Mobilisations (Maitlands)

There are 5 different grades of mobilization and they are believed to produce different effects and are used in all stages of treatment from the acute to the very chronic.

What are Joint Mobilisations?

  • Passive movements

  • Used to increase mobility of joints

  • Used to decrease pain

  • Performed at a speed in which it is possible for patient to prevent the movement

  • May be "gentle-smooth" or "stretching-staccato"

Passive Accessory Movement:

They are joint movements which are performed by the therapist and which the patient cannot reproduce on their own. For example in order for you to bend and straighten a joint in your finger, you must have accessory movements in that joint, so a physiotherapist can:

What are Joint Mobilisations?

  • Distract the joint - Pull it longitudinally

  • Glide the joint - Slide it forwards and backwards and from side to side

  • Rotate the joint

Similarly in order for the joints in your back to move as they should, you must have accessory movements at the joint which you yourself cannot do, but which a therapist can produce. Back