As a rule, moist heat followed by stretching is beneficial for spinal hypomobilities, and strengthening is beneficial for regions of spinal hypermobility.
Assessment/diagnosis of spinal joint dysfunction, whether it is a hypomobility or a hypermobility, is done via motion palpation.
The primary causes of spinal joint hypomobility can be divided into three types: taut soft tissue, bony obstruction, and jammed meniscoid body.
Joint dysfunction literally means “bad motion.” There are two types: too little motion termed a hypomobility; and too much motion termed a hypermobility.
The two most common causes of a hypomobile joint dysfunction are tight muscles, especially smaller, deeper intrinsic muscles, and fibrous adhesions.
This blog post introduces and explains how the manual therapist can perform assessment and treatment for specific musculoskeletal conditions of the neck.
Motion palpation is a specific form of passive (pin and stretch technique) assessment that challenges the intrinsic fascial tissue of the joint.
A joint functions to allow motion, so two forms of joint dysfunction exist: Hypomobile joint has restricted motion; Hypermobile joint has excessive motion.
What is most important in any Manual Therapy Certification program is marrying together the underlying science with the hands-on manual therapy skills.
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.”