H & UE Lab/Lecture

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H & UE Lab/Lecture
2010-02-25 13:48:18

Assessments for shld.,elbow, and wrist; along with mobilization
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  1. Mobilizations are passive movements performed in such a way that the patient is always in conrol of the movements and can prevent the movements anytime.
  2. Indications for Mobilizaitons?
    • Pain
    • Ligament and/or joint tightness
    • Muscle tightness
    • Limited ROM
  3. Containdications for Mobilizations?
    • Unstable fracture
    • hypermobility
    • active infection
    • bone tumor
    • marked demineralizaiton
    • acute inflammtory stage of athritis
    • Rarely done on RA
  4. Scapulothoracic (Joint Mobilization Techniques)
    • -Perform movemments in upward and downward positions and then medial and lateral positions
    • -if not comfortable can put a pillow under elbow
    • -take to the end point and do osolations in direction of tightness
    • -get scapula to loosen up
  5. Glenohumeral: Inferior Glide I
    (Joint Mobilization Techniques)
    • -sidelying position
    • -stabilze the arm
    • -pull down and then osolation
    • -one hand on humerus (pull down) and put other hand in axial area
  6. Glenohumeral- Inferior glide 2
    (Joint Mobilization Techniques)
    • -on back
    • -elbow at 90 degrees, horizontal abduction
    • -one hand at head of humerus and push inferiorly and with other hand at elbow
    • -just move the head of the humerus
  7. Glenohumeral: Anterior glide
    (Joint Mobilization Techniques)
    • -on back
    • -distract humerus head anteriorly with elbow flexed
  8. Glenohumeral: Posterior Glide
    (Joint Mobilization Techniques)
    • -on back
    • -stabilize arm with your side
    • -pushing head of humerus posteriorly
  9. Humeroulnar: Dislocation
    (Joint Mobilization Techniques)
    • -hands distract the ulna out and down
    • -pull on ulnar side
  10. Humeroulnar: Side Tilting
    (Joint Mobilization Techniques)
    Jackson does not prefer
    • -stabilizing wrist and elbow and moving ulnar side to side
    • -be careful
  11. Humeroulnar: Side Glide of Ulna
    (Joint Mobilization Techniques)
    • -on back and with a towl rolled under their elbow, just proximal to elbow
    • -pronate, grap ulnar and apply pressure downward
    • -moderate pressure, slowly, and can feel a little give
  12. Radiohumeral: Dislocation (hold radius only)
    (Joint Mobilization Techniques)
    • -on back
    • -grap muscle and radius, then distally
  13. Radiocarpal: Distraction
    (Joint Mobilization Techniques)
    • -sitting
    • -could stabalize at forearm and pull wrist
  14. Radiocarpal: Palmer Glide of Scaphoid and Lunate on Distal Radius
    (Joint Mobilization Techniques)
    • -therapist locates Lister tubercle with his thumb and then slide thumb down onto scaphoid
    • -therapist holds the radius with this index finger under patient's hand
    • -therapist provides distraction of the scaphoid nad lunate towards the radius
  15. Radiocarpal: Palmer Glide of Capitate on Scaphoid and Lunate
    (Joint Mobilization Techniques)
    • -capitate move on scaphoid and lunate
    • -therapist places thumbs over patient's capitate and index finger over the scaphoid and lunate
    • -distraction is provided from the capitate onto the scaphoid and lunate
  16. Distal Radioulnar: A-P Glide
    (Joint Mobilization Techniques)
    • -therapist grasps the head of the ulna while stabilizing patient's on the radial side
    • -therapist performs distractions and glides anteriorly and posteriorly at the head of the ulna
  17. TFCC: A-P Glide
    (Joint Mobilization Techniques)
    • -therapist places index finger over patient's pisiform and thumb over the dorsal aspect on the shaft of the unla
    • -therapist performs a pinching motion with his index finger causing an anterior and posterior glide of the ulna
  18. MCP/PIP/DIP Disraction
    (Joint Mobilization Techniques)
    • -therapist stabilizes the joint proximally with one hand and then provides distraction iwth other hand at the joint
    • -take caustion not to bruise the patient by squeezing with too much pressure
  19. MCP/PIP: Volar and Dorsal Glides
    (Joint Mobilization Techniques)
    -therapist stabilizs the joint proximallywith one hand and then provides glides volarly and dorsally with the other hand
  20. Thumb CMC: A-P Glide
    (Joint Mobilization Techniques)
    • -patient's hand in neutral positioned on a towel allowing ulnar deviation in wrist
    • -therapist stabilizes patient's trapezium with one hand and then grasps patient's CMC with the other hand
    • -therapist provides anterior and posterior glides wiht the thumb CMC joint
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