Write down the translatoric joint play movements. Explain normal grades of translatoric movement?

-

Translatoric Joint Play Movements:

The translatoric joint play movements used in the OMT Kaltenborn-Evjenth concept are Traction, Compression and gliding.

Traction:

Traction ( separation ) is a linear translatoric joint play movement at a right angle to and away from the treatment plan. 


Compression:

  • Compression ( approximation ) is a linear translatoric movement at a right angle to and toward the treatment plane.
  •  Compression presses the joint surfaces together. It is useful to differentiate between articular and extra-articular lesions.



Gliding:

  • Translatoric gliding is a joint play movement parallel to the treatment plane. 
  • Translatoric gliding is possible over a short distance in all joints because curved joint surfaces are not perfectly congurent.
  •  Grade 1 traction is always performed simultaneously with a translatoric gliding movement.

Normal Grades Of Translatoric Movement:

Normal grades of translatoric movement gives Pain-relief mobilization, Relaxation mobilization and then Stretch mobilization. There are three grades of Kaltenborn.

Grade-1:  (Loosening)

  • In it, extremely small traction force is applied which produces no appreciable increase in joint separation.
  • Grade-1 is used as a pain-relief mobilization.
Grade-2:  (Tightening)

  • In it, movement first take up the slack in the tissues surrounding the joint and then tightens the tissues.
  • In the slack zone, there is a little resistance to passive movement.
  • In the transition zone, there is more resistance to passive movement.
  • Grade-2 is used to check the sensitivity of joint and used as a relaxation mobilization.
Grade-3:  (Stretching)

  • In it, movement is applied after the slack has been taken up and all the tissues become taut.
  • At this point, a grade-3 stretching is applied over a sufficient period of time can safely stretch the tissues.
  • Grade-3 is used to test the joint-play end-feel.

Manual Grading Of Rotatoric Movement (0 to 6 scale):

These grades are used to check the little ROM of  joints like carpal joints. ROM may then be classified manually using the following scale:

0 = No movement (ankylosis)

1 = Considerable Hypomobile (decreased) movement

2 = Slight Hypomobile (decreased) movement

3 = Normal

4 = Slight Hypermobile ( increased) movement

5 = Considerable Hypermobile (increased) movement

6 = Complete Instability.

Maitland Grades:

Maitland's Grading based on Amplitude of movements. Maitland gives 5 grades. These are as follows:

Grade-1:  In the beginning, Small amplitude oscillatory movement is applied.

Grade-2:  In it, Large amplitude oscillatory movement is applied on spine in resistance free area.

Grade-3: In it, Large amplitude movement is applied in resisted area or up to the limit.

Grade-4: In it, Small amplitude movement applied in resisted area.

Grade-5: (Thrust manipulation) Small amplitude or high velocity thrust is applied in it.

https://www.shutterstock.com/image-photo/chiropractic-osteopathy-treatment-back-pain-relief-1515098585

References:

Manual Mobilization of the joints Volume II( The spine) by Freddy M. Kaltenborn with Olaf Evjenth, Traudi Baldauf kaltenborn, Dennis Morgan and Eileen Vollowiz.

https://www.shutterstock.com/image-photo/chiropractic-osteopathy-treatment-back-pain-relief-1515098585

About Author:

Tayyba Saleem ( PT )

Doctor Of physical Therapy.





Comments

Post a Comment

Popular posts from this blog

Write a note on Faradic current? Explain its physiological effects and indications.

-
  FARADIC CURRENT: A Faradic current is a short-duration interrupted direct current with a pulse duration of 0.1-1 ms and a frequency of 50-100 Hz. Modified Faradic Currents: Modified faradic currents include the surging of current. they produce a near-normal tetanic like contractions and relaxation. The current is surged , so that intensity of impulses increases gradually. The circuit can b modified by giving surges of different durations and frequencies. Various forms of surges may b available, which are trapezoidal, triangular and saw-tooth impulses. Physiological Effects : The physiological effects of faradic currents are as follows: 1. Stimulation Of Sensory nerves:                                                           When a current of faradic type is applied to the body, a mild prickling sensation is felt. This is due to the stimulation of sensory nerves. The sensory stimulation causes a reflex vasodilation of the superficial blood vessels, thats why slight reddening of ski
Read more

Define Range of motion. Write down the types and normal Ranges of motion.

-
  Range OF Motion: It is defined as, the full motion which is possible to perform is called ROM.  It is a basic technique used for the examination of movement and for initiating movement into a program of therapeutic intervention.  Active Insufficiency: When a two-joint muscles functioning at elbow is the biceps brachii muscle, if it contracts and moves the elbow into flexion and the forearm into supination while simultaneously moving the shoulder into flexion, it shortens to a point. Passive Insufficiency: The muscle is lengthened full range by extending the elbow, pronating the forearm, and simultaneously extending the shoulder. Types Of ROM Exercises: Passive ROM Active ROM Active-Assistive ROM. Passive ROM: Passive ROM is movement of a segment within the unrestricted ROM that is produced entirely by an external force, there is little to no voluntary muscle contraction.  The external force may be give with a gravity, machine and other individual.  Indication for PROM: When there i
Read more