Manual Techniques Flashcards
Cervical Traction
Improve general mobility
Increase ROM
Prone Central PA Pressure
Symptom reduction
Improve mobility
Prone PA Unilateral PA Pressure
Symptom provocation
Pain management & reduction
Contralateral rotation
Supine PA Pressures
Improve general mobility
Supine Transverse Segmental
Gliding
Segmental mobility & symptom provocation
Push on opposite side of pain (left flexion problem, push on right to left)
Lateral GH Traction
Treatment & general mobility
Dorsal Humeral Glide
Internal rotation
- put towel under scapula
Anterior Humeral Glide
External rotation
- put towel under humeral head
Caudal Humeral Glide
Abduction
- stand behind pt near their head
Humero-Ulnar Traction
General mobility
- stabilize w/arm near body
Dorsal Glide of Radius @ Proximal Humeroradial Joint
Elbow extension
- stabilize ulna
Dorsal Glide of Radius @ Distal Radioulnar Joint
Supination
- stabilize ulna
- palm up
Ventral Glide of Radius @ Distal Radioulnar Joint
Pronation
- stabilize ulna
- palm down
Valgus Stress Test
Test MCL of ulna
Varus Stress Test
Test LCL of ulna
Radiocarpal Traction
General mobility
- Flexion, extension, radial & ulnar deviation
Radiocarpal Dorsal Glide
Wrist flexion
- palm up
Radiocarpal Ventral Glide
Wrist extension
- palm down
Metacarpal Phalangeal Joint Traction
General mobility
MCP Dorsal Glide
MCP extension
- push up w/palm down
MCP Ventral Glide
MCP flexion
- push down w/palm down
Prone Central PA Pressure (throacic)
Symptom reproducibility
Treatment
Finger Technique Rotation
Segmental mobility (rotation)
Assess for pain
- stand contralateral to side of rotation
Rib Springing
General mobility
Symptom reproduction
Treatment
- stabilize w/caudal hand
Lumbar Central PA Pressures
Assessment & treatment of lumbar mobility
Lumbar Unilateral PA Pressures
Assessment & treatment of lumbar mobility
- contralateral rotation
Lumbar Positional Distraction
Distract spinal segment unilaterally for mobility
Anterior Gapping of SI Through Innominate
For posteriorly perceived pelvic girdle pain
Posterior Gapping of SI Through Innominate
For posteriorly perceived pelvic girdle pain
Sacral Thrust
For posteriorly perceived pelvic girdle pain
Passive Innominate Motion
More for end-feel than movement
- Anterior = inferior directed force w/cranial hand
- posterior = superior directed force w/caudal hand
- stand on side of problem
Thomas Test
If thigh doesnt touch extend knee
- thigh touches w/extended knee = tight RF
- thigh doesnt touch w/extended knee = tight iliopsoas
Leg abducts = tight TFL
Ober Test
Thigh doesnt lower horizontal & remains abducted = positive
- tight TFL
Make sure leg is abducted!!!
Caudal Femoral Glide
General mobility (flexion)
- bent knee method for ppl w/knee problems
- for people who dont have lots of range
Caudal Femoral Glide w/Hip Flexion
Hip flexion
- used for people w/good range to take to end range
- put leg on shoulder closest to mat
Lateral Femoral Glide
Form of traction (adduction)
- hold as long as you can
- put sheet on butt cheeks under back & parallel to mat
Anterior Drawer Test
Test ACL
- sit on foot
Posterior Drawer Test
Test PCL
- sit on foot
Knee Valgus Stress Test
Test MCL
- look @ no flexion & 30 degrees flexion
Knee Varus Stress Test
Test LCL
- look @ w/flexion & w/o flexion
Cranial/Caudal Patella Glides
Assess mobility of patella
Talocrural Joint Traction
General mobility
- move pt into dorsiflexion
Dorsal Glide of Tibia
Plantarflexion
- pad of thumb on medial tubercle of talus
- towel under middle of foot
Intermetatarsal Joint Dorsal/Plantar Glide
General mobility
- stabilize others & move 1 joint
Subtalar Distraction
Improve mobility @ subtalar joint
- put cranial leg on pts thigh
- caudal hand on navicular, calcaneus, & cuboid
Transverse Tarsal Twist
Mobility of tarsal rows
- pointer of cranial hand on navicular & thumb on cuboid