1 1

Jo|nt Jo|nt
Hob|||zat|on Hob|||zat|on
K|nes|o|ogy 157 K|nes|o|ogy 157
Therapeut|c Exerc|se Therapeut|c Exerc|se
Jo|nt Jo|nt
Hob|||zat|on Hob|||zat|on
K|nes|o|ogy 157 K|nes|o|ogy 157
Therapeut|c Exerc|se Therapeut|c Exerc|se

ef|n|t|ons ef|n|t|ons ef|n|t|ons ef|n|t|ons
Hob|||zat|on Hob|||zat|on
Phys|o|og|c Hovements|Hob|||zat|on Phys|o|og|c Hovements|Hob|||zat|on
Accessory|Jo|nt P|ay Hovement Accessory|Jo|nt P|ay Hovement
Han|pu|at|on Han|pu|at|on
Hob|||zat|on Hob|||zat|on
Phys|o|og|c Hovements|Hob|||zat|on Phys|o|og|c Hovements|Hob|||zat|on
Accessory|Jo|nt P|ay Hovement Accessory|Jo|nt P|ay Hovement
Han|pu|at|on Han|pu|at|on

steo steok|nemat|cs: k|nemat|cs:
movement of movement of
the the bone bone
steo steok|nemat|cs: k|nemat|cs:
movement of movement of
the the bone bone
Arthro Arthrok|nemat|cs: k|nemat|cs:
movement of movement of
the the jo|nt jo|nt surface surface
Arthro Arthrok|nemat|cs: k|nemat|cs:
movement of movement of
the the jo|nt jo|nt surface surface

Jo|nt 8urfaces Jo|nt 8urfaces Jo|nt 8urfaces Jo|nt 8urfaces
8e||ar 8e||ar 8e||ar 8e||ar vo|d vo|d vo|d vo|d
5 5
AAAA
Ro|| Ro|| Ro|| Ro||

AAAA

Ro|| Ro|| Ro|| Ro||

7 7
AAAA

6666
Ro|| Ro|| Ro|| Ro||

AAAA

6666
Ro|| Ro|| Ro|| Ro||

AAAA
C||de C||de C||de C||de
10 10
AAAA

C||de C||de C||de C||de

11 11
AAAA

6666
C||de C||de C||de C||de
1 1
AAAA

6666

C||de C||de C||de C||de

1 1
AAAA
8p|n 8p|n 8p|n 8p|n
1 1
AAAA
8p|n 8p|n 8p|n 8p|n
15 15
AAAA
8p|n 8p|n 8p|n 8p|n
1 1
AAAA
8p|n 8p|n 8p|n 8p|n
17 17
Knee: Knee:
Ro|| Ro|| | | No C||de No C||de
Knee: Knee:
Ro|| Ro|| | | No C||de No C||de
1 1
Knee: Knee:
Ro|| Ro|| | | No C||de No C||de
Knee: Knee:
Ro|| Ro|| | | No C||de No C||de
1 1
Knee: Knee:
Ro|| Ro|| | | No C||de No C||de
Knee: Knee:
Ro|| Ro|| | | No C||de No C||de
0 0
Knee: Knee:
Ro|| Ro|| | | No C||de No C||de
Knee: Knee:
Ro|| Ro|| | | No C||de No C||de
1 1
Knee: Knee:
Ro|| Ro|| | | No C||de No C||de
Knee: Knee:
Ro|| Ro|| | | No C||de No C||de

Knee: Knee:
Ro|| Ro|| | | C||de C||de
Knee: Knee:
Ro|| Ro|| | | C||de C||de
Knee: Knee:
Ro|| Ro|| | | No NoC||de C||de
Knee: Knee:
Ro|| Ro|| | | No NoC||de C||de

Knee: Knee:
C||de... C||de...
Ro||. Ro||.
8p|n 8p|n
Knee: Knee:
C||de... C||de...
Ro||. Ro||.
8p|n 8p|n

