Manipulation and Mobilization

MANIPULATION AND MOBILIZATION

The next stages of manual treatment are manipulation and mobilization. Mobilization serves as a preparatory stage before performing the manipulation. It has a positive effect on joint mobility disorders and acts as a kind of restorer of the functions of the joints. Mobilization is a joint game. Joint play is movements in a joint that are performed with someone else's help. The effect obtained from it is quite large and has a positive effect on the functioning of the joints.

With the help of intense movements made in opposition to resistance, at the end of the movement in the joint, it is easy to remove the “shutter” without carrying out any manipulation movements afterwards.

Mobilization can be not only a preparatory stage for manipulation, but also replace it. A characteristic feature of mobilization is that its use does not lead to a violation of the physiologically possible limits of joint mobility. It is performed with soft, intense movements, combined with the patient’s breathing rate (as you exhale). Mobilization is carried out several times (from 5-7 to 12-18).

The crunching in the joints, which is observed when performing movements, eliminates pain and contributes to the relaxed movements of the patient.

The difference between manipulation and mobilization is that it is a sharp, non-repetitive movement in the joint and is performed in the direction of limiting free movement. The manipulation is performed using a rapid manipulation push in the desired direction, which takes place under the strict supervision of a doctor.

The manipulation push should be made after the onset of pretension at the site of influence: the joint should be in a position that is physiologically the maximum permissible for this movement. It is much easier to achieve pretension using mobilization techniques.

With the help of a manipulative push, the joint can be moved beyond the physiological boundaries of movement, but when applied, it will never go beyond the anatomical boundaries of the joint. Enlargement of anatomical boundaries can lead to injuries affecting the