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PHTY3120 > L19: Skills session- management/treatment of the elbow > Flashcards

L19: Skills session- management/treatment of the elbow Flashcards

1
Q

What is the solid and dotted line?

A
  • Solid line = benefit compared to other treatments
  • Dotted line = studied in literature, but no conclusion yet
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2
Q

What are 2 ways that manual therapy can be changed?

A
  • Vary grade
  • Change patient position to vary degrees of elbow F
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3
Q

What is the HUJ longitudinal glide?

A
  • Prone, shoulder abd, elbow F
  • Or supine, shoulder F 90, elbow F 90
    • 1 hand stabilises distal medial humerus at elbow F 90. Or can let arm hang if want EOR elbow F.
    • 1 hand apply HUJ longitudinal glide at olecranon.
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4
Q

What is the RHJ PA glide?

A
  • See Ax
  • More elbow F, apply PA glide with thenar eminence
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5
Q

What is the HUJ AP distraction +/- belt?

A
  • Supine, elbow F 90, shoulder abd
  • 1 hand stabilises distal forearm
  • 1 hand stabilises distal posterior humerus
  • Belt apply AP distraction, perpendicular to forearm
  • Can add towel between belt and skin
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6
Q

What are 4 suitable techniques with limited elbow E after radial head fracture?

A
  1. HUJ AP glide
  2. RHJ AP glide
  3. HUJ AP distraction +/- belt
  4. Medial and lateral glide +/- extension
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7
Q

What are 2 suitable techniques with limited elbow supination and pronation ROM after radial head fracture?

A
  1. Superior RUJ AP, PA glides
  2. Progression: Vary elbow position - sideways, thumbs apply PA glide - more force
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8
Q

What are 3 manual therapy techniques?

A
  1. HUJ longitudinal glide
  2. RHJ PA glide
  3. HUJ AP distraction +/- belt
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9
Q

What are 5 MWM techniques?

A
  1. Medial and lateral glide +/- flexion or gripping
  2. MWM lateral glide with gripping +/- belt
  3. Self lateral glide
  4. MWM radial PA glide + gripping
  5. Self radial PA glide
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10
Q

What is the medial and lateral glide +/- flexion or gripping?

A
  • Prone, shoulder abd 90. Apply medial/lateral glide at olecranon
  • Supine. Same as Ax.
  • After lateral glide + gripping, follow up with elbow E/F. If pain/stiffness, then MWM lateral glide + elbow F/E to ease pain.
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11
Q

What is the MWM lateral glide with gripping +/- belt?

A
  • Same set up as Ax
  • Belt over my shoulder and patient’s proximal forearm (seat belt position).
  • My shoulder must be directly over their forearm to apply perpendicular force (lateral glide). Even tension on the belt.
  • Stand facing patient’s feet
  • 1 hand stabilise distal forearm
  • 1 hand stabilise distal humerus
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12
Q

What is the self lateral glide? What is the dosage?

A
  • Patient stands beside wall to stabilises humerus.
  • Elbow F 90
    • Take up tissue slack
  • Other hand push proximal forearm laterally (lateral glide)
  • Can add MWM gripping
  • Self check accuracy of technique by reassessing VAS - MWM should reduce pain.
  • Dosage: 2-3 sets, 6-10x, daily
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13
Q

What is the self radial PA glide? What is the dosage?

A
  • Supine or standing
  • Teach how to find radial head
  • Other hand applies PA glide with 2 fingers
  • MWM gripping
  • Self check accuracy of technique by reassessing VAS
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14
Q

What is the MWM dosage?

A

6-10 reps, max 3 sets until patient response plateaus

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15
Q

What are 3 suitable techniques with lateral elbow tendinopathy with pain and weakness with gripping?

A
  1. TDT 6-10x MWM, then reassess VAS
  2. Irritable - probs stop at 1 set
  3. Not irritable - max 3 sets depending on patient response
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16
Q

What are the 4 taping techniques?

A
  1. Deload tape
  2. Lateral glide tape
  3. Radial head glide tape
  4. MCL tape
17
Q

What is the deload tape?

A
  • Mark lateral epicondyle
  • Tape a V below lateral epicondyle, pull tissue up towards lateral epicondyle
  • Tape a V above lateral epicondyle, pull tissue down towards lateral epicondyle (form a diamond)
  • Reassess outcome after taping
18
Q

What is the purpose of deload tape?

A

for resting pain or night pain

19
Q

What is the purpose of lateral glide tape?

A

if TDT +ve

20
Q

What is lateral glide tape?

A
  • Apply fixomull
  • Apply rigid tape from medial elbow, up, apply sustained lateral glide, tape around, stop at medial proximal humerus (avoid olecranon)
  • 2x rigid tape on top of each other
  • Check elbow F/E is not blocked
21
Q

What is the purpose of MCL tape?

A

initially protect structures, then as a prophylaxis when RTS

22
Q

What is the purpose of radial head glide tape?

A

if TDT +ve

23
Q

What is the radial head glide tape?

A
  • Anchor tape at radial head
  • Apply PA glide
  • Lay down tape x2
24
Q

What is the MCL tape?

A
  • Patient sitting, slight elbow F
  • Apply fixomull x2 around proximal forearm & distal humerus
  • Tape crosses, centering at MCL. 3 crosses converging to middle.
  • Lock off on fixomull

PHTY3120 (29 decks)

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