Characterization of tissue resistance during a dorsally directed translational mobilization of the glenohumeral joint

Hsu, Ar-Tyan; Ho, Larry; Chang, Jia Hao; Chang, Guan‐Liang; Hedman, Thomas P.

doi:10.1053/apmr.2002.30621

Cited by 26 publications

(24 citation statements)

References 16 publications

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“…The first indication of resistance represents the toe region of the load-displacement curve, and the final resistance corresponds with the end of the toe region and the beginning of the linear region, as demonstrated in a previous study. 9 Mobilization beyond the final resistance may effectively stretch the target tissue, but excessive or aggressive loading increases the risk of injury. An alternative technique is repetitive oscillatory mobilization, which is to apply reduced force magnitudes that represent the initial resistance.…”

Section: T T Conclusionmentioning

confidence: 99%

“…This characteristic curve, although geometrically more complex and perhaps not so well defined, can also be observed in the load-displacement relationship during joint mobilization in the shoulder joint. 9 During initial loading, the joint is displaced with little resistance until the tissues are more fully recruited and begin to tighten (toe region). As the T T STUDY DESIGN: Experimental laboratory design.…”

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confidence: 99%

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The Effect of Cyclic Loading Simulating Oscillatory Joint Mobilization on the Posterior Capsule of the Glenohumeral Joint: A Cadaveric Study

Muraki

Yamamoto

Berglund

et al. 2011

Journal of Orthopaedic & Sports Physical Therapy

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Study Design Experimental laboratory design. Objectives To examine the effect of force and repetition during oscillatory joint mobilizations on the posterior capsule of the glenohumeral joint. Background The optimal external force and frequency to be used during joint mobilization to elongate the posterior capsule of the glenohumeral joint has yet to be identified. Methods Twenty-one posterior capsules were harvested from fresh-frozen shoulders. A cyclic loading test simulating oscillatory posterior joint mobilization on the shoulder specimens was performed with a material testing machine. The specimens were assigned to 3 different loading groups simulating joint mobilization in the toe (5 N), transition (20 N), and beginning of the linear regions (40 N) of the load displacement curve. Displacement of the humeral head at an applied load of 5 N was recorded at the 1st, 100th, 200th, 300th, 400th, 500th, and 600th cycles and at 1 hour after completion of the cyclic loading. Furthermore, stiffness was calculated after the 1st and 600th cycles and 1 hour after testing. Results Humeral head displacement was significantly greater for the 100th to 600th cycle, compared to the 1st cycle, for all 3 loading groups. Significant increases in displacement and stiffness were observed between the 1st cycle and 1 hour after completion of the cyclic tests for both the 20-N and 40-N loading groups. Conclusion While oscillatory joint mobilization to a force of 5 N resulted in temporary elongation of the posterior capsule, mobilization to loads of 20 and 40 N resulted in sustained elongation of the capsule for up to 1 hour. Our findings also suggest that mobilization up to loads that represent the beginning of the linear region of the load displacement curve could be performed without serious damage to the posterior capsule. J Orthop Sports Phys Ther 2011;41(5):311–318, Epub 18 February 2011. doi:10.2519/jospt.2011.3448

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Section: T T Conclusionmentioning

confidence: 99%

mentioning

confidence: 99%

The Effect of Cyclic Loading Simulating Oscillatory Joint Mobilization on the Posterior Capsule of the Glenohumeral Joint: A Cadaveric Study

Muraki

Yamamoto

Berglund

et al. 2011

Journal of Orthopaedic & Sports Physical Therapy

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“…Nossos resultados são semelhantes aos de Harms e Bader 7 que encontraram alta confiabilidade intra-examinador em um modelo de mobilização ântero-posterior da coluna vertebral, e aos achados de Hsu et al 6 que demonstraram alta confiabilidade intra-sessão na mobilização da articulação glenoumeral. Entretanto, quando nós comparamos as médias das medidas da força máxima e mínima aplicadas por um mesmo examinador, verificamos uma diferença estatisticamente significativa, indicando variação na intensidade da força aplicada ao longo dos 30 segundos de oscilações.…”

Section: Fminunclassified

“…Os graus I e II da mobilização de Maitland correspondem à aplicação dos movimentos oscilatórios, com ritmo lento no início da amplitude do movimento acessório da articulação, livre da resistência oferecida pelos tecidos e são indicados nos casos de processos dolorosos articulares. Estudos de confiabilidade das manobras graus III e IV foram desenvolvidos na articulação glenoumeral por Hsu et al 6 e na coluna vertebral por Harms e Bader 7 . Essas manobras caracterizam-se por movimentos oscilatórios realizados no final da amplitude do movimento acessório ou a partir da resistência dada pelos tecidos periarticulares 1,8 .…”

