Lab- UE and LE HVLA Flashcards
what is the normal ROM of flexion of the elbow?
140-150 degrees
what is the normal ROM of extension of the elbow?
0- -5 degrees
how do you get ulnar adduction?
the distal part of the wrist is our reference point medial force distally, lateral force proximally (varus testing)
how do you get an ulnar abduction?
the distal part of the wrist is our reference point lateral force distally, medial force proximally (valgus testing)
what is the anterior glide of the radial head coupled with?
supination
what is the posterior glide of the radial head coupled with?
pronation
what is radial head rotation normally treated with?
MET
what are radial head glide restrictions treated with?
HVLA
how do you treat an ulnar abduction SD with HVLA?
you move the supinated elbow into ulnar adduction- apply a medial to lateral thrust over the medial olecranon
how do you treat an ulnar adduction SD with HVLA?
move the supinated elbow into ulnar abduction- apply a lateral to medial thrust over the lateral olecranon
how do you treat an anterior radial head SD with HVLA?
it likes to supinate, so you need to pronate-flex elbow and pronate forearm; exert a rapid hyperflexion while simultaneously thrusting the radial head posteriorly
how do you treat a posterior radial head SD with HVLA?
it likes to pronate, so you need to supinate-extend and supinate the elbow; exert a rapid hyperextension force while simultaneously thrusting the radial head anteriorly
how do you treat a wrist extension/ventral carpal SD with HVLA?
pronate the elbow; grasp the pt’s hands and deliver a whip like thrust moving from extension to flexion through the carpal dysfunction
how do you treat a wrist flexion/ dorsal carpal SD with HVLA?
pronate the elbow; grasp the pt’s hands and deliver a whip-like thrust moving from flexion to extension through the carpal dysfunction
how do you treat a phalangeal SD with HVLA?
you isolate the dysfunctional joint; exert traction and a hyperflexion thrust
how do you test the proximal fibular head?
grasp the proximal fibular head between the index finger and thumb and then translate anteriolateral and posteriormedial
when might you find a patient with a posterior fibular head?
inversion ankle sprains
how do you treat a posterior fibular head with HVLA?
patient lies supine with hip and knee flexed; cephalad hand: index MCP on posterior aspect of fibular head; evert, dorsiflex foot and ankle and externally rotate the leg; abruptly flex the knee
how do you treat an anterior fibular head with HVLA?
patient lies supine with pillow under knee; cephalad hand: thenar eminance on the anterior aspect of the fibular head to push posterior; internally rotate distal leg for anterior fibular head; direct posterior medial thrust at the fibular head
what are the motions of the talus?
inversion/eversion and platar/dorsi flexion
what glide is associated with plantarflexion?
anterior glide
how do you treat a plantarflexed talus?
caudad traction to engage barrier and then thrust into barrier; place more force on the 4th and 5th phalanges
how do you treat a dorsiflexed talus?
caudad traction with thrust into barrier; place more force on 2nd and 3rd phalanges
how do you treat a subtalar inversion SD with HVLA?
caudad traction with eversion or abduction position of the ankle
how do you treat a subtalar eversion SD with HVLA?
caudad traction with inversion or adduction of the ankle
how do you preform the hiss whip?
place both of your thumbs over the plantar surface of the affected structure; then slightly abduct the patient’s lower extremity off the table and flex the knee; thrust downward through thumbs with a whip like motion at the ankle and knee
