Mobilizations: Concave vs. Convex - Upper Body

Convex on concave

Roll and side in OPPOSITE direction

Concave on convex

Roll and slide in SAME direction

TMJ - What structures are concave/convex?

- Convex: Mandible head

- Concave: Mandibular fossa of temporal bone

*Mandible head on Mandibular fossa of temporal bone

TMJ - Direction of roll/slide in elevation (closing)

Rolls: anterior

slides: posterior

TMJ - Mob glide to increase motion for elevation (closing)

posterior glide

TMJ - Direction of roll/slide in depression (opening) *Early and Late Phase*

-Early phase: Posterior roll and anterior slide

-Late phase: condyle and disc slide together in a forward and inferior direction

TMJ - Mobilization glide to increase motion in depression (opening)

anterior glide

TMJ - Arthrokinematics of protrusion

Mandibular condyle and disc translate anteriorly

TMJ - arthrokinematics of retrusion

Mandibular condyle and disc translate posteriorly

TMJ - Arthrokinematics of L lateral excursion

-L condyle forms a pivot point,

-R condyle rotates anteriorly & medially

SC joint - What is convex/concave for elevation/depression?

-Convex: clavicle

-concave: sternum

SC joint - What is convex/concave for Protraction/Retraction

- Convex: Sternum

- Concave: Clavicle

SC joint - Rolls/slides for elevation

Rolls: Superior

Slides: Inferior

SC joint - Mob glide to increase motion in elevation

inferior

SC joint - Rolls/slides for depression

Rolls: Inferior

Slides: Superior

SC Joint- Mob glide to increase motion in depression

superior

SC joint - Rolls/slides for protraction

Rolls: Anterior

Slides: Anterior

SC Joint- Mob glide to increase motion in protraction

Anterior

SC joint - Rolls/slides for retraction

Rolls: Posterior

Slides: Posterior

SC Joint- Mob glide to increase motion in retraction

posterior

GH Joint - What is concave/convex?

- Convex: Humerus

- Concave: Glenoid Fossa

*Humerus on Glenoid Fossa

GH joint - Rolls/slides for flexion

Rolls: Anterior

Slides: Posterior

GH Joint - Mob glide to increase motion for flexion

posterior

GH joint - Rolls/slides for extension

Rolls: Posterior

Slides: Anterior

GH Joint - Mob glide to increase motion for extension

anterior

GH joint - Rolls/slides for abduction

Rolls: Superior

Slides: Inferior

GH Joint - Mob glide to increase motion for abduction

inferior

GH joint - Rolls/slides for adduction

Rolls: Inferior

Slides: Superior

GH Joint - Mob glide to increase motion for adduction

superior

GH joint - Rolls/slides for IR

Rolls: Anterior

Slides: Posterior

GH Joint - Mob glide to increase motion for IR

Posterior

GH joint - Rolls/slides for ER

Rolls: Posterior

Slides: Anterior

GH Joint - Mob glide to increase motion for ER

Anterior

GH joint - Rolls/slides for horizontal abduction

Rolls: Posterior

Slides: Anterior

GH Joint - Mob glide to increase motion for horizontal abduction

anterior

GH joint - Rolls/slides for horizontal adduction

Rolls: Anterior

Slides: Posterior

GH Joint - Mob glide to increase motion for horizontal adduction

posterior

Radiohumeral Joint - what is concave/convex?

-Concave: radial head

-Convex: capitulum

* Radius on Humerus

Radiohumeral joint - Rolls/slides in flexion

Rolls: Anterior

Slides: Anterior

radiohumeral joint - mob glides to increase motion in flexion

anterior

Radiohumeral joint - Rolls/slides in extension

Rolls: Posterior

Slides: Posterior

radiohumeral joint - mob glides to increase motion in extension

posterior

proximal radioulnar joint - what is convex/concave?

- Convex: Radius

- Concave: Ulna

*Radius on Ulna

Proximal radioulnar joint - rolls/slides in pronation

Rolls: Anterior

Slides: Posterior

Proximal radioulnar joint - mob glide to increase motion in pronation

posterior

Proximal radioulnar joint - rolls/slides in supination

Rolls: Posterior

Slides: Anterior

Proximal radioulnar joint - mob glide to increase motion in supination

anterior

distal radioulnar joint - what is concave/convex?

- Convex: Ulna

- Concave: Radius

*Radius on Ulna

distal radioulnar joint - rolls/slides in pronation

Rolls: Anterior

Slides: Anterior

distal radioulnar joint - mob glide to increase motion in pronation

anterior

distal radioulnar joint - rolls/slides in supination

Rolls: Posterior

Slides: Posterior

distal radioulnar joint - mob glide to increase motion in supination

posterior

Wrist Joint/Radiocarpal Joint - what is convex/concave?

- Convex: Proximal carpal row

- Concave: Radius

*Carpals on Radius

Wrist Joint/Radiocarpal Joint - rolls/slides in flexion

Rolls: Anterior

Slides: Posterior

Wrist Joint/Radiocarpal Joint - mob glide to increase motion in flexion

posterior

Wrist Joint/Radiocarpal Joint - rolls/slides in extension

Rolls: Posterior

Slides: Anterior

Wrist Joint/Radiocarpal Joint - mob glide to increase motion in extension

anterior

Wrist Joint/Radiocarpal Joint - rolls/slides in ulnar deviation

Rolls: Ulnar/Medial

Slides: Radial/Lateral

Wrist Joint/Radiocarpal Joint - mob glide to increase motion in ulnar deviation

Radial/lateral

Wrist Joint/Radiocarpal Joint - rolls/slides in radial deviation

Rolls: Radial/Lateral

Slides: Ulnar/Medial

Wrist Joint/Radiocarpal Joint - mob glide to increase motion in radial deviation

ulnar/medial glide

MCP Joint - What is concave/convex?

- Convex: Metacarpals

- Concave: Proximal Phalanx

*Proximal phalanx on metacarpals

MCP Joint - Rolls/slides in flexion

Rolls: Anterior

Slides: Anterior

MCP Joint - Mob glide to increase motion in flexion

anterior

MCP Joint - Rolls/slides in extension

Rolls: Posterior

Slides: Posterior

MCP Joint - Mob glide to increase motion in extension

posterior

MCP Joint - Rolls/slides in abduction

Rolls: Lateral

Slides: Lateral

MCP Joint - Mob glide to increase motion in abduction

lateral

MCP Joint - Rolls/slides in adduction

Rolls: Medial

Slides: Medial

MCP Joint - Mob glide to increase motion in adduction

medial

What type of joint is the CMC of the thumb?

Saddle joint

CMC of the thumb - what is concave/convex?

abduction/adduction

-concave: trapezium

-convex: proximal metacarpal for

flexion/extension

-concave: proximal metacarpal

-convex: trapezium

CMC of thumb - rolls/slides in flexion

Rolls: Ulnar

Slides: Ulnar

CMC of the thumb - mob glide to increase motion in flexion

ulnar

CMC of thumb - rolls/slides in extension

Rolls: Radial

Slides: Radial

CMC of the thumb - mob glide to increase motion in extension

radial

CMC of thumb - rolls/slides in abduction

Rolls: Volar

Slides: Dorsal

CMC of the thumb - mob glide to increase motion in abduction

dorsal

CMC of thumb - rolls/slides in adduction

Rolls: Dorsal

Slides: Volar

CMC of the thumb - mob glide to increase motion in adduction

volar