Final: Special Populations Lab Flashcards
Spencers Technique
- Extension (every)
- Flexion (fine)
- Compression Circumduction (cat)
- Traction Circumduction (takes)
5a. ADduction and ER (an)
5b. ABduction (an) - IR (indoor)
- Pump (traction w Inferior glide) (pee/tinkle)
What can you do for spencers techniques to make it so you have more leverage while pt is sitting?
Brace pt with knee
Subscapularis CS
Anterior lateral boarder of scapula
E IR, with traction
Biceps Brachii (long head) CS
Over tendon in Biceps groove
F ABd IR
Biceps Brachii (short head) CS
Inferiolateral coricoid process
F ADD IR
Pec Minor CS
Inferior and Medial to coricoid process
f-F ADD
Seated Innominate BLT/LAS
Start w stool low to ground, grab pts achillnes and calcaneus
- Add traction
- have pts rotate hips to both sides
- add compression
- Move legs (IR/ER)
- hold until release
Three steps of LAS
- Disengagement
- Exaggeration
- Balance and maintain balance until release
For a posterior innominate BLT/LAS, which way does pt rotate? What about anterior innominate BLT/LAS?
Towards the side (P rhymes w T)
Anterior=Away (A’s)
Then add compression/traction to enhance balance
MET Upper Thoracic Type 1 SD, seated
Pt seated, physician behind monitoring TP
-pt leaning on docs knee to induce SB opposite
Place other hand on pts head, take into neutral then induce ROT into direct barrier
Instruct pt to return to neutral for 3-5s w 3-5lbs of force
- Wait 1-2s, then take to next barrier
- -do 3-5x, return and reassess
MET Upper Thoracic Type 2 SD, seated
Pt seated, physician behind monitoring TP
Place other hand on pts head, take into F/E then induce SB and ROT into direct barrier
Instruct pt to return to neutral for 3-5s w 3-5lbs of force
- Wait 1-2s, then take to next barrier
- -do 3-5x, return and reassess
MET Lower Thoracic (both Type 1 and Type 2)
Pt with hand behind head on PTP side, other hand on elbow and doc monitoring PTP
- Type 1=over one arm and below the other
- Type 2=over both arms
Induce SB, Rot and F/E (if type 2) and have pt return to neutral for 3-5s
- wait 1-2s, take to next barrier
- -repeat 3-5x, reassess
FPR: Thoracic Seated steps
- Flatten the curve by having pt extend spine (sit up straight)
- Compress to segment
- Indirect position
- Hold for 3-5s
- Return and reassess
Stills: lower thoracic steps
- Place indirect
- Compress
- move from indirect to direct barrier
- return to neutral
- reassess
Lower thoracic BLT steps
- Place in indirect
- have pt inhale and exhale
- note which one is best - Have pt hold breath until air hunger/tissue creep
- Reassess
MET Lumbar Seated (both type 1 and type 2)
Pt with hand behind head on PTP side, other hand on elbow and doc monitoring PTP
- Type 1=over one arm and below the other
- Type 2=over both arms
Induce SB, Rot and F/E (if type 2) and have pt return to neutral for 3-5s
- wait 1-2s, take to next barrier
- -repeat 3-5x, reassess
BLT Lumbar Seated Steps
- Place in indirect
- have pt inhale and exhale
- note which one is best - Have pt hold breath until air hunger/tissue creep
- Reassess
Rib FPR Techniques Steps
- Flatten the Curve (have pt sit up tall)
- Indirect positioning (where it likes to go)
- Activating force
- hold for 3-5s
- Return to neutral
Seated FPR: INH/EX Rib SD
- Grip rib (posteriorly and anteriolaterally)
- Have pt lean into you (indirect position), rot head away, and inh/ex to ease
- Activating force
- Hold for 3-5s and reassess
Still Technique for Posterior Rib
- Pt seated, graps elbow and abduct ipsi arm until feel motion at rib
- Add compression
- Move through barrier by ADduction, while maintaining compression
- Release compression and return to neutral
- Reassess
If pt has a posterior radial head, how do you set up for MET?
Pt has a Posterior Radial Head SD
-Do not like to supinate
Engage supination RB and instruct pt to pronate
-3-5lbs of force, hold for 3-5s
After 1-2s take to next supination barrier, repeat 3-5 times and reassess
If pt has an anterior radial head, how do you set up for MET?
Pt has a Anterior Radial Head SD
-Do not like to pronate
Engage pronation RB and instruct pt to supinate
-3-5lbs of force, hold for 3-5s
After 1-2s take to next pronation barrier, repeat 3-5 times and reassess
Wrist Isotonic MET
Doc has thumbs crossed, contacting pisoform and trapezium, respectively
-pt flexes as doc resists, slowly letting them flex down
Return to neutral, do 2-3 times until dysfunction is alleviated
