Accessory Movements

Question 1

What are you looking for with an accessory movement?

Answer 1

Pain, resistance or spasm in early, middle or late range

Question 2

AP clavicle @ SCJ improves…

Answer 2

retraction and full ROM at GH joint

Question 3

AP clavicle @ ACJ improves…

Answer 3

retraction and full ROM at GH joint

Question 4

why do a AP clavicle at SCJ?

Answer 4

because clavicle glides posteriorly during retraction

and need full movement at pectoral girdle to allow full movement at GHJ

no concave convex rule

Question 5

why do a AP clavicle at ACJ?

Answer 5

because clavicle glides posteriorly during retraction

and need full movement at pectoral girdle to allow full movement at GHJ

no concave convex rule

Question 6

AP humerus improves…

Answer 6

GH flexion

Question 7

Why does AP humerus improve GH flexion?

Answer 7

convex surface moving on a concave – so the movement of the lever is in the opposite movement to the glide

Question 8

PA humerus improves

Answer 8

GH extension

Question 9

Why does PA humerus improve GH extension?

Answer 9

convex surface moving on a concave – so the movement of the lever is in the opposite movement to the glide

Question 10

Longitudinal glide GHJ improves…

Answer 10

abduction

Question 11

Why does longitudinal glide improve GH abduction?

Answer 11

because in normal movement, HoH is pulled inferiorly by the rotator cuff to keep the joint stable. Concave convex still applies.

Question 12

Lateral glide of humerus improves…

Answer 12

capsular stiffness

Question 13

why does lateral glide of humerus improve capsular stiffness?

Answer 13

causes capsule to stretch into plastic range

Question 14

Longitudinal glide of elbow improves…

Answer 14

elbow flexion

Question 15

why does Longitudinal glide of elbow improve flexion?

Answer 15

concave surface moving on a convex – so the movement of the lever is in the same direction to the glide

Question 16

AP radius @ superior RU J improves…

Answer 16

elbow extension

Question 17

why does AP radius @ superior RU J improve extension?

Answer 17

concave surface moving on a convex – so the movement of the lever is in the same direction to the glide

Question 18

AP radius @ inferior RU J improves…

Answer 18

supination

Question 19

AP radius @ inferior RU J improves supination because…

Answer 19

convex surface moving on a concave – so the movement of the lever is in the opposite movement to the glide

Question 20

PA radius @ inferior RU J improves….

Answer 20

pronation

Question 21

PA radius @ inferior RU J improves pronation because…

Answer 21

convex surface moving on a concave – so the movement of the lever is in the opposite movement to the glide

Question 22

AP radoiocarpal improves… & why?

Answer 22

Wrist flexion - convex surface moving on a concave – so the movement of the lever is in the opposite movement to the glide

Question 23

PA radoiocarpal improves… & why?

Answer 23

Wrist extension - convex surface moving on a concave – so the movement of the lever is in the opposite movement to the glide

Question 24

Lateral glide RCJ improves… & why?

Answer 24

Ulnar Deviation - convex surface moving on a concave – so the movement of the lever is in the opposite movement to the glide

Question 25

Medial glide RCJ improves… & why?

Answer 25

Radial Deviation - convex surface moving on a concave – so the movement of the lever is in the opposite movement to the glide

Question 26

AP mid carpal improves… & why?

Answer 26

Wrist flexion - convex surface moving on a concave – so the movement of the lever is in the opposite movement to the glide

Question 27

PA mid carpal improves… & why?

Answer 27

Wrist extension - convex surface moving on a concave – so the movement of the lever is in the opposite movement to the glide

Question 28

AP MCP improves… & why?

Answer 28

Finger extension – convex surface moving on a concave – so the movement of the lever is in the opposite movement to the glide

Question 29

PA MCP improves… & why?

Answer 29

Finger flexion – convex surface moving on a concave – so the movement of the lever is in the opposite movement to the glide

Question 30

AP CMC improves… & why?

Answer 30

CMC Extension. Moving concave surface on convex so movement of joint is in same direction as lever arm.

Question 31

PA CMC improves… & why?

Answer 31

CMC Flexion. Moving concave surface on convex so movement of joint is in same direction as lever arm.

Question 32

A/P distal phalanx @ interphalangeal joint improves… & why?

Answer 32

Finger extension – convex surface moving on a concave – so the movement of the lever is in the opposite movement to the glide

Question 33

PA distal phalanx @ interphalangeal joint improves… & why?

Answer 33

Finger flexion – convex surface moving on a concave – so the movement of the lever is in the opposite movement to the glide