Elbow/Forearm Movement Coordination Impairment

Question 1

What may you hear in the Subjective Hx with those patients with Movement Coordination Impairments (UCL Sprain)?

What are Agg factors for these patients?

Answer 1

• They may be overhead athletes (can be caused by throwing or a tennis serve)
• Can be caused by trauma (Valgus Stress)
• Can be caused by a FOOSH injury
• Pain in the Medial Aspect of the elbow; during activity and aching after the activity

Agg: Throwing, reaching behind body, Overhead activities (Valgus stress)

Question 2

Which part of the UCL is most likely injured?

Answer 2

The anterior bundles as they are the primary restraint to valgus stress

Question 3

During the Physical Examination, what may you find in those patients with Movement Coordination Impairments (UCL)?

What are the different grades of sprain?

Answer 3

• We may observe Mild bruising (ecchymosis)
• We may find joint effusion (Anthropometrics); depending on grade

Grade 1: No tear, no laxity
Grade 2: Partial tear, pain with laxity
Grade 3: Full tear, no pain (after acute phase) with excessive laxity

Question 4

During the Physical Examination, what will the patients elbow AROM/PROM and Resistive Test look like with Movement Coordination Impairments (UCL)?

Answer 4

AROM/PROM
- May be limitied with symptoms
- They may also have increased AROM

Resistive Testing
- Possible (-) due to ligamentous injury

Question 5

During the Physical Examination, what will the patients elbow Joint Mobility look like with Movement Coordination Impairments (UCL)?

Answer 5

They may have Humeroulnar Hypermobility

Question 6

During the Physical Examination, what additional test would you do with Movement Coordination Impairments (UCL)?

Answer 6

• Valgus Stress Test
• Moving Valgus Test

Question 7

During the Physical Examination, what you find during the Palpation portion with Movement Coordination Impairments (UCL)?

What movement analysis would you have your patient do with this condition?

Answer 7

Point tenderness at UCL

Throw

Question 8

With Interventions , what modalities would you use with Movement Coordination Impairments (UCL)?

Answer 8

• Taping for UCL support
• Elbow splint or immobilization (Orthosis)

Question 9

With Interventions , what Manual Therapy techniques would you use with Movement Coordination Impairments (UCL)?

Answer 9

• Joint Mobilizations
• Shoulder, trunk, hip mobility

Calms down symptoms; decreases stiffness

Question 10

With Interventions , what Activity Specific Exercises would you use with Movement Coordination Impairments (UCL)?

Answer 10

• Stengthening, power, endurance
• Coordination

Question 11

What is the MOI for Olecranon Bursitis?

Answer 11

• Direct trauma or can be irritated through repetitic grazing and weight-bearing

Question 12

What may you observe with patients with Acute Olecranon Bursitis?

Answer 12

Swelling over the posterior elbow

Question 13

During the objective exam, what might you notice with pt with Olecranon Bursitis?

Answer 13

Patients often note a decreased of ROM, with this we can determine that the patient may have difficulty to don a long-sleeve shirt

Question 14

What may help if the patient is experiencing significant pain or discomfort with the movement of the elbow?

Answer 14

A sling may help to reduce Sx and calm the joint