Peripheral joint mobilization and manipulation are manual therapy techniques used to treat joint impairments and limit pain by addressing altered joint mechanics. They involve passive movement of joints using physiological or accessory motions at varying speeds and amplitudes. Self-mobilization refers to self-stretching techniques using joint glides directed at the joint capsule. Mobilization with movement applies sustained accessory mobilization by the therapist during an active physiological movement by the patient. Joint shapes and types of motion between bones are influenced by the surfaces of articulating bones.