Elbow Lab

Question 1

Describe elbow active, passive, and resisted testing

Answer 1

Question 2

Describe varus and valgus stability testing

Answer 2

-Radial head/humerus has no bony congruency where ulna/humerus does which affects stability testing
-Open pack humeroulnar -> need slight flexion and supination (30-60-90 degrees)
-Closed pack humeroulnar -> full extension
-Humeroradial is EXACT OPPOSITE of humeroulnar for closedpack and open pack position

Humeroradial -> perform at 0 and 30 flexion with 5 degrees of supination (openpack position)
-For 0 and 30 perform with them in supine and arm out at their side
-Palpate radialcollateral ligament
-Raise the bed up to drive their humerus with your hip
Humeroulnar -> perform at 0, 30, 60, 90 flexion with 5 degrees of supination (open pack position
-For 30 and 60 have arm at side when theyre in supine
-For 90 lift arm above their head at the side and have stomach providing stabilization and hand at wrist providing that force
-Palpate ulnar collateral ligament
Valgus -> outward force (stand outside) -> ulnar
Varus -> inward force (stand inside) -> radius

Question 3

Describe Cozen’s Tests

Answer 3

Question 4

Describe Maudsley’s Tst

Answer 4

Question 5

Describe Mill’s Test

Answer 5

Question 6

Describe pain free and maximal grip measure

Answer 6

Question 7

Describe ulnohumeral traction

Answer 7

Question 8

Describe radiohumeral traction

Answer 8

Stand on inside of arm grasping radial head anteriorly and posteriorly and pull out with arm at 30 degrees and in slight supination. Have one hand on radial head and other on ulnar/elbow joint to stabilize. Use body to provide slight varus force while pulling out.

Question 9

When to perform traction on elbow

Answer 9

Perform traction to reduce tone/spasm (reduces fear, anxiety, kinesiophobia), improve mobility, and reduce pain, and articular restriction

Question 10

Compare radius and ulna PA’s in direction we move them for flexion and extension

Answer 10

Radius and Ulna PA’s: In flexion = anterior glide; in extension = posterior glide

Question 11

Describe anterior and posterior glide of ulna on humerus

Answer 11

Flexion: Same things as radial but favor ulna side. (direction is anterior at an angle towards armpit toward the floor) -> push on ulna bone (get them to move to far side of bed so elbow is on bed. Push with thenar eminence not thumb tip. Will be slight traction with scooping motion.
Extension: Side lying with them stabilizing their bicep. Focus on ulnar bone with thenar eminence with arm wrapper around arm and push down.

Question 12

Describe anterior and posterior for Radial PA

Answer 12

Flexion: have in supine with elbow at 90, bring into limited ROM and wrap both arms around arm close to joint with thumbs and push anteriorly favoring radial side (direction is anterior at angle towards armpit toward floor) -> push on radial bone. Have positioned on bed with elbow on (so get them to move to far side). Push with thenar eminence not thumb tip. Will be slight traction with scooping motion.
Extension: Side lying with them stabilizing their bicep. Focus on radial bone with thenar eminence with arm wrapper around arm and push down with scooping

Question 13

What are other methods to reduce tone

Answer 13

-Traction
-Passive physiological
-PNF

Question 14

Describe all the different MWM for extension and for lateral epicondylagia

Answer 14