EWH Common Interventions Flashcards
manual techniques for lateral epicondylitis
- Mill’s manipulation
- mobilization with movement
mill’s manipulation technique
- grasp at wrist place pt’s arm into shoulder medially rotated, forearm pronation, wrist flexed
- with other hand, place thumb behind pt’s posterior radial head
force applied in a mills manipulation
apply low amp, high velocity quick thrust anteriorly
goal for mill’s manipulation
reduce pain due to lateral epicondylopathy
mobilization with movement for lateral epicondylitis: pt/therapist position
pt: supine with elbow extended
therapist: standing to side of pt
mobilization with movement for lateral epicondylitis: technique
perform sustained lateral glide of humeroulnar joint as patient grasps and squeezes an object (towel, ball, hand held dynamometer)
interventions for decreased mobility
- joint mobs - manipulations, MWM
- STM
- stretching
- tendon gliding
- strengthening/stabilization
interventions for instability
- strengthen surrounding muscles
- proprioceptive training
- bracing/taping
interventions for myofascial pain syndrome
- STM
- Stretching
- correct muscle imbalances
- dry needling
interventions for nerve entrapment
- stretching of tight structure
- STM of tight structure
- nerve glides/tensioners
how do nerve gliders/tensioners help decrease pain
- thought to decrease adhesions and allow improved movement of peripheral nerves
- increase neural vascularity, increased oxygenation of the nerve
- disperse noxious fluid
- improve axoplasmic flow
- desensitize the nerve which is hypersensitive
nerve glider
tension is put on one end while slack on the other, less aggressive
nerve tensioner
tension put on both ends, more aggressive
how do you determine btw using a nerve tensioner or glider
depends on pt’s irritability level
