knowledge check - shoulder mobs Flashcards
Anterior Glide
purpose (2)
precaution
pain management
increase extension
anterior joint capsule is looser so careful not to over mobilize
Posterior glide
purpose (2)
precaution
pain management
increase FLEXION, internal rotation
don’t allow humerus to externally rotate
Inferior glide at 90 degrees abduction
purpose (2)
precaution
pain management
increase ABDUCTION & FLEXION
w inferior joint instability use caution as it can provoke pain
lateral distraction
purpose (2)
precaution
pain management
increase overall ROM
be mindful to not crush ribs and breast tissue
extra consent
Scapulothoracic joint mob’s
SUPERIOR GLIDE - shoulder elevation
purpose (2)
precaution
pain management
increase shoulder elevation
use soft touch to prevent mm guarding
Scapulothoracic joint mob’s
INFERIOR GLIDE - shoulder depression
purpose (2)
precaution
pain management
increase shoulder depression
careful to not compress brachial plexus
Scapulothoracic joint mob’s
LATERAL ROTATION (upward rotation)
purpose (2)
precaution
pain management
increase lateral rotation and elevation
use broad soft contact for bony prominences
Scapulothoracic joint mob’s
MEDIAL ROTATION (downward rotation)
purpose (2)
precaution
pain management
increase medial rotation and depression
use broad and soft contact for bony prominences
SUSTAINED
Grade 1 speech
“initiation of movement of opposing joint surfaces”
“non corrective joint mob, doing this to assess or decrease pain”
SUSTAINED
Grade 2 speech
” going up to joint capsule up to first tissue stop”
” non corrective grade”
SUSTAINED
Grade 3 speech
“moving past first tissue stop”
“possible corrective grade of mobilization - stretching joint capsule”
Oscillations speech
Grade 1
“not going through tissue resistance, performed 5 cycles per second, small amplitude”
Oscillations speech
Grade 2
“between initiation of movement and tissue resistance, not reaching end of ROM/ tissue resistance, performed at 2-3 cycles per second, large amplitude”
Oscillations speech
Grade 3
“start before tissue resistance and oscillate through tissue resistance, 2-3 cycles per second, large amplitude”