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Home Exercises

Mobilization with Movement

by adminp
August 10, 2021
in Exercises
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~Mobilization with movement (MWM) is the concurrent application
of sustained accessory mobilization applied by a
therapist and an active physiological movement to end-range
applied by the patient. Passive end-of-range overpressure, or
stretching, is then delivered without pain as a barrier. The
techniques are always applied in a pain-free direction and
are described as correcting joint tracking from a positional
fault.

  • Principles of Application
  • MWM is the concurrent application of pain-free accessory mobilization with active and/or passive physiological movement

โ–  No contraindication for manual therapy exists (described
earlier in the chapter).
โ–  A full orthopedic examination has been completed, and
evaluation of the results indicate local musculoskeletal pathology.
โ–  A specific biomechanical analysis reveals localized loss of movement and/or pain associated with function.
โ–  No pain is produced during or immediately after application
of the technique

  • Principles of Application
  • A comparable sign is a positive test sign that can be repeated after a therapeutic maneuver to determine the effectiveness of the maneuver
  • A comparable sign may include loss of joint play movement, loss of ROM, or pain associated with movement during specific functional activities, such as lateral elbow pain.
  • Principles of ApplicationUtilizing knowledge of joint anatomy and mechanics, a sense of tissue tension, and sound clinical reasoning, the therapist investigates various combinations of parallel or perpendicular accessory glides to find the pain-free direction and grade of accessory movement. This may be a glide, spin, distraction, or combination of movements. This accessory motion must be pain-free.

Principles of Application

  • Repetitions. The previously restricted and/or painful motion or activity is repeated 6 to 10 times by the patient while the therapist continues to maintain the appropriate accessory mobilization.
adminp

adminp

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