Mobs?, depends on wether the therapist is using maitland style mobs, or CM

if Cm , then

" patients with rheumatoid arhtritis (esp. cervical spine"
caution only when undergoing highly irritable states, otherwise OK.

"osteoporosis"
No problem.

"presence of hypermobility"
I have never seen this in 20 plus years of looking for it. In spinal pain conditions I am inclined to say this does not exist.


"presence of bony block"
same story here.

"presence of malignancy"
fair enough , but how you gonna know, most times you will not.

"fresh\healing fractures"
depends on how close to the joint you are mobilising and how recent.

"caution in application for pregnant women"
Why?, if they can lie down and be adequately supported and comfortable , cm will be of benefit and totally safe

"hiatal hernia"
I suspect the writer here was referring to Hiatus hernia, in which case they can be mobilised in a sitting and or a side lying position.

"cardiac problems"
one needs the patient to have a beating heart, if it has stopped , discontinue mobs.

"**complete contraindication for acute cervical neck injuries and injury to stabilizing soft tissues."
Nonsense.

"Inflammatory infections, viral conditions "
who wrote this, are you kidding me?

"Severe Wikipedia reference-linkscoliosis
VBI (high grade mobs)
Ankylosing spond
Severe pain"

Whoever is threatened by the majority of these conditions and refuses to use gentle mobs in these circumstances , is either untrained in their use , or entirely devoid of skill . sensitivity, or common sense.