PASSIVE MANUAL MOBILIZATION
AND MANIPULATION
PRINCIPLES AND EFFECTS AND USES
MOBILIZATION OF JOINTS:
• Small repitative rhythmical oscillatory,localized
accessory functional movements.
• Performed by physiotherapist.
MANIPULATION OF JOINTS:
• These are accurately localized single quick
movement of small amplitudeand high velocity
completed before the patient can stop it.
PRINCIPLES:
• Position patient to achieve maximal relaxtion.
• Comfortably room temperature with patient
properly drapped.
• Confident,firm,comfortable hand hold.
• Articulate initially in resting positionand then
chase end range.
• Use good body mechanics.
• Allow gravity to assist.
• Short lever arms and hands as close to joint as
possible.
• Mobilize below the pain threshold.
• Our body and mobilizing part act as one unit.
• Avoid muscle guarding.
• Articulate in opposite direction if needed.
EFFECTS AND USES:
• Modulate pain
• Increase joint stability to stiff joints and range
of motion.
• Improve tissue repair.
• Improving tissue stability and extensibility.
• Reduce soft tissue inflammation.
• Reduce muscle tension.
• Induce relaxation.
• Facilitate movement and exercise therapy.