Joint Mobilisation Course

Lesson 1 • Synovial Joint Structure and Classification

Covers articular cartilage, capsule, synovium, and ligament anatomy. Provides the structural baseline required for all subsequent mobilisation decisions.

Lesson 2 • Neurophysiology of Joint Mechanoreceptors

Identifies mechanoreceptor types and their roles in pain modulation and proprioception. Explains the neurological basis for mobilisation-induced analgesia.

Lesson 3 • Osteokinematics and Arthrokinematics

Distinguishes bone movement in space from joint surface motion. Links these concepts to mobilisation direction and technique selection.

Lesson 4 • Connective Tissue Biomechanics

Explains stress-strain behaviour of capsule and ligament under load. Connects tissue mechanics to mobilisation force magnitude and duration.

Lesson 1 • Muscle Length and Strength Screening

Identifies muscular contributors to joint restriction through length and strength testing. Distinguishes capsular from muscular hypomobility for targeted treatment.

Lesson 2 • Clinical Reasoning and Hypothesis Formation

Integrates subjective and objective findings into a working clinical hypothesis. Prepares students to justify mobilisation as the appropriate intervention.

Lesson 3 • Active and Passive Range of Motion Testing

Teaches goniometric and visual measurement of joint range. Differentiates contractile from non-contractile tissue involvement through movement comparison.

Lesson 4 • Patient History and Screening

Structures a focused subjective interview to identify symptom onset, behaviour, and red flags. Ensures contraindications are detected before physical examination begins.

Lesson 1 • Relative Contraindications and Precautions

Identifies conditions requiring modified technique, reduced force, or specialist consultation. Teaches clinical judgment when risk-benefit analysis is required.

Lesson 2 • Absolute Contraindications to Mobilisation

Lists conditions that prohibit joint mobilisation under any circumstance. Builds a non-negotiable safety filter applied before every patient encounter.

Lesson 3 • Vascular and Neurological Risk Assessment

Screens for vertebrobasilar insufficiency and neural compromise before cervical and upper thoracic mobilisation. Prevents serious adverse events through structured pre-treatment testing.

Lesson 4 • Informed Consent and Communication

Establishes the process for obtaining valid informed consent prior to mobilisation. Covers disclosure of risks, benefits, and alternatives in patient-centred language.

Lesson 1 • Maitland Grading System

Explains Grades I–V oscillatory and thrust classifications and their clinical indications. Provides the primary grading language used throughout the course.

Lesson 2 • Kaltenborn Grading System

Introduces the three-grade sustained traction and glide system for joint surface separation. Complements oscillatory grading with a tissue-stretch perspective.

Lesson 3 • Biomechanical Principles of Force Delivery

Translates grading theory into controlled hand mechanics and body positioning. Ensures consistent, reproducible force application across all techniques.

Lesson 4 • Tissue Response Monitoring During Treatment

Teaches real-time assessment of tissue resistance and patient response during mobilisation. Enables immediate technique modification to optimise outcomes and safety.

Lesson 1 • Knee, Ankle, and Foot Mobilisation

Applies tibiofemoral, talocrural, and subtalar mobilisation techniques. Restores functional range for weight-bearing activities and gait mechanics.

Lesson 2 • Shoulder Complex Mobilisation

Covers glenohumeral, acromioclavicular, and sternoclavicular joint techniques. Addresses the most common shoulder mobility restrictions encountered in clinical practice.

Lesson 3 • Elbow, Wrist, and Hand Mobilisation

Applies accessory glides to the humeroulnar, radiocarpal, and finger joints. Targets post-immobilisation stiffness and repetitive strain restrictions.

Lesson 4 • Hip Joint Mobilisation

Performs long-axis distraction and directional glides for the hip joint. Addresses capsular restriction patterns common in osteoarthritis and post-surgical stiffness.

Lesson 1 • Spinal Technique Progression and Integration

Sequences spinal techniques within a treatment session and across multiple visits. Integrates spinal mobilisation with peripheral joint and soft tissue interventions.

Lesson 2 • Segmental Localisation and Palpation

Develops accurate spinal level identification through bony landmark palpation and motion testing. Precision localisation is prerequisite to effective and safe spinal mobilisation.

Lesson 3 • Lumbar Spine Mobilisation

Performs PA glides, rotation, and lateral flexion techniques for lumbar segments. Targets the most prevalent spinal region for musculoskeletal pain and disability.

Lesson 4 • Thoracic Spine Mobilisation

Applies posteroanterior and rotational techniques to thoracic segments. Addresses thoracic hypomobility contributing to cervical and shoulder dysfunction.

Lesson 1 • Rationale for Mobilisation-Exercise Integration

Explains why exercise is essential to consolidate mobility gains achieved through mobilisation. Establishes the evidence base for combined manual therapy and exercise protocols.

Lesson 2 • Mobility and Flexibility Exercise Prescription

Prescribes self-mobilisation, stretching, and range-of-motion exercises to complement clinic-based techniques. Empowers patients to maintain gains between treatment sessions.

Lesson 3 • Neuromuscular Stabilisation Training

Introduces motor control and stabilisation exercises following joint mobilisation. Addresses muscle inhibition and coordination deficits that perpetuate joint dysfunction.

Lesson 4 • Functional Movement Restoration

Bridges impairment-level gains to task-specific and occupational movement demands. Ensures treatment outcomes translate to meaningful functional improvement.

Lesson 1 • Complex Presentation Analysis

Analyses cases with multiple contributing factors including psychosocial, structural, and neurological components. Develops reasoning beyond single-impairment models.

Lesson 2 • Outcome Measurement and Clinical Audit

Selects and applies validated outcome measures to track patient progress and treatment effectiveness. Introduces clinical audit as a tool for practice improvement.

Lesson 3 • Case Presentation and Peer Review

Structures formal case presentations for peer and instructor critique. Develops professional communication and reflective practice skills essential for career-long learning.

Lesson 4 • Treatment-Resistant Cases

Identifies reasons for inadequate response to mobilisation and adjusts clinical strategy accordingly. Builds adaptive reasoning skills for non-linear patient progress.