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Welcome
An introduction to mobilisation and manual therapy for
sports and massage therapists
• Hinge
• Condyloid
• Saddle
• Gliding
Anterior-posterior axis
Mediolateral axis
Longitudinal axis
• This can only occur when the two joint surfaces are
incongruent
• Analogy: wheel
Used to assess:
• Normal end-feel
• Abnormal end-feel
• Shoulder
• Hip
• Knee
• Lumbar Spine (AROM)
• Ankle
• Cervical Spine
Descending inhibition
Synovial sweep
• Functional movement
- a-beta fibres
Responsible for “sharp” pain, large diameter and
myelinated, fast transmission fibre
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Pain gate theory (PGT)
- a-Delta fibres
Small diameter and myelinated, responsive to vibration
and light touch – fast reactive
- C – fibres
Small diameter and un-myelinated, throbbing or burning,
slow
• Pain is sensed
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Descending inhibition
• Mobilisations have shown to stimulate areas if the brain,
instrumental in experience of pain
• The doral area of PAG and RVM, have been shown to selective
produce analgesia to cause sympatho-excitation and the
release of endorphins
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Increased local blood flow
Increased nutrition supply
• Diagnosis?
• What mobilisations would you perform to relieve symptoms?
• How many oscillations would you perform?
• Diagnosis?
• What mobilisations would you perform to relieve symptoms?
• How many oscillations would you perform?
• Diagnosis?
• What mobilisations would you perform to relieve symptoms?
• How many oscillations would you perform?
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