Knee: Knee:
C||de... C||de...
Ro|| Ro||
Knee: Knee:
C||de... C||de...
Ro|| Ro||
5 5
Knee: Knee:
C||de... C||de...
Ro|| Ro||
Knee: Knee:
C||de... C||de...
Ro|| Ro||

Knee: Knee:
C||de... C||de...
Ro|| Ro||
Knee: Knee:
C||de... C||de...
Ro|| Ro||
7 7
Knee: Knee:
C||de... C||de...
Ro||. Ro||.
8p|n 8p|n
Knee: Knee:
C||de... C||de...
Ro||. Ro||.
8p|n 8p|n

Knee: Knee:
Ro|| Ro|| | | C||de C||de
Knee: Knee:
Ro|| Ro|| | | C||de C||de
Knee: Knee:
Ro|| Ro|| | | No NoC||de C||de
Knee: Knee:
Ro|| Ro|| | | No NoC||de C||de

concave concave concave concave
convex convex convex convex
0 0
concave concave concave concave concave
convex convex convex convex
convex convex convex convex convex
6onvex 6onvex on on
6oncave 6oncave
jo|nts jo|nts
6onvex 6onvex on on
6oncave 6oncave
jo|nts jo|nts
6oncave 6oncave on on
6onvex 6onvex
jo|nts jo|nts
6oncave 6oncave on on
6onvex 6onvex
jo|nts jo|nts
concave concave concave concave
hame all hame all hame all hame all
1 1
6onvex 6onvex 6oncave 6oncave Ru|e Ru|e 6onvex 6onvex 6oncave 6oncave Ru|e Ru|e
A convex on a concave jo|nt surface A convex on a concave jo|nt surface
g||des the oppos|te d|rect|on that the g||des the oppos|te d|rect|on that the
bone sw|ngs. bone sw|ngs.
ample: when the humerus swings ample: when the humerus swings
up into abduction, the head of the up into abduction, the head of the
humerus glides downward. humerus glides downward.
A convex on a concave jo|nt surface A convex on a concave jo|nt surface
g||des the oppos|te d|rect|on that the g||des the oppos|te d|rect|on that the
bone sw|ngs. bone sw|ngs.
ample: when the humerus swings ample: when the humerus swings
up into abduction, the head of the up into abduction, the head of the
humerus glides downward. humerus glides downward.

C|enohumera|: C|enohumera|:
Ro|| | Ro|| | C||de C||de
C|enohumera|: C|enohumera|:
Ro|| | Ro|| | C||de C||de

C|enohumera|: C|enohumera|:
Ro|| | Ro|| | C||de C||de
C|enohumera|: C|enohumera|:
Ro|| | Ro|| | C||de C||de

C|enohumera|: C|enohumera|:
Ro|| | Ro|| | C||de C||de
C|enohumera|: C|enohumera|:
Ro|| | Ro|| | C||de C||de
5 5
C|enohumera|: C|enohumera|:
Ro|| | Ro|| | C||de C||de
C|enohumera|: C|enohumera|:
Ro|| | Ro|| | C||de C||de

C|enohumera|: C|enohumera|:
Ro|| | Ro|| | C||de C||de
C|enohumera|: C|enohumera|:
Ro|| | Ro|| | C||de C||de
7 7
C|enohumera|: C|enohumera|:
Ro|| | No C||de Ro|| | No C||de
C|enohumera|: C|enohumera|:
Ro|| | No C||de Ro|| | No C||de

C|enohumera|: C|enohumera|:
Ro|| | No C||de Ro|| | No C||de
C|enohumera|: C|enohumera|:
Ro|| | No C||de Ro|| | No C||de

