Joint Mobilisation

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Joint mobilisation refers to a therapeutic passive motion of a painful or dysfunctional peripheral or axial joint. Mobilisation under the Maitland system is classified into five grades of passive therapeutic motion. Grade V is the same as manipulation.

Grade I – small amplitude movement at the beginning of the available range of movement

Grade II – large amplitude movement at within the available range of movement

Grade III – large amplitude movement that moves into stiffness or muscle spasm

Grade IV – small amplitude movement stretching into stiffness or muscle spasm

Grade V – This is the same as joint manipulation.

Lower grades (I + II) are used to reduce pain and irritability (use VAS + SIN scores).

Higher grades(III + IV) are used to stretch the joint capsule and passive tissues which support and stabilise the joint so increase range of movement.