Section: Introductionunclassified

“…Essas manobras caracterizam-se por movimentos oscilatórios realizados no final da amplitude do movimento acessório ou a partir da resistência dada pelos tecidos periarticulares 1,8 . A carga imposta durante a manobra grau III e IV promove a adaptação viscoelástica dos tecidos conectivos e, portanto, é indicada para recuperar os movimentos acessórios quando existir uma restrição a esse mesmo movimento 1,6 .…”

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Estudo da confiabilidade da força aplicada durante a mobilização articular ântero-posterior do tornozelo

Resende¹,

Venturini²,

Penido³

et al. 2006

Rev. bras. fisioter.

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RESUMOIntrodução: Os fatores que contribuem para a eficiência da manobra de mobilização articular são a intensidade e a reprodutibilidade da força aplicada durante a mobilização, por um ou por diferentes examinadores. Objetivo: Avaliar a confiabilidade intra e interexaminador da força de mobilização ântero-posterior da articulação do tornozelo, grau III e IV de Maitland. Método: Os dois tornozelos de 35 voluntários assintomáticos foram mobilizados por dois examinadores experientes com o procedimento. Uma miniplataforma de força foi posicionada sob a perna do voluntário a fim de captar as forças obtidas durante as manobras de mobilização e seu sinal foi convertido e armazenado em um software DasyLab4.0, o que permitiu o registro dos picos mínimo e máximo das curvas da força aplicada. A análise da confiabilidade foi realizada através do coeficiente de correlação intraclasse (CCI). Para avaliar o erro sistemático das medidas foi utilizado o teste t pareado e o teste t independente, para as condições intra e interexaminadores, respectivamente. O método de Bland e Altman avaliou os limites de concordância das medidas entre os examinadores. Resultados: Os dados demonstraram alta confiabilidade intra-examinador. A confiabilidade inter-examinador foi baixa e moderada para a força máxima e mínima respectivamente, durante a mobilização ântero-posterior da articulação do tornozelo. Conclusão: Esses dados sugerem que a força aplicada durante a mobilização articular grau III e IV de Maitland no tornozelo, apresenta alta confiabilidade intra-examinador e baixa para interexaminador.Palavras-chave: mobilização articular, confiabilidade, miniplataforma de força, articulação do tornozelo, terapia manual, Maitland. ABSTRACT Reliability Study on the Force Applied During Anteroposterior Mobilization of the Ankle JointBackground: Factors that contribute towards the efficiency of joint mobilization maneuvers is the intensity and reproducibility of the force applied during mobilization, by one or more examiners. Objective: To evaluate the intra and inter-examiner reliability of Maitland grade III and IV anteroposterior mobilization force on the ankle joint. Method: Two experienced examiners mobilized both ankles of thirty-five healthy subjects. A force platform was positioned under the calves of these subjects to detect the forces applied during the maneuvers. The signals were converted and recorded using the DasyLab 4.0 software. The maximum and minimum peak forces from the curves obtained were then analyzed. The intraclass correlation coefficient (ICC) was used to assess the intra and inter-examiner reliability. To evaluate any systematic error in the measurements, the paired t-test was utilized on the intra-examiner data and the t-test for independent samples for the inter-examiner data. The Bland & Altman method was used to assess the concordance limits for the measurements from the two examiners. Results: The data showed high intraexaminer reliability. The inter-examiner reliability was low and moderate for the maximum and minimum...

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Hypoalgesic and Motor Effects of Kaltenborn Mobilization on Elderly Patients with Secondary Thumb Carpometacarpal Osteoarthritis: A Randomized Controlled Trial

Villafañe

Silva

Diaz-Parreño

et al. 2011

Journal of Manipulative and Physiological Therapeutics

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Characterization of tissue resistance during a dorsally directed translational mobilization of the glenohumeral joint

Cited by 26 publications

References 16 publications

The Effect of Cyclic Loading Simulating Oscillatory Joint Mobilization on the Posterior Capsule of the Glenohumeral Joint: A Cadaveric Study

The Effect of Cyclic Loading Simulating Oscillatory Joint Mobilization on the Posterior Capsule of the Glenohumeral Joint: A Cadaveric Study

Estudo da confiabilidade da força aplicada durante a mobilização articular ântero-posterior do tornozelo

Hypoalgesic and Motor Effects of Kaltenborn Mobilization on Elderly Patients with Secondary Thumb Carpometacarpal Osteoarthritis: A Randomized Controlled Trial

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