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

What is Bone? Explain the Classification of bone.

-
Image
What is BONE? Bone is a rigid, highly vascular, dynamic, constantly changing, mineralized connective tissue. It gives characteristic form to the human body. It also gives support to human body. Classification Of Bones: Bones can be classified as following: Developmental Classification Structural Classification Regional Classification According to size and shape. Developmental Classification: This classification includes 3 types: Intramembranous:  In this type the embryonic mesenchyme directly differentiate into bony tissues. It usually occurs in embryo. The characteristic of this type of bone formation is its rapidity of formation, e.g., Bones of the vault of the skull Bones of the face Clavicle. Intracartilagenous:   In it, firstly cartilagenous model of bone is formed which later on transforms into bony tissues. For example, All long bones of the body except clavicle Short bone Irregular bones Membrano-cartilagenous:  At the junction of vault and base of skull the bone...
Read more

Write down the anatomy of Ulna. Also explain its features and muscle attachments?

-
  ULNA The ulna is the medial bone of the forearm. It is homologous with the fibula of the lower limb. It has an upper end, a shaft and a lower end. Features: Upper End: The upper end presents the olecranon and coracoid processes, and the trochlear and radial notches. The olecranon process projects upwards from the shaft. It has superior, anterior, posterior, medial and lateral surfaces. The anterior surface is articular, it forms the upper part of the trochlear notch. The posterior surface forms a triangular sub cutaneous area which is separated from the skin by a bursae. The medial surface is continuous inferiorly with the medial surface of the shaft. The lateral surface is smooth, continues as posterior surface of shaft. The superior surface in its posterior part shows a roughened area. 2. The Coracoid process projects forwards from the shaft just below the olecranon and has four surfaces. The superior surface forms the lower part of the trochlear notch. The anterior surface is ...
Read more