Kaltenborn of Hand
Purpose[edit | edit source]
The Kaltenborn method, also referred to as Orthopedic Manual Physical Therapy (OMT), is a Nordic System of Manual Therapy derived by Freddy Kaltenborn and Olaf Evjenth over several years. This Nordic system seeks to repair usual joint mechanics[1].
All joints have positions that provide a degree of freedom or create a low level of laxity of the capsule and ligaments that allows little, accurate movements of joint play. This is the result of internal and external movement forces on the body. These joint play movements are referred to as accessory movements and are not under conscious control, but they are essential to permissive, painless functioning of active movement[2]. These joint play movements can be highlighted during passive movements and include;
- Distraction
- Sliding
- Compression
- Rolling
- Spinning of joint surfaces.
The term arthrokinematics describes these motions of the bone surfaces inside the joint. OMT Kaltenborn-Evjenth Concept use translatoric (linear) joint play movements in association to the treatment plane in both assessment and treatment. Translatoric traction, compression and gliding joint play movements are applied to assess joint function and translatoric gliding and traction mobilisations are used to restore joint play[2].
The Kaltenborn Treatment Plane passes through the joint and exists at a right angle to a line positioned from the axis of rotation in the convex bony partner, to the deepest position of the articulating concave surface. Therefore, the treatment plane remains with the concave joint surface despite the moving joint partner being concave or convex[2].
Technique[edit | edit source]
Kaltenborn established the Concave-Convex Rule that allows ease in identifying the direction of limitation and subsequently the direction that treatment is to be applied.
- When a convex joint surface is moving, the roll and glide transpire in the opposite direction. The therapist moves a convex joint surface opposite to the direction of reduced movement to instigate the capsule in the same direction as the glide.
- When a concave joint surface is moving the roll and the glide takes place in the same direction. The therapist moves a concave joint surface in the same direction of the reduced movement. The reverse capsule is provoked[3].
Evidence[edit | edit source]
Provide the evidence for this technique here
Resources[edit | edit source]
References[edit | edit source]
- ↑ Kaltenborn FM. Orthopedic manual therapy for physical therapists Nordic system: OMT Kaltenborn-Evjenth concept. Journal of Manual & Manipulative Therapy. 1993 Jan 1;1(2):47-51.
- ↑ 2.0 2.1 2.2 University of Sargodha. Translatoric joint play, Grades of Kaltenborn and Cocave-convex rule. Available from: https://lms.su.edu.pk/lesson/156/translatoric-joint-play-grades-of-kaltenborn-and-cocave-convex-rule (accessed 12 October 2020)
- ↑ Manual Mobilisations. Kaltenborn Concept. Available from:https://manualmobilization.wordpress.com/kaltenbornconcept/ (accessed 13 October 2020)
- ↑ JP Gloria. The Convex Concave Rule in under 2 min. Available from: https://www.youtube.com/watch?v=xWEQk42Spv0&t=3s [Last accessed 13/10/2020)