C|enohumera|: C|enohumera|:
Ro|| | No C||de Ro|| | No C||de
C|enohumera|: C|enohumera|:
Ro|| | No C||de Ro|| | No C||de
0 0
C|enohumera|: C|enohumera|:
Ro|| | No C||de Ro|| | No C||de
C|enohumera|: C|enohumera|:
Ro|| | No C||de Ro|| | No C||de
1 1
A concave on a convex jo|nt surface A concave on a convex jo|nt surface
g||des the same d|rect|on that the bone g||des the same d|rect|on that the bone
sw|ngs. sw|ngs.
ample: when the tibia swings ample: when the tibia swings
posteriorly in knee fleion, the tibial posteriorly in knee fleion, the tibial
joint surface glides posteriorly. joint surface glides posteriorly.
A concave on a convex jo|nt surface A concave on a convex jo|nt surface
g||des the same d|rect|on that the bone g||des the same d|rect|on that the bone
sw|ngs. sw|ngs.
ample: when the tibia swings ample: when the tibia swings
posteriorly in knee fleion, the tibial posteriorly in knee fleion, the tibial
joint surface glides posteriorly. joint surface glides posteriorly.
6onvex 6onvex 6oncave 6oncave Ru|e Ru|e 6onvex 6onvex 6oncave 6oncave Ru|e Ru|e

Knee: Knee:
Poster|or Poster|or C||de C||de
Poster|or 8w|ng Poster|or 8w|ng
Knee: Knee:
Poster|or Poster|or C||de C||de
Poster|or 8w|ng Poster|or 8w|ng

Knee: Knee:
Poster|or Poster|or C||de C||de
Poster|or 8w|ng Poster|or 8w|ng
Knee: Knee:
Poster|or Poster|or C||de C||de
Poster|or 8w|ng Poster|or 8w|ng

Knee: Knee:
Poster|or Poster|or C||de C||de
Poster|or 8w|ng Poster|or 8w|ng
Knee: Knee:
Poster|or Poster|or C||de C||de
Poster|or 8w|ng Poster|or 8w|ng
5 5
Knee: Knee:
Poster|or Poster|or C||de C||de
Poster|or 8w|ng Poster|or 8w|ng
Knee: Knee:
Poster|or Poster|or C||de C||de
Poster|or 8w|ng Poster|or 8w|ng

Ank|e: Ank|e:
P|antar F|ex|on P|antar F|ex|on
what do you epect? what do you epect?
Ank|e: Ank|e:
P|antar F|ex|on P|antar F|ex|on
what do you epect? what do you epect?
7 7
Ank|e: Ank|e:
P|antar F|ex|on P|antar F|ex|on
Ank|e: Ank|e:
P|antar F|ex|on P|antar F|ex|on

Ank|e: Ank|e:
P|antar F|ex|on P|antar F|ex|on
Ank|e: Ank|e:
P|antar F|ex|on P|antar F|ex|on

