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Joint mobilization
**Joint mobilization **is a manual therapy intervention, a type of straight-lined, passive movement of a skeletal joint that addresses arthrokinematic joint motion (joint gliding) rather than osteokinematic joint motion. It is usually aimed at a 'target' synovial joint with the aim of achieving a therapeutic effect. These techniques are used by a variety of health care professionals with specific training in manual therapy assessment and treatment techniques. The International Federation of Orthopaedic Manipulative Physical Therapists defines joint mobilization as "a manual therapy technique comprising a continuum of skilled passive movements that are applied at varying speeds and amplitudes to joints, muscles or nerves with the intent to restore optimal motion, function, and/or to reduce pain." The APTA Guide to Physical Therapist Practice defines mobilization/manipulation as "a manual therapy technique comprisedof [sic] a continuum of skilled passive movements that are applied at varying speeds and amplitudes, including a small amplitude/high velocity therapeutic movement."
Classification and mechanisms
Joint mobilization is classified by the Australian physiotherapist Geoffrey Douglas Maitland into five 'grades' of motion, each of which describes the range of motion of the target joint during the procedure. They are generally divided into five grades. The different grades of manipulation are known to produce selective activation of different mechanoreceptors in the joint.
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