I 'm PT also and very thank you but i recently read something like this in a website for Clinicans, please check: For example, when performing a prone SIJ distraction manipulation, the hip needs to be placed in extension, abduction, and internal rotation. These three movements are the close-packed position of the hip joint. You must lock out the hip so you do not manipulate it when you are targeting the SIJ.
Thank you, great video! May I ask how does the reduced contact area b/w the joints affect lubrication? (1:35)- my guess would be that more room for synovial fluid? :P
Hi! Some sources say that the MLPP position for the knee joint is 25 degrees as opposed to the 70 degrees mentioned in the image you refered to. Which is the correct MLPP position for the knee?
The MLPP is actually 30°. Don't remember where we got this table from. Unlike in other joints, you won't get the maximal joint play in the knee with 30° due to tension in the cruciate ligaments. Maximal joint play can be felt at 70°, which is why this number probably ended up in this table
@@Physiotutors I don't think it's ever possible to get a perfect maximal joint play position because the cruciate ligaments are always taut in some degree or the other. The more you flex the knee, the more the AMB starts getting taut and the more you extend, the more the PLB starts getting taut
Capsular pattern is a theory that describes which movements will be restricted first in an affected joint (however research doesn’t support it) The close packed Position is the position at which the convex and concave joint surfaces have the most congruency.
Bringing a joint towards its position near its restriction is called loose-packed position (without the 'maximal') and it's defined as the following: "A position away from M.L.P.P. , sub maximally in the direction of the limited or painful direction gives us a situation where the affected capsule parts are pre-stretched. An ideal position for mobilization of the affected capsule part. The L.P.P. is therefore a pathology related position"
Is this really significant though? Why would we want to mobilize a joint in a position that's not near the restriction point? I can understand for traction mobilizations, but for joint mobilizations, I don't agree that it should be performed in MLPP. Biomechanical vs neurophysiologic effects is another thing to consider
We mentioned that you cannot mobilize a joint in its CPP - there is nothing to move there anymore if the joint capsule+ligaments are under maximal tension. Bringing a joint towards its position near its restriction is called loose-packed position (without the 'maximal') and it's defined as the following: "A position away from M.L.P.P. , sub maximally in the direction of the limited or painful direction gives us a situation where the affected capsule parts are pre-stretched. An ideal position for mobilization of the affected capsule part. The L.P.P. is therefore a pathology related position" We only focused on the different joint positions and their implications, not on biomechanical vs. neurophysiological effects. That's maybe for another video.
