Maitland Mobilization Grades

[@adders1415]

Great video guys! Nice analogy with the boat tied up at the dock. Any videos on how to perform mobilisations with good technique would be really helpful!

[@Physiotutors]

Gonna come soon for sure!

[@davidecasiraghi1983]

I missed an explanation of R1 and R2. I guess R1 is the end of the slack and R2 Is the end of range. Am I correct ?

[@kimplummerlmt]

Awesome summary! Made the concept easy to understand☺️

[@leahsoufian6670]

thank you for this video. I was wondering what you mean by short or large amplitude? Thank you

[@amanyabdelhakem2889]

I love you guys 😊

[@maikatay]

Wow very easy to understand the concept. Thank you so much :)

[@omniaibrahim8689]

thanks for great video can you please do video of mainland mobilization grades for joint replacement?

[@Physiotutors]

You're welcome Omnia! We'll post a lot of joint mobilization videos for the extremities in the near future.

[@omniaibrahim8689]

+Physiotutors thanks a lot😊

[@zaffarkhan3864]

👌👌👌👌👌

[@davidstrang3575]

Great video! Thanks. For someone with pain arc (shoulder abduction) 140-180. Would you advise a grade 3 physiological mobilisation? I know that grade 3 is normally for increasing ROM but given the angle of pain. There is no joint restriction.

[@matrengarajan1606]

Hi thank you very much for nice explanation. What grade to use to assess accessory movement?

[@Physiotutors]

Ur welcome Mathan. What you do is that you roll-glide to end-range and assess for the end-feel. In a hypomobile joint the glide component is usually reduced compared to the roll component so you could try to glide further at end range. This would be grade IV.

[@helenblu2676]

very helpful video ! What is the difference between physiological and accessory mobilisations. Could they be used in conjunction or for different purposes

[@Physiotutors]

PAIVMs/accessory are just PA pressure to determine stiffness and basically just create a gap/compression. PIVMs/physiological are the mobilizations we use personally. They better mimick what is actually happening in the joint during movements of daily living

[@Physio2uLeeds]

@@Physiotutors this is not a good answer to the question. You have not clearly explained the difference. Additionally, accessory movements are also part of what is actually happening in the joint during normal movements! Without the accessory glides of the gleno-humeral joint you cannot achieve a full range of physiological movement in a shoulder - as just 1 example.

[@floralbouqcake]

Hi! Can you please do a video on lumbar lateral flexion and rotation sustained positioning? What segments would you put on top to open up the painful segment? Thanks! :)

[@Physiotutors]

Hi Jennie, not exactly sure what you mean and in which condition. We've created a bunch of lumbar spine assessment videos so far based on everything we've covered in our Master's program. Have you had a look at those yet?

[@factlife9878]

How mobilization improves ROM?

[@Physiotutors]

Most probably due to modulation of the nervous system. Prolonged end-range mobilization might have a physiological effect on the collagen fibers of a joint capsule too.

[@tanvipatole596]

Hi nice and very helpful videos!! Can you please explain closing and opening pattern in the spine?

[@Physiotutors]

Happy you like it Tanvi! That's a good suggestions - do you mean closing as in the intervertebral foramen or facet joints?

[@tanvipatole596]

Facet

[@Physiotutors]

Might even film such a video on coming tuesday - great suggestion!

[@tanvipatole596]

Sounds good.. Will be waiting.. Thanks :)

[@דרורניב-מ7ה]

Hi, do you have a recommendation for a book that expands the knowledge about Maitland?

[@jasleenkaurdarroch1864]

Great video and best way to explain it

[@aradhyamishra7364]

Im only understand u

[@รุ่งรวีบรรทัดฐาน]

Sir . Is that have the different of period and reps between grade? Do it use the same dose of treatment? I’m really confused about that

[@neemachauhan8703]

A a

[@homanchoy5161]

Great video!!!! always the best choice for reviewing knowledge

[@sadbird1720]

but these are the grades of kalternborn + maitland..?

[@Physiotutors]

It was intended on Maitland. What should be different according to you?

[@sadbird1720]

@@Physiotutors bcz first you had explain kalternborn then u explain Maitland in the video

[@captknuckles9723]

@@sadbird1720 are you talking about the boat metaphor? That’s still Maitland

[@نعمهالسيد-ب8ذ]

Which grade of these we use sir, during acute stage of frozen shoulder?! also mobilization technique indicated with hypersensitive patient or not? Thanks alot

[@Physiotutors]

In the acute stage, you should not mobilize but consider corticosteroid injection. Mobilizations can be applied later on in the frozen + thawing phase.

[@arrijz2790]

Isn't it kaltenborn?

[@fahimlodhi4170]

This may sound like a dumb question, but are grades 3 and 4 for increasing the ROM? Sorry having a brain fart.

[@Physiotutors]

Yes, although they certainly have their effect on pain modulation as well.

[@hypeboy5946]

Can you perform grade III and grade IV at the same time on the same patient? The goal is to increase ROM.

[@Physiotutors]

Sure, in practice we do mix it up with muscle energy techniques / hold-relax etc.

[@amylau8181]

The range of motion is referring pathological ROM or normal ROM ?

[@Physiotutors]

Normal

[@mohamedshalabi7149]

Thanks

[@maryamjunaidmeer498]

always a rescuer...thumbs up...

[@Physiotutors]

✊✊✊

[@ericterrell7486]

Good stuff. As a chiropractor there is so much good info here from you guys. Much appreciated.

[@hamzanafees3664]

isn't it kaltenborn grades???

[@Physiotutors]

Nope, have a look at this: bit.ly/2QVUZdx

[@Johnconnollyefc]

Hi Guys How would you answer this question? 1. What phase of the stress strain curve is a: a. Grade I b. Grade II c. Grade III d. Grade IV mobilisation Thanks

[@Physiotutors]

Would love to post a graph here to illustrate. Grade I: Working within the slack (probably no strain) Grade II: Slack is taken up (maybe 1% of strain) Grade III+IV: Stretching beyond slack, but all still happening in the toe phase so maybe (2-3% strain max) All info is based on Bogduk - Clinical Anatomy of the lumbar spine and sacrum

[@Johnconnollyefc]

@@Physiotutors Thanks guys, saved me for my training in my new job :)