medical spinal movement, Lecture notes of Physiotherapy

Download medical spinal movement and more Lecture notes Physiotherapy in PDF only on Docsity! TRANSLATO RIC JOINT PLAY Dr. Asif Islam PT,SMC,UOS. Translatoric joint play  In every joint there are positions in which looseness or slack in the capsule and ligaments allows  small, precise movements of joint play to occur as a consequence of internal and external (e.g.,passive) movement forces on the body.  These joint play movements are an accessory movements not under voluntary control, and are essential to the easy, painless performance of active movement. Joint play  Joint play describes the motions that occur between the joint surfaces, which allows the bones to move. The movements are necessary for normal joint functioning through the ROM and can be demonstrated passively, but they cannot be performed actively by the patient. The movements include  distraction,  sliding,  compression,  rolling,  and spinning of the joint surfaces.  The term arthrokinematics is used when these motions of the bone surfaces within the joint are described.  The purpose of joint mobilization is to restore normal, painless joint function. In restricted joints, this involves the restoration of joint play to normalize the  roll-gliding that is essential to active movement.  In the OMT Kaltenborn-Evjenth Concept we use translatoric (linear) joint play movements in relation to the treatment plane in both evaluation and treatment.  We apply translatoric traction, compression and gliding joint play movements to evaluate joint function .  We apply translatoric gliding and traction mobilizations to restore joint play. The Kaltenborn Treatment Plane  The Kaltenborn Treatment Plane passes through the joint and lies at a right angle to a line running from the axis of rotation in the convex bony partner, to the deepest aspect of the articulating concave surface.  For practical purposes, you can quickly estimate where the treatment plane lies by imagining that it lies on the concave articular surface.  Kaltenborn Convex-Concave Rule (the indirect method)  First determine which bone rotations are decreased and whether the moving joint partner is convex or concave. Then deduce the direction of decreased joint gliding by applying the Convex Concave Rule. ~s wv Fix. 7 - MOBIL. CONVEX RULE — OPPOSITE The night fnrowirg) joint partners surface is conwex. When bone movement is resincted in an woweard oiection (curred arrow). fhe treatraanit direction is downward (two bold arrows). Fix. « 7 MOBIL. E> +> CONCAVE RULE + SAME Tie niga’ (moving)! faint panners surface fs cancave. Mhen bore movenent is resivcted i an wowernd direction (cuned arrow), the freatnent direcihon ss also vwowerds (two bold arrows). Kaltenborn Traction Grading  Grade I (loosen)  Neutralizes pressure in joint without actual surface separation  Produce pain relief by reducing compressive forces  Grade II (slack zone & transitional zone)  Separates articulating surfaces, taking up slack or eliminating play within joint capsule  Used initially to determine joint sensitivity  Grade III (stretch)  Involves stretching of soft tissue surrounding joint  Increase mobility in hypomobile joint Grades of translatoric movement Grade III Stretching Grade | Loosening Grade Il Take up the slack Tighten Slack taken-up SZ = Slack Zone TZ = Transition Zone • Pathological grades of translatoric movement  In the presence of joint pathology, the quality of end-feel is altered and grades of movement may be altered as well. For example,  in the presence of a marked hypomobility the slack is taken up sooner than normal and greater force may be necessary to nullify intra-articular compression forces.  In hypermobility the slack is taken up later than normal and less force may be necessary to achieve Grade I traction. First Stop Grade | First Stop Hypomobile |1Z First Stop Hypermobile TZ = Transition Zone