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Maitland Mobilisation

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Ranjitha Arumugam
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475 views23 pages

Maitland Mobilisation

Uploaded by

Ranjitha Arumugam
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
  • Maitland Mobilisation: An introductory overview of Maitland Mobilisation, setting the stage for detailed knowledge in subsequent sections.
  • Definition of Mobilisation: Explains mobilisation as a passive movement with rhythm, and outlines its purpose in therapy.
  • Manipulation: Defines manipulation and highlights its role in precise patient positioning and movement.
  • Key Terms: Lists and explains essential terms related to movement used in Maitland techniques.
  • Key Concepts of Maitland Techniques: Introduces the patient-centered approach and the brick wall model as foundational concepts in Maitland techniques.
  • Principle of Assessment: Details the importance of assessing treatment techniques before, during, and after application.
  • Principle of Mobilisation and Manipulation Techniques: Outlines key principles that guide the application of force, direction, and positioning in these techniques.
  • Methods of Mobilisation: Describes several methods, including positioning, treatment plane determination, and ensuring patient relaxation.
  • Concave Convex Rule: Explains the concave-convex rule for joint mobilization with visual references.
  • Grades of Mobilisation: Classifies mobilisation into grades based on movement amplitudes and application ranges, including oscillations.
  • Indication of Maitland Mobilisation: Lists conditions that indicate the use of Maitland mobilisation, supported by various case studies.
  • Contraindication of Mobilisation: Outlines conditions where mobilisation should be avoided to prevent adverse effects.
  • Contraindication of Manipulation: Highlights circumstances that contraindicate manipulation with a focus on vascular issues and injury risks.
  • References: Lists resources and reading materials supporting the techniques and theories discussed.
  • Closing Note: Concludes the presentation with a reminder of the completion and appreciation for engagement.

MAITLAND

MOBILISATION
DEFINITION

MOBILISATION
Maitland defines “mobilisation as passive
movement that is performed with a rhythm and
a grade in a manner in which the patient is able
to prevent the technique from being performed”

Wise C, Beatti P, John S,et ol. Orthopaedic Manual Physical Therapy from art to evidence.2005;17.
MANIPULATION

Manipulation as “an accurately localized,


single, quick and decisive movement of
small amplitude following careful
positioning of the patient”

Wise C, Beatti P, John S,et ol. Orthopaedic Manual Physical Therapy from art to evidence.2025;17.
KEY TERMS

 Accessory Movement

 Physiological Movement

 Injuring Movement

 Overpressure
KEY CONCEPTS OF MAITLAND TECHNIQUES

 Patient centred approach to dealing with movement


disorder
 The brick wall approach
THE PATIENT- CENTERED APPROACH TO DEALING
WITH MOVEMENT DISORDERS

 Through the conscious use of communication


techniques and respect of the individual
experience of a person.
THE BRICK WALL APPROACH
PRINCIPLE OF ASSESSMENT
 The continuous assessment before, during and after the
application of each technique during each treatment
session to session throughout treatment.
 The gentleness of the initial treatment techniques.
 The responses, both during and after application of
treatment must be assessed and analysed before
progressing.
PRINCIPLE OF MOBILISATION
AND MANIPULATION TECHNIQUES

 Rate of force application


 Location in range of available movement
 Direction of force
 Target of force
 Patient position
METHODS OF MOBILISATION

 Place joint in resting position


 Determine treatment plane
 Determine direction of mobilisation using concave
convex rule
 Patient’s body well supported
 Patient and therapist relaxed
 Stabilize one bone and mobilize the other. Usually
stabilize proximal bone
 Contact should not be painful
 Therapist’s hands should be close to joint surfaces as
possible
 Stop the mobilisation test or treatment if too painful
 Initial mobilisation are in the loose pack position
 Assess before and after treatment
CONCAVE CONVEX RULE
concave surface is Convex surface is fixed
fixed and the convex and the concave surface
surface is moving is moving
GRADES OF MOBILISATION
 Grade 1 - Small amplitude movement performed at the
beginning of the range
 Grade 2 - large amplitude movement performed within the
range
 Grade 3 - large amplitude movement performed up to the
range
 Grade 4 - small amplitude movement performed at the limit
of the range
 Grade 5 – high velocity thrust performed at the limit of the
range
INDICATION OF MAITLAND MOBILISATION
PAIN
 HYPOMOBILITY
 POSTURAL DYSFUNCTION

 FOR JOINT MOBILIZATION


CONTRAINDICATION OF MOBILISATION
 Malignancy
 Unhealed or recent fracture
 Excessive pain
 Acute inflammation
 Osteoporosis
 Pregnancy
 Hypermobility
 Dizziness
 Neurological signs
 Spondylolisthesis
CONTRAINDICATION OF MANIPULATION
Vertebrobasilar
insufficiency

Spinal canal stenosis


REFERENCES

 Wise C, Beatti P, John S, et al. Orthopaedic Manual Physical Therapy from art to evidence.2025;17.

 Donatelli A R, Wooden J M. Orthopaedic Physical Therapy. 2001;4 :


 Cook E C. Orthopaedic Manual Therapy An evidence based approach. 2007;1-11.
 Hengeveld E, Banks K. Maitland’s peripheral manipulation. 2005;4:1-25.
 Lee K, Lee K. Effect of maitland mobilisation in cervical and thoracic spine and therapeutics exercise and
functional impairement in individuals with chronic neck pain. The journal of physical therapy
science.2017;29:531-535.
 Kerry R, Taylor A ,Mitchell J, et al. Manual therapy and cervical arterial dysfunction , directions for the
future: A Clinical perspective. The journal of manual and manipulative therapy. 2008; 16:39-48.
 Pozsgai M, Kovesdi E, Nemeth B, et al. clinical effect of end range maitland mobilisation in the
management of knee osteoarthritis: A pilot study. In vivo. 2021;35:1661-1668.
THANK YOU

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