Grade II joint mobilization is used for which combination?

• A. Small, pain
• B. Large, pain
• C. Large, increase tissue mobility
• D. Small, increase tissue mobility

Answer: (B)

Grade II mobilization is about applying a large-amplitude, rhythmic oscillation through the middle portion of the joint’s ROM. This mid-range, large-amplitude approach helps modulate pain and reduce muscle guarding without pushing to the end range, which is where mobility gains typically come from. It’s not aimed at increasing tissue mobility—that goal is addressed with end-range mobilizations (Grade III or IV). Small-amplitude techniques (Grade I) are used for initial pain or spasm at the start of ROM, while end-range grades focus on increasing joint play. Therefore, the best match is a large amplitude performed for pain relief.