This semester has brought about many new things. A lot of new concepts and techniques along with some deeper understanding of what it means to be successful in the Massage Therapy field. A great example of a new concept as well as loading more knowledge onto previously learnt techniques is Joint Mobilizations.
First presented to us early in semester one, we have since gained a much deeper understanding of what constitutes a joint mobilization and how they can be used to treat pain, mobility issues and increase functionality of the affected joint.
The advancement in knowledge that pertains to joint mobilizations has allowed me to understand the importance of this practice. Especially in a society where mobility is left behind even by fit and active people, joint mobilizations can easily be the focus of practice. Specializing in these skills would be a great way to not only ensure success as an RMT, but also allow a large range of patients to help.
There are five grades of mobilizations, which can affect everything from pain levels to mobility.
Grade I
This grade is one that we have actually used before. It consists of small amplitude rhythmic oscillations (that’s a complex way to say gentle shaking) at the beginning of a ROM. It’s used to decrease pain.
Grade II
Similar to grade I as it is intended to decrease pain, however the oscillations here are much larger and occur mid-range. We’ve sort of done this one as well. Joint mobs are a great way to prep a patient for further treatment.
Grade III
Like grade II these are large amplitude. This occurs up to the point of limitation (which basically means where the join stops doing what the joint needs to do). This is where we get out of pain relief and into actually increasing mobility and stretching the joint capsule.
Grade IV
Back down to small amplitude for this one. As it occurs at the end range it’s probably best not to go crazy with the oscillations. This ones also designed for stretching the joint capsule and increasing mobility.
Grade V
Oh grade V, how the world loves you, and thinks you’re super cool! This one is all about the quick thrust. This one is considered manipulation and as an RMT it falls out of our scope of practice. It is small amplitude and is a quick thrust at the end of range. You know those awesome Instagram videos with cracking backs and clicking ankles? I can’t really speak on all inst-vids but they’re probably this technique.
The opportunity to learn and gain efficiency in this technique will present a door to success as an RMT. It’s challenging but the rewards of performing these techniques can be great. I’m sure there’s more in store during this program, lets see where we all end up. Seacrest, out.
