ECOS Final Facts and OMM Flashcards
AC Joint Dx:
Resistance of clavicle at AC joint springing inferiorly
Superior clavicle (step off)
AC Joint Dx:
Presence of clavicle at AC joint springing inferiorly
Inferior clavicle (step on)
External Rotationof the humerus leads to_____ Rotation of the clavicle at the AC joint
External
Internal Rotationof the humerus leads to_____ Rotation of the clavicle at the AC joint
Internal
AC Joint Dx:
Pt seated with Doc monitoring AC joint
Flex and ABduct shoulder to 45
Then assess ER and IR (to 90 in each direction)
Superior Clavicle ART
Stand behind Pt, monitor clavicle with one hand and grasp elbow with other
MOVE SHOULDER IN CIRCULATORY SWEEP (posterior, superior then anteromedial)
AC joint ER SD MET
Flex and aBduct pt shoulder while seated, then INTERNALLY ROTATE to restrictive barrier, then do MET
AC joint IR SD MET
Flex and aBduct pt shoulder while seated, then EXTERNALLY ROTATE to restrictive barrier, then do MET
SC joint ADducted SD ART
Pt supine, neck passively flexed,
APPLY CAUDAL PRESSURE TO CLAVICLE
Pt fully inhales and exhales while Doc springs clavicle
SC joint ADducted SD MET
Pt supine
Place Pt arm into EXTENSION AND IR
Pt instructed to RAISE ARM to ceiling against Doc pressure (MET)
Glenohumeral MFR
Pt prone with arm off table; grasp humeral head
- Distraction, compression, twist, shear
- Direct or Indirect
Spencer’s Technique (7 stages of ART movement)
Pt lateral recumbent with dysfunctional shoulder up
- Extension
- Flexion
- Compression Circumduction
- Traction Circumduction
5a. ADduction with ER
5b. ABduction - IR
- Traction w/ Inferior Glide
*MET can also be included once restrictive barrier has been engaged
C2-C7 Vertebral Mechanics
F, E or N
Sidebending and Rotation occur in same direction
OA Vertebral Mechanics
Mostly F and E
Sidebending and Rotation occur in opposite directions
AA Vertebral Mechanics
Primarily Rotation (obliquus capitus inferior ms.)
Almost no SB, F or E
