Mobilization with Movement

~Mobilization with movement (MWM)

the concurrent application of sustained accessory mobilization applied a therapist.

An active physiological movement to end-range applied the patient.

Passive end-of-range overpressure, or stretching, then delivered without pain as a barrier.

The techniques always applied in a pain-free direction and described as correcting joint tracking from a positional

Principles of Application

  • MWM  the concurrent application of pain-free accessory mobilization with active and/or passive physiological movement

■ No contraindication for manual therapy exists (described

earlier in the chapter).

■ A full orthopedic examination  completed, and

evaluation of the results indicates local musculoskeletal pathology.

■ A specific biomechanical analysis reveals localized loss of movement and/or pain associated with a function.

■ No pain produced during or immediately after application of the technique

  • Principles of Application
  • A comparable sign a positive test sign that can repeat after a therapeutic maneuver to determine the effectiveness of the maneuver
  • A comparable sign may include loss of joint play movement, loss of ROM, or pain associated with movement during specific functional activities, such as lateral elbow pain.
  • Principles of ApplicationUtilizing knowledge of joint anatomy and mechanics, a sense of tissue tension, and sound clinical reasoning, the therapist investigates various combinations of parallel or perpendicular accessory glides to find the pain-free direction and grade of accessory movement. This may a glide, spin, distraction, or combination of movements. This accessory motion must pain-free.

Principles of Application

  • Repetitions. The previously restricted and/or painful motion or activity repeated 6 to 10 times the patient while the therapist continues to maintain the appropriate accessory mobilization.