Ank|e: Ank|e:
P|antar F|ex|on P|antar F|ex|on
Ank|e: Ank|e:
P|antar F|ex|on P|antar F|ex|on
50 50
Ank|e: Ank|e:
P|antar F|ex|on P|antar F|ex|on
Ank|e: Ank|e:
P|antar F|ex|on P|antar F|ex|on
51 51
HTP: HTP:
F|ex|on F|ex|on
what do you epect? what do you epect?
HTP: HTP:
F|ex|on F|ex|on
what do you epect? what do you epect?
5 5
HTP: HTP:
F|ex|on F|ex|on
HTP: HTP:
F|ex|on F|ex|on
5 5
HTP: HTP:
F|ex|on F|ex|on
HTP: HTP:
F|ex|on F|ex|on
5 5
HTP: HTP:
F|ex|on F|ex|on
HTP: HTP:
F|ex|on F|ex|on
55 55
HTP: HTP:
F|ex|on F|ex|on
HTP: HTP:
F|ex|on F|ex|on
5 5
6L|N|6AL |HPL|6AT|N8 6L|N|6AL |HPL|6AT|N8 6L|N|6AL |HPL|6AT|N8 6L|N|6AL |HPL|6AT|N8
Coa|: Restore Norma| Jo|nt P|ay to |ncrease Coa|: Restore Norma| Jo|nt P|ay to |ncrease
Pa|n Pa|n--Free Jo|nt RH Free Jo|nt RH
Fo||ow 6onvex 6oncave Ru|e Fo||ow 6onvex 6oncave Ru|e
Treatment often comb|nes Phys|o|og|ca| Treatment often comb|nes Phys|o|og|ca|
Hob|||zat|on and Accessory Hob|||zat|on to Hob|||zat|on and Accessory Hob|||zat|on to
restore a part|cu|ar Hovement restore a part|cu|ar Hovement
Examp|e: |ncrease Knee Extens|on Examp|e: |ncrease Knee Extens|on
Coa|: Restore Norma| Jo|nt P|ay to |ncrease Coa|: Restore Norma| Jo|nt P|ay to |ncrease
Pa|n Pa|n--Free Jo|nt RH Free Jo|nt RH
Fo||ow 6onvex 6oncave Ru|e Fo||ow 6onvex 6oncave Ru|e
Treatment often comb|nes Phys|o|og|ca| Treatment often comb|nes Phys|o|og|ca|
Hob|||zat|on and Accessory Hob|||zat|on to Hob|||zat|on and Accessory Hob|||zat|on to
restore a part|cu|ar Hovement restore a part|cu|ar Hovement
Examp|e: |ncrease Knee Extens|on Examp|e: |ncrease Knee Extens|on
57 57
|ncrease C|enohumera| F|ex|on: |ncrease C|enohumera| F|ex|on:
|ncrease Knee Extens|on: |ncrease Knee Extens|on:
|ncrease C|enohumera| F|ex|on: |ncrease C|enohumera| F|ex|on:
|ncrease Knee Extens|on: |ncrease Knee Extens|on:
!roblem 3olving #1, !age 67 !roblem 3olving #1, !age 67
!roblem 3olving #3, !age 68 !roblem 3olving #3, !age 68
5 5
Jo|nt Jo|nt
|stract|on |stract|on
Jo|nt Jo|nt
|stract|on |stract|on
5 5
|p: |p:
|stract|on |stract|on
|p: |p:
|stract|on |stract|on
0 0
|p: |p:
|stract|on |stract|on
|p: |p:
|stract|on |stract|on
1 1
Jo|nt Tract|on: Jo|nt Tract|on:
Long|tud|na| pu|| a|ong the shaft Long|tud|na| pu|| a|ong the shaft
of the |ong bone of the |ong bone
Jo|nt Tract|on: Jo|nt Tract|on:
Long|tud|na| pu|| a|ong the shaft Long|tud|na| pu|| a|ong the shaft
of the |ong bone of the |ong bone

|p: |p:
Tract|on Tract|on
|p: |p:
Tract|on Tract|on

|p: |p:
Tract|on Tract|on
|p: |p:
Tract|on Tract|on

8p|ne Tract|on: 8p|ne Tract|on:
Long|tud|na| pu|| a|ong the ||ne Long|tud|na| pu|| a|ong the ||ne
of the sp|na| co|umn of the sp|na| co|umn
8p|ne Tract|on: 8p|ne Tract|on:
Long|tud|na| pu|| a|ong the ||ne Long|tud|na| pu|| a|ong the ||ne
of the sp|na| co|umn of the sp|na| co|umn
5 5
8p|ne Tract|on 8p|ne Tract|on
'ertebral 8odies 3eparate 'ertebral 8odies 3eparate
8p|ne Tract|on 8p|ne Tract|on
'ertebral 8odies 3eparate 'ertebral 8odies 3eparate

8p|ne Tract|on 8p|ne Tract|on
'ertebral 8odies 3eparate 'ertebral 8odies 3eparate
8p|ne Tract|on 8p|ne Tract|on
'ertebral 8odies 3eparate 'ertebral 8odies 3eparate
7 7
8p|ne Tract|on 8p|ne Tract|on
acets Clide Apart oramen 0pen acets Clide Apart oramen 0pen
8p|ne Tract|on 8p|ne Tract|on
acets Clide Apart oramen 0pen acets Clide Apart oramen 0pen

