Physiological Effects of the of Joint Mobilization
1. Stimulations of Receptors to Reduces Pain: Gentle joint mobilization stimulates joint mechanoreceptors and may inhibit nociceptive transmission, producing an analgesic effect.
2. Articulating surface stretching which improves Joint Mobility: Selective joint gliding stretches restricted capsular and ligamentous tissues and helps restore joint range of motion.
3. joint nutrition to maintain Joint and Cartilage Health: Joint movement circulates synovial fluid, facilitating nutrient exchange and helping maintain the health of articular cartilage and intra-articular fibrocartilage.
4. Stretching of joint surfaces which prevents Joint Stiffness and Contracture: Regular joint motion helps prevent adhesions, capsular shortening, and connective-tissue contracture associated with immobilization.
5. Maintains Tissue Extensibility and Strength: Joint movement helps maintain the extensibility and tensile strength of capsular, ligamentous, and other periarticular tissues.
6. Improves Proprioception: Stimulation of joint receptors provides sensory information about joint position, movement, speed, and direction.
7. Regulates Muscle Tone: Afferent input from joint receptors contributes to appropriate regulation of muscle tone and neuromuscular control.
8. Promotes Joint Nutrition and Fluid Movement: Oscillatory and gliding movements facilitate synovial fluid movement, supporting metabolic exchange within the joint.
9. Reduces Effects of Immobilization: Joint mobilization helps limit the development of adhesions, tissue weakening, cartilage atrophy, and loss of joint mobility associated with prolonged immobilization.
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Reference:
- Levangie, P. K., & Norkin, C. C. (Eds.). (2011). Joint structure and function: A comprehensive analysis (5th ed.). F.A. Davis Company.
- Kisner, C., & Colby, L. A. (2007). Therapeutic exercise: Foundations and techniques (5th ed.). F.A. Davis Company.
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