Glide 

• Purpose: ↑ Pronation

• Direction: Radial head glides posterior

Femoroacetabular Joint (Hip) - Inferior/Caudal Glide

• Purpose: ↑ Flexion, general ROM

• Direction: Femoral head glides inferior

Femoroacetabular Joint (Hip) - Posterior Glide

• Purpose: ↑ Flexion, internal rotation

• Direction: Femoral head glides posterior

Femoroacetabular Joint (Hip) - Anterior Glide

• Purpose: ↑ Extension, external rotation

• Direction: Femoral head glides anterior

Tibiofemoral Joint (Knee) - Posterior Glide

• Purpose: ↑ Flexion

• Direction: Tibia glides posterior

Tibiofemoral Joint (Knee) - Anterior Glide

• Purpose: ↑ Extension

• Direction: Tibia glides anterior

Patellofemoral Joint (Kneecap) - Superior Glide

• Purpose: ↑ Extension

• Direction: Patella glides superior

Patellofemoral Joint (Kneecap) - Inferior Glide

• Purpose: ↑ Flexion

• Direction: Patella glides inferior