Joint Play Assessment: GH, AC, SC, ST

Question 1

What are only grades of traction?

Answer 1

1-3

3 actually stretches tissue and jt capsule

Question 2

What grade of mobilization should you always test any joint in?

Answer 2

GRADE 3

Question 3

What is a grade 1 mob.?

Answer 3

small amplitude at beginning of available ROM

Question 4

What is grade 2 mob.?

Answer 4

large amplitude at middle of ROM

Question 5

What is grade 3 mob.?

Answer 5

large amplitude at end ROM

Question 6

What is grade 4 mob.?

Answer 6

small amplitude at end ROM (last 25%)

Question 7

What is the open packed position of the GH joint?

Answer 7

55 degrees abduction, 30 degrees hor. ADD and neutral rotation

Question 8

When is distraction of GH indicated?

Answer 8

to increase overall ROM of joint but primarily used for pain

Question 9

How is distraction performed?

Answer 9

pt supine with GH joint in resting position and move humerus laterally

Question 10

When is an inferior glide indicated?

Answer 10

to increase ABD and increase subacromial space

Question 11

When is a posterior glide indicated?

Answer 11

to increase flexion, IR and potentially ER in adhesive capsulitis

Question 12

What is important to remember about mobilizing force with a posterior glide?

Answer 12

movement must be posterior and laterally to avoid glenoid

Question 13

When is an anterior glide indicated?

Answer 13

to increase extension or external rotation, not often used b/c most pts are already in this position

Question 14

What is important to remember about mobilizing force of an anterior glide?

Answer 14

must be anterior and medially

Question 15

What is resting position of the AC joint?

Answer 15

arm by side

Question 16

What are two types of glides performed on AC joint?

Answer 16

anterior and posterior glide

Question 17

What is indication of an AC jt glide?

Answer 17

to increase overall ROM and increase ROM into shoulder elevation

Question 18

Where does PT stabilize for an AC jt glide?

Answer 18

fixate scapula by grabbing coracoid and spine of scapula

Question 19

What is resting position of SCjt?

Answer 19

arm by side

Question 20

What is indication for a inferior glide of SC joint?

Answer 20

to increase elevation and can be done in supine or sitting

Question 21

What is indication for a superior glide of SC joint?

Answer 21

to increase depression, done in supine

Question 22

What is a posterior glide of SC indicated?

Answer 22

to increase retraction done in supine

Question 23

When is ST distraction indicated?

Answer 23

to increase overall scapular ROM

Question 24

How do you perform ST distraction?

Answer 24

pt lies in sidling facing you and your arm goes under theirs to help relax, grab under medial border and inferior angle

Question 25

When is a superior ST glide indicated?

Answer 25

increase elevation and lateral rotation, same position as distraction

Question 26

When is an inferior ST glide indicated?

Answer 26

increase scap depression and medial rotation, same position as distraction

Question 27

When is a medial ST glide indicated?

Answer 27

to increase retraction, depression and medial rotation, same position as distraction

Question 28

When is a lateral ST glide indicated?

Answer 28

increase protraction, elevation and lateral rotation, scoop fingers under inferior angle and medial border