Mobilization with Movement (MWMs)
MWMs: The application of sustained accessory mobilization by a therapist and an active physiological movement by the patient. Passive end-of-range stretching can be applied post-treatment. Mulligan Concept.
Aim- Has hypoalgesic effects, increases joint ROM, enhances muscle function and treats pathology, with evidence supporting its use in tennis elbow, ankle sprains, shoulder impingement and hip and knee OA.
AP mobilization with rotation for the GHJ - https://www.youtube.com/watch?v=pI4T1OBWspI&t=1s
MWM for the lumbar spine, sitting - https://www.youtube.com/watch?v=YvuFdJsrPqQ&t=4s Extension- Superior anterior force on spinous process, assist with extension with hand on anterior shoulder. Flexion- Push superiorly with hook of the pisiform and assist flexion with hand on thoracic back.
MWM for the lumbar spine, extension, supine - https://www.youtube.com/watch?v=Kt0EhaxKafk- two hands around the lumbar spine, compress hands (AP and PA force) patient extends back, assisting by pushing up with his hands. Extension, standing - stabilize with belt, place hand lateral to the lumbar spine, resist patients extension and apply PA force.