Board of Certification for the Athletic Trainer (BOC) Practice Test

Which of the following conditions is a contraindication for joint mobilization techniques?

1. Adhesion

2. Crepitus

3. Hypermobility

4. Pain

The correct answer is: Hypermobility

Joint mobilization techniques are manual therapy interventions aimed at improving joint function and reducing pain. However, certain conditions indicate that performing these techniques might be inappropriate or could result in harm. Hypermobility is one such contraindication for joint mobilization. This condition refers to an excessive range of motion in a joint due to laxity in the surrounding ligaments and connective tissues. When hypermobility is present, the joint may already be prone to instability, and applying mobilization techniques could exacerbate this instability. Instead of providing therapeutic benefits, joint mobilization in someone with hypermobility could lead to further joint damage, pain, or discomfort. Understanding the implications of hypermobility in the context of joint health is essential for athletic trainers. While other conditions like adhesions, crepitus, or pain might indicate a need for careful consideration before proceeding with mobilization, they are not absolute contraindications. Hypermobility, on the other hand, necessitates a cautious approach to prevent potential adverse outcomes.