This grade uses small oscillations to increase range of movement in stiff joints.

This grade uses large amplitudes which go through the point of resistance slightly and then eases off into the available range.

This grade uses large oscillations within the pain-free range and is good for high/medium-high SIN patients.

Treatment should be... (select all that apply)

The patient is coming to you after having ankle stiffness for the last 6-months following a lateral ankle sprain. They get a dull ache which lasts 3-hours following long periods of standing/activity, sometimes it feels like a dull-throb.

Select the SIN-level and grade of treatment.

This patient is coming to you with acute hip-pain. They've had a number of injuries to their R hip over the years but never a pain like this. They are a keen runner and have run multiple marathons but now struggle to get past 5km due to a 7/10 pain in their hip.

Select a SIN-level and grade of treatment.

This patient has knee stiffness around the inside of their knee following an MCL injury. They have completed 4-months of rehabilitation but are struggling to gain the last bit of extension due to the stiffness. They are low-SIN.

Select which grade and direction you would use.

This is your patients first appointment with you, after completing a thorough subjective and objective assessment you have come to the hypothesis that the patient has plantar fasciitis and particularly have pain and stiffness in their tarsometatarsal joints when walking. Their pain is a 4/10 but they also have a constant dull ache in their feet which they would rate a 2.5/10.

Your patient is coming to you with knee stiffness into extension following an ACL reconstruction 12-months ago. It doesn’t cause them any pain but they have not been able to improve their quad size for some time and feels it is affecting their performance as an elite hurdler. They also feel some stiffness on the lateral side of their knee where the scar is from the operation.