Examination and evaluation

Characteristics for documentation

Grades and dosages of movement for non thrust and thrust techniques

SARO

LARO

Rapid oscillations, like manual vibrations

Performed at 2-3 per second for 1 to 2 minutes

Performed at 2 or 3 per second for 1-2 minutes

Primarily used for treating joints limited by pain or muscle guarding

Primarily used as stretching maneuvers

Inhibit pain

Relax muscle guarding

Non thrust sustained joint play techniques

Small-amplitude distraction is applied when no stress is placed on the capsule

It equalizes cohesive forces, muscle tension, and atmospheric pressure acting on the joint

Enough distraction or glide is applied

Taking up the slack

A distraction or glide is applied with an amplitude large enough to place stretch on the joint capsule and surrounding periarticular structures

Relief of pain

Initial treatment; determine sensitivity

Inhibit pain and maintain joint play

Stretch the joint and increase joint play

Applied perpendicular to the treatment plane

Applied parallel to the treatment plane

Suggested sequence of treatment to gain and reinforce functional mob

Concurrent application of pain-free accessory mobilization with active and/pr passive physiological movement

Passive end-range overpressure or stretching is then applied without pain as a barrier