Osteopathy: Test of mobility

Palpation dynamics or mobility test

As we have indicated throughout the course of these presentations of osteopathy, osteopathic diagnosis is of paramount importance (also in all medical and therapeutic techniques) because it depends on the successful election of the manipulations.

This requires testing the mobility of different anatomical elements. The purpose of the mobility test is to find a sticking joints, also called hypomobility. Physiologically when we mobilize a joint and come to an end in the course of their amplitudes, the resistance increases. A healthy joint has free path, painless and leads to the motor or physiological barrier, due to start wing tension of soft tissues, muscles, ligaments and joint capsule.

In the pursuit of joint fixation of ceiling sensation varies according to their cause:

If the restriction is due to a muscle (spasm or contracture) the resistance will be elastic and there is a small rebound to some degree will restrict movement.
If the restriction is due to a facet joint, the motion will stop abruptly and lasts. The feeling corresponds with the anatomical barrier, but easily reached.
If the restriction is caused by a ligament or a muscle fiber (which behaves like a ligament) the resistance will be abrupt. The amplitude is about the physiological barrier.
If the restriction is due to edema, the feeling will be visco-elastic.

The mobility test hypomobility look both parameters as painful.

In the case of a ligament injury, pain at the end of joint range or when returning to the starting position.
In the case of muscle injury, the pain is always the beginning of the movement. There is a spasm of defense.
In the injury of facet joint pain occurs in the movements of bending and rotation to one side.
When a disc lesion with increased pain relieved by compression and traction.

For more information visit our Osteopathy course online. Basic Concepts

*Automatic Translation