Assessment of sacroiliac joint dysfunction is done by motion palpation, in which the joint is challenged to move while the motion of the joint is assessed.
Assessment/diagnosis of spinal joint dysfunction, whether it is a hypomobility or a hypermobility, is done via motion palpation.
Motion palpation assessment is performed by bringing the client’s joint to the end of its passive ROM and then gently applying a small, even, steady force.
Treatment should never be administered without a diagnosis. In the world of manual therapy, treatment should only be performed if an assessment is made.
The two most common causes of a hypomobile joint dysfunction are tight muscles, especially smaller, deeper intrinsic muscles, and fibrous adhesions.
Motion palpation is a specific form of passive (pin and stretch technique) assessment that challenges the intrinsic fascial tissue of the joint.
Perhaps no assessment procedure is more important to the manual therapist and integral to musculoskeletal (myofascioskeletal) assessment than palpation.
If a physical examination assessment test creates signs/symptoms of the condition, it is positive and the therapist knows that tissue is unhealthy.
A joint functions to allow motion, so two forms of joint dysfunction exist: Hypomobile joint has restricted motion; Hypermobile joint has excessive motion.
There is an old saying that no posture is bad unless you get stuck in it. The problem is that the thoracic spine often does get stuck in bad posture.
There are two major reasons why a massage therapist should consider working toward and earning a Continuing Education Certificate in Manual Therapy.
Grades IV and V joint mobilization are essentially pin and stretch technique.
Bone “A” is pinned and then Bone “B” is moved relative to Bone “A.”