How far can the movement be performed comfortably?
LEVEL 3 · LESSON 02Therapeutic
Therapeutic
Mobility
Mobility bukan sekadar “buat joint lebih flexible”. Ia ialah purposeful movement exposure untuk membantu client bergerak dalam range yang sesuai, dengan control dan tolerance yang lebih baik.
BY THE END OF THIS LESSONDefine a mobility objectiveSelect relevant movementDose range & repetitionsProgress or regress by response
MOVEWITH PURPOSE
RANGECONTROLTOLERANCEFUNCTIONMobility = usable movement.
Can the client move smoothly without unnecessary compensation?
How does the symptom respond during and after exposure?
Does the movement relate to something the client needs to do?
Build mobility from the assessment finding.
FINDINGe.g. comfortable rotation limited
→TARGETrelevant direction/task
→DOSErange · reps · tempo
→RESPONSEbetter · same · worse?
→ADJUSTprogress · maintain · regress
COURSE RULE
Jangan paksa “full ROM” sebagai target universal. Useful mobility ialah range yang sesuai dengan function, presentation dan response client.
Mobility dosage has four controls.
Smaller ↔ larger comfortable excursion.
Enough exposure to observe response without unnecessary fatigue.
Usually controlled enough to observe quality and symptoms.
Change position, assistance or demand to regress/progress.
Mobility dosage drill
Pilih satu simple active movement yang selamat. Tentukan baseline dahulu, kemudian buat small comfortable exposure dan reassess.
Let response guide the next dose.
Good control, tolerable response, target remains relevant → gradually increase appropriate range/load/complexity.
Guarding, compensation or symptom escalation → reduce demand or change position/range.
Severe, unusual or concerning symptom response → stop and reassess safety.
Quick Knowledge Check
Client boleh bergerak lebih jauh tetapi mula compensate dan symptom meningkat. Apa langkah terbaik?
Client susah menoleh ketika memandu. Safety screen clear. Neck rotation kanan lebih limited dan guarded berbanding kiri.
Apakah mobility approach paling logical?
Mobility bukan alasan untuk force a joint or repeatedly provoke pain. Respect contraindications, recent trauma, neurological/vascular concerns, surgical precautions and client consent. Use only movements appropriate to training and presentation.