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RMTs and JOINTs Part 1

  • RMTs and JOINTs (a point of articulation between two or more bones ☠️)

    CHIROPRACTORS provide joint 💠MANIPULATION (Grade V): which is a passive, HIGH velocity, low amplitude (HVLA) THRUST applied to a joint complex. Moving the joints of the spine beyond a person's usual physiological ROM with the intent to restore optimal motion, function, and/ or to reduce pain. Sometimes accompanied by an audible “crack or pop”

    RMTs (Physios and Chiros) provide joint Ⓜ️MOBILIZATION (Grade I, II, III, IV): which is an application of passive movements to the joint complex that are applied at varying speeds and amplitudes. May include a small-amplitude/ high velocity therapeutic movement within the healthy physiological parameters of the joint with the intent to restore optimal motion, function, and/or to reduce pain
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    Ⓜ️Grade I & II Joint mobilizations ☠️
    Have a neurophysiological effect on the joint and surrounding tissue; can be used daily and provides-
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    ✔️Pain relief through neuromodulation of the sensory innervation of the joint’s mechanoreceptors and pain receptors
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    ✔️Uses Gate Theory and the inhibition of transmission of nocioceptive stimuli at the level of the spinal cord and brain stem .
    ✔️Neutralizes joint pressure
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    ✔️Helps to prevent grinding/correction of minor subluxations
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    👊🏼 Main aim? Pain reduction
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    Ⓜ️Grade III & IV Joint mobilizations ☠️
    Have a mechanical effect; are used 3-5 times/week to treat stiffness or hypomobility. You can expect-
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    ✔️Increased Range of Motion through promotion of capsular mobility and plastic deformation
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    ✔️Mechanical distension and/or stretching of shortened tissue
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    👊🏼 Main aim? Mechanical changes to a hypomobile joint
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    Once an RMT has positioned the joint correctly either oscillations at 1-5 sets of 5-60 seconds are applied or prolonged holds at 1-5 reps for 5-30 seconds are applied depending on the therapeutic goals of the mobilization
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    Each joint mobilization requires a thorough understanding of the anatomical structures of the articulating joint surfaces and the resultant voluntary osteokinamatic and involuntary arthokinematic movements available at the juncture.....
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    CONTINUED IN PART ✌🏼

  • Manual therapy combined with supervised clinical exercise resulted in superior outcomes to exercise alone in patients with shoulder impingement syndrome -Bang, et al J ortho phys ther 30:126-138,2000

  • Mobilization decreased 24 hour Pain and pain associated with subacromial compression test in patients with shoulder impingement syndrome -Conroy, et al J ortho phys ther 28:3-14,1998

  • End range mobilization techniques increased mobility in patients with adhesive capsulitis -Vermeulen, et al phys ther 80:1204-1211,2000

  • The only effective treatment modality for adhesive capsulitis is mobilization and exercise therapy -Nicholson J ortho sports phys ther 6:238-246,1985

     

     

     

     

     

     

     

     

     

     

     

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303-1890 Cooper Rd. | Kelowna,BC