8p|ne Tract|on 8p|ne Tract|on
acets Clide Apart oramen 0pen acets Clide Apart oramen 0pen
8p|ne Tract|on 8p|ne Tract|on
acets Clide Apart oramen 0pen acets Clide Apart oramen 0pen

h|ch d|rect|on |s: h|ch d|rect|on |s:
Tract|on? Tract|on?
|stract|on? |stract|on?
h|ch d|rect|on |s: h|ch d|rect|on |s:
Tract|on? Tract|on?
|stract|on? |stract|on?
h|ch d|rect|on |s: h|ch d|rect|on |s:
Tract|on? Tract|on?
|stract|on? |stract|on?
h|ch d|rect|on |s: h|ch d|rect|on |s:
Tract|on? Tract|on?
|stract|on? |stract|on?
70 70
Effects of Effects of
Jo|nt Hob|||zat|on Jo|nt Hob|||zat|on
Effects of Effects of
Jo|nt Hob|||zat|on Jo|nt Hob|||zat|on
8ynov|a| F|u|d 8ynov|a| F|u|d
8tretch|ng 8tretch|ng
|mprove t|ssue tens||e strength |mprove t|ssue tens||e strength
ecrease Pa|n (Neurophys|o|og|ca|} ecrease Pa|n (Neurophys|o|og|ca|}
Hechan|ca| Receptor: Cate Hechan|sm Hechan|ca| Receptor: Cate Hechan|sm
|ncrease Re|axat|on |ncrease Re|axat|on
(Neurophys|o|og|ca|} (Neurophys|o|og|ca|}
8ynov|a| F|u|d 8ynov|a| F|u|d
8tretch|ng 8tretch|ng
|mprove t|ssue tens||e strength |mprove t|ssue tens||e strength
ecrease Pa|n (Neurophys|o|og|ca|} ecrease Pa|n (Neurophys|o|og|ca|}
Hechan|ca| Receptor: Cate Hechan|sm Hechan|ca| Receptor: Cate Hechan|sm
|ncrease Re|axat|on |ncrease Re|axat|on
(Neurophys|o|og|ca|} (Neurophys|o|og|ca|}
71 71
6ontra|nd|cat|ons| 6ontra|nd|cat|ons|Precaut|ons Precaut|ons 6ontra|nd|cat|ons| 6ontra|nd|cat|ons|Precaut|ons Precaut|ons
8ee RH|8tretch|ng 8ee RH|8tretch|ng
ypermob|||ty ypermob|||ty
|nf|ammat|on and Jo|nt Effus|on |nf|ammat|on and Jo|nt Effus|on
8ee RH|8tretch|ng 8ee RH|8tretch|ng
ypermob|||ty ypermob|||ty
|nf|ammat|on and Jo|nt Effus|on |nf|ammat|on and Jo|nt Effus|on
7 7
Pa|n Res|stance Re|at|onsh|p Pa|n Res|stance Re|at|onsh|p Pa|n Res|stance Re|at|onsh|p Pa|n Res|stance Re|at|onsh|p
l
N
T
E
N
3
l
T
Y
8eg|r
R0V
Erd
R0V
R1
R2
P1
P2
RAN0E 0F V0Tl0N
7 7
Pa|n Res|stance Re|at|onsh|p Pa|n Res|stance Re|at|onsh|p Pa|n Res|stance Re|at|onsh|p Pa|n Res|stance Re|at|onsh|p
eg|n eg|n
RH RH
End End
RH RH
R1 R1
R R
P1 P1
P P
Range f Hot|on Range f Hot|on
|ntens|ty |ntens|ty
7 7
Crades of V|gor Crades of V|gor Crades of V|gor Crades of V|gor




eg|n eg|n
Ava||ab|e Ava||ab|e
Range Range
eg|n eg|n
Ava||ab|e Ava||ab|e
Range Range
End End
Ava||ab|e Ava||ab|e
Range Range
End End
Ava||ab|e Ava||ab|e
Range Range