<html> <head> <title>Rule 20:41:01:02 Manipulation/mobilization -- Manipulation/adjustment.</title> <meta name="Keywords" content="Administrative Rules 20:41:01:02"> <meta name="Description" content="Administrative Rules 20:41:01:02 Manipulation/mobilization -- Manipulation/adjustment."> <meta http-equiv="Content-Type" content="text/html; charset=windows-1252"> <meta name="Generator" content="Microsoft Word 14 (filtered)"> <style> <!-- /* Font Definitions */ @font-face {font-family:Times; panose-1:2 2 6 3 5 4 5 2 3 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; font-size:10.0pt; font-family:"Times","serif";} p.MsoBodyTextIndent, li.MsoBodyTextIndent, div.MsoBodyTextIndent {margin-top:0in; margin-right:0in; margin-bottom:0in; margin-left:1.0in; margin-bottom:.0001pt; text-align:justify; text-indent:-1.0in; font-size:12.0pt; font-family:"Times New Roman","serif";} @page WordSection1 {size:8.5in 11.0in; margin:1.0in 1.25in 1.0in 1.25in;} div.WordSection1 {page:WordSection1;} --> </style> </head> <body lang="EN-US"> <div class="WordSection1"> <p class="MsoNormal" style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>20:41:01</b><b>:02.&nbsp;&nbsp;Manipulation/mobilization -- Manipulation/adjustment.</b> For the purposes of this article, &quot;manipulation/mobilization&quot; is an externally applied mechanical measure. &quot;Manipulation/adjustment&quot; of a joint is defined as a passively applied movement of low amplitude and low or high-velocity thrust which moves the joint into the paraphysiological range. Manipulation is a passive dynamic thrust that causes cavitation or gapping and attempts to restore the manipulated joint's range of motion and neurophysiological function. Manipulation commences where mobilization ends.</span></p> <p class="MsoNormal" style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;</span></p> <p class="MsoNormal" style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Mobilization is a non-thrust, manual therapy. It involves passive movement of a joint within its physiologic range of motion. This is approximately equivalent of the normal range of motion a joint can be taken through by intrinsic musculature. Active range of motion is motion which patients can accomplish by themselves. Mobilization is passive movement within the physiologic joint space administered by a clinician for the purpose of increasing overall range of joint motion.</span></p> <p class="MsoNormal" style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;</span></p> <p class="MsoNormal" style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Figure 1 graphically demonstrates the varying degrees of motion between the two techniques, and their specific classifications.</span></p> <p class="MsoNormal" style='text-align:justify'> <table cellpadding="0" cellspacing="0" align="left"> <tr> <td width="127" height="0"></td> </tr> <tr> <td></td> <td><img alt='Rule Image ' width="442" height="278" 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"></td> </tr> </table> <br clear="ALL"> <p class="MsoNormal" style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;</span></p> <p class="MsoNormal" style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;</span></p> <p class="MsoNormal" style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;</span></p> <p class="MsoNormal" style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Stage&nbsp;1&nbsp;&nbsp;The active range of movement (motion produced by muscular action).</span></p> <p class="MsoBodyTextIndent" style='margin-left:76.3pt;text-indent:-76.3pt'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Stage&nbsp;2&nbsp;&nbsp;The passive range of movement (motion produced by traction or springing the jointýÿjoint play, up to the elastic barrier of resistance). Characterizes mobilization.</p> <p class="MsoBodyTextIndent" style='margin-left:76.3pt;text-indent:-76.3pt'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Stage&nbsp;3&nbsp;&nbsp;The paraphysiological range of movement (motion beyond the elastic barrier of resistance up to the limit of anatomical integrity produced by manipulation/adjustment and frequently accompanied by an audible release). Characterizes manipulation/adjustment.</p> <p class="MsoBodyTextIndent" style='margin-left:76.3pt;text-indent:-76.3pt'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Stage&nbsp;4&nbsp;&nbsp;The pathological movement (motion beyond the limit of normal anatomical integrity, which damages ligaments and capsule, resulting in joint hypermobility).</p> <p class="MsoBodyTextIndent" style='margin-left:76.3pt;text-indent:-76.3pt'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Manipulation/adjustment that is too forceful may move the joint beyond the limit of anatomical integrity, creating or perpetuating joint instability.</p> <p class="MsoNormal" style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;</span></p> <p class="MsoNormal" style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 28 SDR 88, effective December 23, 2001.</span></p> <p class="MsoNormal" style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <a href="/statutes/DisplayStatute.aspx?Type=Statute&Statute=36-5-1">36-5-1</a>, <a href="/statutes/DisplayStatute.aspx?Type=Statute&Statute=36-5-4">36-5-4</a>, <a href="/statutes/DisplayStatute.aspx?Type=Statute&Statute=36-5-15.2">36-5-15.2(1)(3).</a></span></p> <p class="MsoNormal" style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <a href="/statutes/DisplayStatute.aspx?Type=Statute&Statute=36-5-1">36-5-1</a>, <a href="/statutes/DisplayStatute.aspx?Type=Statute&Statute=36-5-4">36-5-4</a>, <a href="/statutes/DisplayStatute.aspx?Type=Statute&Statute=36-5-15.2">36-5-15.2(1)(3).</a></span></p> <p class="MsoNormal" style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;</span></p> <p class="MsoNormal" style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Reference:</b> Meridel I. Gatterman, <b>&quot;Complications of and Contraindications to Spinal Manipulative Therapy,&quot;</b> chap. 4 in <i>Chiropractic Management of Spine Related Disorders,</i> ed. Meridel I. Gatterman (Baltimore: Williams &amp; Wilkins, 1990), 49, fig. 3.1.</span></p> <p class="MsoNormal" style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman","serif"'>&nbsp;</span></p> </div> </body> </html>