Progress of Stretch Mobilization Treatment

Introduction to the Topic

• Today's topic: Progress of Stretch Mobilization Treatment
• Points of Discussion:
  • How long to implement the treatment
  • How to apply force
  • How to progress sequence-wise

Important Points

• General Principles:
  • Provide the necessary treatment for the patient.
  • Give as little as possible, as it is more beneficial.
  • Clinical decision-making becomes easier with experience.

Assessment and Reassessment

• Indicators for Reassessment:
  • Improvement in movement range and normalization of end feel.
  • Reduction in symptoms.
• Grade 3 Stretch Mobilization:
  • If improvement is observed, apply Grade 3 techniques.

Progression of Treatment

• Selection of Technique:
  • If relief is already achieved with one technique, do not apply additional techniques.
• Significant Hyper-Mobility:
  • Several sessions may be necessary.
  • If there is no improvement, consider the joint’s position and direction.

Stopping the Treatment

• When to Halt Treatment:
  • If there is no improvement in the patient's condition.
  • When gains reach a plateau.

Stretch Directions

• Stretch the joint in all restricted directions:
  • Only stretch where there is movement restriction.
• Safe and Unsafe Movements:
  • Some movements are safer, while others pose a risk of injury.

Suggestions for New Practitioners

• Begin with Sustained Traction Mobilization:
  • Position the patient in a resting position.
  • Gradually move towards the point of restriction.

Stretch Mobilization Techniques

• Timing:
  • Stretch mobilization is more effective during muscle relaxation.
• Relaxation Techniques:
  • Use techniques like PNF contract-relax, hold-relax, etc.

Conclusion

• Start in the resting position and allow surrounding tissues to relax.
• Continue or halt treatment based on reassessment.

Important Advice:

• Conduct proper assessment and progress treatment as needed.
• Pay attention to the patient's condition and decide accordingly.