FROM MY PT SCHOOL NOTES · MODALITIES · UNIT 2 · CHAPTER 08
How Do Mobilization Approaches Differ?
Maitland and Kaltenborn describe different grading frameworks; neither replaces diagnosis and clinical reasoning.
At a glance
MAITLAND
Oscillatory movement framework
KALTENBORN
Distraction/glide framework
REASSESS
Same task before and after
What matters most
- Maitland grades describe oscillatory mobilization based on amplitude and where in the available range movement is applied.
- Kaltenborn grades describe distraction or glide associated with taking up slack and stretching; their numbers are not interchangeable with Maitland grades.
- Hands-on interventions should be linked to active movement, patient goals and the response to a meaningful retest.
Safety and evidence limits
Do not learn manipulation, glide force or anatomical technique from an abbreviated note. Screen trauma, fracture, instability, inflammatory disease, neurologic or vascular concerns and post-surgical protection.
Try a clinical decision
Scenario: After a manual technique, passive motion improves briefly but the patient’s reaching task does not. What counts as progress?
Reveal the reasoning
Document the change accurately, then re-examine the functional task and choose active strategies that address capacity and carryover.
My original class sources: 10 Manual Techniques.pdf; 10 Manual Therapy lab.pdf. Supplementary context is not part of the original lecture packet. Educational summary, not a clinical protocol or device-setting guide.
