Final- 4. UE HVLA Flashcards

1
Q

Flexion/Extension ROM for Glenohumeral Joint

A

Flexion: 180

Extension: 60

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Abduction/Adduction ROM for Glenohumeral joint

A

Abduction 180

Horizontal abduction: 130-145 or 40-55

Horizontal ADduction: 40-50 or 130-140

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the indications for glenohumeral BLT?

A

Subdeltoid bursitis or frozen shoulder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Scapular elevation leads ____ motion of SC joint.

A

Inferior motion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

in 90 degrees flexion, what actions lead to posterior glide of the clavicle at the SC joint?

A

Protraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

_____ leads to anterior glide of the clavicle at the SC joint.

A

Retraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

SC Elevated/ADducted SD Still technique

A
  1. Pt seated. Physician behind pt monitoring SC joint w/ 1 hand and grasping elbow with the other
  2. Start with the elbow adducted and slightly extended
  3. Add compression toward the SC joint
  4. Move the shoulder into superior glide and abduction, engaging a posterior circumbduction motion.
  5. Remove compression and return to neutral
  6. Reassess
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

SC SD HVLA

A
  1. Pt supine. Physician at head of table
  2. Place thenar eminence of monitoring hand over restricted SC joint
  3. Apply cephalad traction on arm on side of dysfunction
  4. Apply thrust on SC joint while simultaneously inducing a rapid traction force through pt’s arm
    1. ADduction (elevated SC): inferior thrust
    2. Extension SD (Anterior SC): posterior thrust
  5. Reassess
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

AC Joint Separated SD Still Technique

A
  1. Pt seated, physician in front of pt
  2. Affected side is abducted, with slight extension to open the AC joint
  3. Traction is applied
  4. The arm is moved into adduction/flexion
  5. Traction is removed and arm returned to neutral
  6. Reassess
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Ulnar abduction SD (Valgus) HVLA

A
  1. Pt seated
  2. Supinate and fully extend elbow. Grasp elbow w/ fingers of monitoring hand on either side of olecranon. Other hand grasps distal radius/ulnar
  3. Move elbow into ulnar adduction. Apply a medial to lateral thrust over the medial olecranon
  4. Reassess
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Ulnar ADduction SD HVLA

A
  1. Pt seated
  2. Supinate and fully extend elbow, grasp either side
  3. Move elbow into ulnar abudction. Apply a lateral to medial thrust over the lateral olecranon
  4. Reassess
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Anterior Radial Head SD HVLA

A
  1. Pt seated, physician faces pt
  2. Place thumb of one hand intot the crease of the pt’s elbow contacting directly over anterior radial head. The other hand flexes elbow and pronates forearm
  3. Exert a rapid hyperflexion force while simultaneously thrusting the radial head posteriorly
  4. Reassess
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Posterior Radial Head SD HVLA

A
  1. Pt seated. Physician stands facing pt
  2. Extend and supinate elbow. Place thumb over posterior radial head
  3. Exert rapid hyperextension force while simultaneously thrusting the radial head anteriorly
  4. Reassess
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Radiocarpal Joint SD ART with Traction

A
  1. Physician cups hands by approximating thenar and hypothenar eminences to form a groove in each hand
  2. Physicians hands are placed over the dysfxn with the grooves parallel to joint line
  3. Physician squeezes b/w his/her hands, producing traction as the eminences separate
  4. Physician maintains the squeeze and traction while articulating the pt’s wrist in clockwise, then counterclockwise motion (figure 8), carrying the dysfxn through the restrictive barrier
  5. Reassess
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Wrist Extension/Ventral Carpal SD HVLA

A
  1. Pt seated. Physician standing facing the pt
  2. Pronate elbow. Grasp pt’s hand, thumbs contacting dorsally at the proximal carpal bones (radiocarpal joint)
  3. Deliver a whip-like thrust moving from extension to flexion through the carpal dysfunction
  4. Reassess
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Phalangeal Dysfunction HVLA

A
  1. Pt seated. Physician standing facing the pt
  2. Isolate dysfunctional joint. While stabilizing the wrist. Exert traction and hyperflexion thrust through the SD
  3. Reassess