Accessory movements

Question 1

Elbow-Radial deviation

Answer 1

patient staning with forearm supinated and arm extended.
Fixate the humerus from the inside and hold the forearm just proximal to the wrist.
Apply a vagus/adduction force

Question 2

Hip- Long leg traction

Answer 2

patient supine and legs extended. Put hands on patients lower leg just above the ankle joint, bring the hip into 30 degrees of flexion, abduction and slight external rotation.
Have your arms extended and lean back.

Question 3

Ankle- Traction

Answer 3

patient supine with foot over edge of plinth. Use one hand to fixate tibia, other hand as close as possible to the joint line. Apply downward pressure with hand more distal.

Question 4

What is scapulohumeral rhytmn?

Answer 4

Coordinated movement of humerus scapula and clavicle to achieve full elevation or abduction.

Question 5

Glenohumeral- AP glide

Answer 5

patient supine at edge of table. Fixate patients arm with outer hand so it is between my upper arm and body. With inner hand, translate humerus posteriorly. Facilitates flexion.

Question 6

Radiocarpal- traction

Answer 6

With one hand, fixate the distal forearm, grasp proximal row of carpal bones with other hand. Should be no gap between hands. Apply a longitudinal traction with the distal hand

Question 7

Knee- posterior glide

Answer 7

patient supine, hip flexed to 45 degrees, knee flexed to 90 degrees. Fixate foot by sitting gently on it. Palpate joint line with thumbs and gently push the tibia backwards. Facilitates extension.

Question 8

Sterno-clavicular

Answer 8

Thumb pressure on the superior surface of the sternoclavicular joint, as close to the joint line as possible with the pressure directed towards the feet (caudad direction)

Question 9

What is an accessory movement?

Answer 9

One that cannot be performed volunarily by the individual. Includes roll, spin and glide. They assess range and symptom response in the open pack position of a joint.