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    Maitland Shoulder

    Uploaded by

    Ayesha Sameen
    This document provides an overview of the Maitland approach for assessing and mobilizing the shoulder joint. It discusses Geoffrey Maitland, who developed the approach, and basic concepts like grading of mobilization techniques. The document then describes techniques for assessing the shoulder through tests like apprehension tests. It outlines various mobilization techniques for the shoulder like flexion with quadrant glides, abduction, and longitudinal glides. The goal is to increase range of motion and decrease pain in the shoulder joint.

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    Maitland Shoulder

    Uploaded by

    Ayesha Sameen
    218 views91 pages
    This document provides an overview of the Maitland approach for assessing and mobilizing the shoulder joint. It discusses Geoffrey Maitland, who developed the approach, and basic concepts like grading of mobilization techniques. The document then describes techniques for assessing the shoulder through tests like apprehension tests. It outlines various mobilization techniques for the shoulder like flexion with quadrant glides, abduction, and longitudinal glides. The goal is to increase range of motion and decrease pain in the shoulder joint.

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    This document provides an overview of the Maitland approach for assessing and mobilizing the shoulder joint. It discusses Geoffrey Maitland, who developed the approach, and basic concepts like grading of mobilization techniques. The document then describes techniques for assessing the shoulder through tests like apprehension tests. It outlines various mobilization techniques for the shoulder like flexion with quadrant glides, abduction, and longitudinal glides. The goal is to increase range of motion and decrease pain in the shoulder joint.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    218 views91 pages

    Maitland Shoulder

    Uploaded by

    Ayesha Sameen
    This document provides an overview of the Maitland approach for assessing and mobilizing the shoulder joint. It discusses Geoffrey Maitland, who developed the approach, and basic concepts like grading of mobilization techniques. The document then describes techniques for assessing the shoulder through tests like apprehension tests. It outlines various mobilization techniques for the shoulder like flexion with quadrant glides, abduction, and longitudinal glides. The goal is to increase range of motion and decrease pain in the shoulder joint.

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    © All Rights Reserved
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    THE Shoulder Joint

    Maitland Approach
    IN THIS LECTURE
    • About Maitland
    • Basic General concept
    • Shoulder Joint basics
    • Assessment of
    Shoulder Joint
    • Shoulder Joint
    Mobilization
    Technique
    Maitland Concept
    • Geoffrey Douglas Maitland was
    born in Adelaide Australia in 1924.
    Maitland Concept
    • He trained as a
    physiotherapist from
    1946 to 1949 after
    serving in the RAAF
    (Royal Australian
    Airforce) during the
    second World War.
    Maitland Concept
    • In 1954 he started with manipulative therapy
    teaching sessions.
    Maitland Concept
    • In 1964 his work was
    published in the first
    edition Vertebral
    Manipulation which
    followed by a second
    edition in1968. The first
    edition of Peripheral
    Manipulation was
    published in 1970.
    Maitland Concept
    • He was one of the
    cofounders, in 1974, of the
    International Federation of
    Orthopedic Manipulative
    Therapists (IFOMT), a
    branch of the World
    Confederation of
    Physiotherapy (WCPT).
    International Maitland Teachers Association
    Maitland Concept
    “ When trying to
    improve the quality of
    the sick joint’s
    movement by a
    passive movement
    technique it is
    necessary to put your
    mind inside the joint
    area and involve
    yourself emotionally
    with what the joint is
    trying to tell you”
    Maitland Grading
    Scale
    • Grading based on amplitude of movement &
    where within available ROM the force is applied.

