Mobilisation and Manipulation Use And Contraindications In Physiotherapy!
What is manipulation?
Mobilisation and manipulation is same meaning. This is passive, skilled manual therapy techniques applied to joint.
Type of mobilization
- Self mobilization or (auto mobilization)
- Mobilisation with movement
- Physiological movement
- Accessories movement
Thrust - this is high velocity, short amplitude motion such as pt can't prevent it
Manipulation under anesthesia- this is medical procedures
Benifit of mobilization - improve range of motion, reduce pain, improve the mechanics of joint to help with things such as lifting your arm, bending your spine and walk
Note- mobilization can't change a disease process/ inflammation process but it can minimise pain, maintained joint play and reduce mechanical limitations
Indications of mobilization: pain muscles guarding and spasms
- Reversible jt hypomobility
- Positional fault and sublaxtion
- Progressive limitations
- Functional immobility
- Contraindications for mobilization: inflammatory arthritic
- Malignancy
- Tuberculosis
- Osteoporosis
- Ligamentum rupture
- Herniated disk with nerve compression
- Bone disease
- Neurological involvement
- Bone fracture
- Congenital bone deformity
- Vascular disorders
- Joint effusion.
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