Maitland Mobilization Grades

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This video discusses the 4 grades of mobilization according to Maitland, the terms slack and when collagen suffers macro failure. Also implications for treatment.
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This is not medical advice! The content is intended to be educational only for health professionals and students. If you are a patient, seek care of a health care professional.

Опубликовано:

20 июл 2024

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Комментарии : 54

@adders1415 6 лет назад

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 6 лет назад

Gonna come soon for sure!

@kimplummerlmt 3 года назад

Awesome summary! Made the concept easy to understand☺️

@maikatay 3 года назад

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

@homanchoy5161 2 года назад

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

@davidstrang3575 4 года назад

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.

@jasleenkaurdarroch1864 4 года назад

Great video and best way to explain it

@leahsoufian6670 2 года назад

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

@floralbouqcake 5 лет назад

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 5 лет назад

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?

@amanyabdelhakem2889 3 года назад

I love you guys 😊

@matrengarajan1606 5 лет назад

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

@Physiotutors 5 лет назад

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 5 лет назад

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

@Physiotutors 5 лет назад

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 Год назад

@@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.

@maryamjunaidmeer498 5 лет назад

always a rescuer...thumbs up...

@Physiotutors 5 лет назад

✊✊✊

@tanvipatole596 6 лет назад

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

@Physiotutors 6 лет назад

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

@tanvipatole596 6 лет назад

Facet

@Physiotutors 6 лет назад

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

@tanvipatole596 6 лет назад

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

@mohamedshalabi7149 2 года назад

Thanks

@omniaibrahim8689 5 лет назад

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

@Physiotutors 5 лет назад

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

@omniaibrahim8689 5 лет назад

+Physiotutors thanks a lot😊

@zaffarkhan3864 5 лет назад

👌👌👌👌👌

@user-uo6kw2ix1h 3 года назад

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

@user-ez2mp1ob3h 7 месяцев назад

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

@ericterrell7486 7 месяцев назад

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

@davidecasiraghi1983 Месяц назад

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 ?

@user-kr4ky1fi8j 3 года назад

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 3 года назад

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

@hypeboy5946 3 года назад

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

@Physiotutors 3 года назад

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

@amylau8181 4 года назад

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

@Physiotutors 4 года назад

Normal

@factlife9878 5 лет назад

How mobilization improves ROM?

@Physiotutors 5 лет назад

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.

@arrijz2790 2 года назад

Isn't it kaltenborn?

@sadbird1720 4 года назад

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

@Physiotutors 4 года назад

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

@sadbird1720 4 года назад

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

@captknuckles9723 3 года назад

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

@fahimlodhi4170 6 лет назад

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

@Physiotutors 6 лет назад

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

@aradhyamishra7364 Год назад

Im only understand u

@neemachauhan8703 Год назад

A a

@Johnconnollyefc 4 года назад

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 4 года назад

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 4 года назад

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