관절 가동운동이 관절 감수기에 미치는 영향 = Effects of Joint Mobilizaiton Techniques on the Joint Receptors

다국어 초록 (Multilingual Abstract)

Type I, II, III are regarded as "true" joint receptors, type IV is considered a class of plain receptor. Type I, II and III mechanoreceptors, via static and dynamic input, signal joint position, intraarticular pressure changes, and the directon, amplitude, and velocity of joint movements.
Type I mechanoreceptor subserve both static and dynamic physiologic functions. Type I are found primarily in the stratum fibrosum of the joint capsule and ligaments. Type I receptors have a low threshold for a activation and are allow to adapt to changes altering their firing frequency. Type II receptors have a low threshold for activation. These dynamic receptors respond to joint movement. Type II receptors are thus termed rapidly adapting. Type II joint receptors are located at the junction of the synovial membrane and fibrosum of the joint capsule and intraarticular and extraarticular fat pads. Type III receptors have been found in collateral ligaments of the joint of the extremities, Morphologically similar to Golgi tendon organ. These dynamic receptors have a high threshold to stimulation and are slowly adating. Type IV receptors possess free nerve ending that have been found in joint capsule and fat pads. They are not normally active, but respond to extreme mechanical deformation of the joint as well as to direct chemical or mechanical irritation,
Small amplitude oscillatory and distraction movements(joint mobilization) techniques are used to stimulate the mechnoreceptors that may inhibit the transmission of nociceptors stimuli at the spinal cord or brain stem levels.