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UE joint mobs
Shoulder, elbow, and wrist joint mobs
Question | Answer |
---|---|
GHJ resting position | Shoulder abducted 55 degrees, horizontally abducted 30 degrees, and rotated so forearm is in horizontal plane with respect to the body (called plane of the scapular |
Glenohumeral distraction is indicated for what? | Testing; initial treatment (sustained grade 2); pain control (grade 1-2 oscillations); general mobility (sustained grade 3) |
Glenohumeral caudal glide in resting position is indicated for what? | To increase aBduction (sustained grade 3), to reposition to humeral head is superiorly positioned. Caudal = inferior directed force |
Glenohumeral posterior glide indicated for what? | To increase flexion; to increase internal rotation |
Glenohumeral anterior glide indicated for what? | To increase extension; to increase external rotation |
Sternoclavicular posterior glides are indicated for what? | To increase retraction |
Sternoclavicular superior glides are indicated for what? | To increase depression of the CLAVICLE |
Sternoclavicular anterior glides are indicated for what? | To increase protraction |
Sternoclavicular inferior glides are indicated for what? | To increase CLAVICULAR elevation |
Scapulothoracic soft tissue mobilization are used to obtain what? | Scapular motions of elevation, depression, protraction, retraction, upward downward rotation, and winging for normal shoulder girdle mobility |
What's convex and concave in the humeroulnar joint | Convex trochlea; concave olecranon fossa |
Resting position for humeroulnar articulation | 70 degrees elbow flexion, forearm supinated 10 degrees |
Humeroulnar distraction is indicated for what? | Initial treatment (sustained grade 2); pain control (Grade 1-2 oscillation); to increase flexion or extension (grade 3-4) |
Humeroulnar distal glide is indicated for what? | To increase flexion |
Humeroulnar radial glide is indicated to what? | To increase varus. This is an accessory motion of the joint that accompanies elbow flexion and is therefore used to progress flexion |
Humeroulnar ulnar glide is indicated for what? | To increase valgus. This is an accessory motion of the joint that accompanies elbow extension and is therefore used to progress extension. |
Humeroradial joint resting position | Elbow is extended and forearm is supinated to the end of the available range |
Humeroradial distraction is indicated for what? | To increase mobility of the humeroradial joint; to manipulate a pushed elbow (proximal displacement of the radius) |
Humeroradial dorsal glides are indicated for what? | dorsal glide head of radius is indicated to increase elbow extension |
Humeroradial volar glides are indicated for what? | To increase flexion |
Humeroradial compression is indicated for what? | To reduce a pulled elbow subluxation |
Proximal radioulnar joint resting position | elbow is flexed 70, and the forearm is supinated 35 |
Proximal radioulnar dorsal glides are indicated for what? | To increase pronation (PPP) |
Proximal radioulnar volar glides are indicated for what? | To increase supination |
Distal radioulnar joint resting position? | forearm supinated 10 degrees |
Distal radioulnar dorsal glide is indicated to do what? | To increase supination |
Distal radioulnar volar glide is indicated to do what? | Increase pronation |
Radiocarpal joint resting position | Straight line through the radius and 3rd metacarpal with slight ulnar deviation |
Radiocarpal distraction is indicated for what? | Testing; initial treatment; pain control; general mobility of the wrist |
Radiocarpal joint dorsal glide is indicated for what? | to increase flexion |
Radiocarpal joint ventral glide is indicated for what? | to increase extension |
Radiocarpal joint ulnar glide is indicated for what? | To increase radial deviation |
Radiocarpal joint glide is indicated for what? | To increase ulnar deviation |
For the ulnar-meniscal-triquetral articulation, ow do you unlock the articular disk? The articular disk may block motions of the wrist or forearm | Apply a glide of the ulnar volarly on a fixed triquetrum |
Carpometacarpal and intermetacarpal volar glide is indicated for what? | To increase mobility of the arch of the hand |
Carpometacarpal joint of the thumb resting position | Midway between radial abduction/adduction and between palmar abduction/adduction |
Carpometarcarpal distraction (thumb) is indicated for what? | testing, initial treatment, pain control, general mobility |
Carpometacarpal joint of the thumb: ulnar glide is indicated for what? | To increase radial adduction |
Carpometacarpal joint of the thumb: radial glide is indicated for what? | To increase radial abduction |
Carpometacarpal joint of the thumb: dorsal glide is indicated for what? | To increase palmar abduction |
Carpometacarpal joint of the thumb: volar glide is indicated for what? | To increase palmar adduction |
Metacarpophalangeal and interphalangeal joints of the fingers resting position | Light flexion for all joints |
Metacarpophalangeal and interphalangeal distraction is indicated for what? | testing; initial treatment; pain control; general mobility |
Metacarpophalangeal and interphalangeal volar glide is indicated for what? | To increase flexion |
Metacarpophalangeal and interphalangeal dorsal glide is indicated for what? | To increase extension |
Metacarpophalangeal and interphalangeal radial/ulnar glide (depending on the finger) is indicated for what? | To increase abduction/adduction |