    • Grade I
    – A small amplitude movement performed at the
    beginning of range of movement
    • Grade II
    – A large amplitude movement performed within
    resistance-free part of the available range
    Maitland Grading
    Scale
    • Grade III
    – A large amplitude movement performed up to the
    limit of the available range
    • Grade IV
    – A small amplitude movement performed into
    resistance or at the limit of the available range
    • Grade V – (thrust technique) -
    Manipulation
    – A small amplitude high velocity thrust performed
    usually, but not always, at the end of the available
    Normal Motion
    Grades of Oscillations
    (Maitland)
    Indications for
    Mobilization
    • Grades I and II - primarily used for
    pain
    –Pain must be treated prior to
    stiffness
    –Painful conditions can be treated
    daily
    –Small amplitude oscillations stimulate
    mechanoreceptors - limit pain
    perception
    Indications for
    Mobilization
    • Grades III and IV - primarily used to
    increase motion
    –Stiff or hypomobile joints should be
    treated 3-4 times per week – alternate
    with active motion exercises
    SHOULDER JOINT MOBILIZATION
    Overpressure
    Overpressure
    Apprehension test
    (anterior instability)
    Anterior Draw Test
    Posterior Draw Test
    Sulcus Sign
    Isometric testing of the rotator cuff muscle,
    differentiation and palpation
    Isometric testing of the rotator cuff muscle,
    differentiation and palpation
    Isometric abduction (supraspinatus) with
    acromiohumeral distraction.
    Palpation of rotator cuff tendons
    Palpation of rotator cuff tendons
    Palpation of rotator cuff tendons
    LOCKING POSITION AND QUADRANT

    EXAMINATION AND TREATMENT TECHNIQUES


    LOCKING POSITION

    EXAMINATION AND TREATMENT TECHNIQUES


    LOCKING POSITION

    EXAMINATION AND TREATMENT TECHNIQUES


    LOCKING POSITION

    EXAMINATION AND TREATMENT TECHNIQUES


    QUADRANT
    • Quadrant low side

    EXAMINATION AND TREATMENT TECHNIQUES


    QUADRANT
    • Quadrant 'high side'.

    EXAMINATION AND TREATMENT TECHNIQUES


    QUADRANT
    • Quadrant Peak

    EXAMINATION AND TREATMENT TECHNIQUES


    TREATMENT TECHNIQUES
    Flexion and quadrant

    TREATMENT TECHNIQUES
    Flexion and quadrant

    TREATMENT TECHNIQUES
    TREATMENT TECHNIQUES
    Abduction

    TREATMENT TECHNIQUES
    Abduction

    TREATMENT TECHNIQUES
    Abduction with Compression

    TREATMENT TECHNIQUES
    TREATMENT TECHNIQUES
    Lateral Rotation

    TREATMENT TECHNIQUES
    Lateral Rotation

    TREATMENT TECHNIQUES
    TREATMENT TECHNIQUES
    Medial Rotation

    TREATMENT TECHNIQUES
    Medial Rotation

    TREATMENT TECHNIQUES
    TREATMENT TECHNIQUES
    Hand Behind Back Extension

    TREATMENT TECHNIQUES
    Hand Behind Back Medial Rotation

    TREATMENT TECHNIQUES
    Hand Behind Back Adduction

    TREATMENT TECHNIQUES
    TREATMENT TECHNIQUES
    Horizontal Adduction (Flexion)

    TREATMENT TECHNIQUES
    Horizontal Adduction (Flexion)

    TREATMENT TECHNIQUES
    TREATMENT TECHNIQUES
    Horizontal Extension

    TREATMENT TECHNIQUES
    TREATMENT TECHNIQUES
    Longitudinal movement Caudad

    TREATMENT TECHNIQUES
    Longitudinal movement Caudad

    TREATMENT TECHNIQUES
    Longitudinal movement Caudad

    TREATMENT TECHNIQUES
    Longitudinal movement Caudad

    TREATMENT TECHNIQUES
    Longitudinal movement Caudad

    TREATMENT TECHNIQUES
    Longitudinal movement Caudad

    TREATMENT TECHNIQUES
    TREATMENT TECHNIQUES
    Posterior Anterior Movement

    TREATMENT TECHNIQUES
    Posterior Anterior Movement

    TREATMENT TECHNIQUES
    Posterior Anterior Movement

    TREATMENT TECHNIQUES
    Posterior Anterior Movement

    TREATMENT TECHNIQUES
    TREATMENT TECHNIQUES
    Anterior Posterior Movement

    TREATMENT TECHNIQUES
    Anterior Posterior Movement

    TREATMENT TECHNIQUES
    TREATMENT TECHNIQUES
    Lateral Movement

    TREATMENT TECHNIQUES
    Lateral Movement

    TREATMENT TECHNIQUES

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