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Sports therapy > Manual therapy practical > Flashcards

Manual therapy practical Flashcards

1
Q

Plantarflexion of the ankle (Talocrural joint)

A
  • Patient in supine with foot hanging off the bed
  • With one hand grab the lower leg and with the other hand grab the top of the foot
  • Push down for plantarflexion
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2
Q

PA GLIDE

A

(POSTERIOR TO ANTERIOR) GLIDE

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3
Q

AP GLIDE

A

(ANTERIOR TO POSTERIOR) GLIDE

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4
Q

Ankle PA

A

– Patient is prone with knee bent to 90 degrees

– one hand on the calcaneus and fingers around the ankle

  • Push heel down and push ankle inwards
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5
Q

Dorsiflexion of ankle

A
  • Patient in supine with foot hanging off the bed
  • With one hand grab the lower leg and with the other hand cup the heel while keeping your arm laying against the sole of their foot
  • Pull the heel up for dorsiflexion
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6
Q

Ankle AP

A
  • Patient in prone with knee flexed just above 90 degrees
  • Grab the heel with one hand and have your arm laying flat on their sole
  • Grab the other side of the ankle with one hand
  • Push in opposite directions against each other
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7
Q

1st MTP joint AP Glide/ Planter

A
  • Patient in supine with foot over the edge of the bed
  • Grab the big toe with one hand and stabilise the joint line with the other using the finger and thumb for both movements and join your thumbs up
  • Slightly distract the big toe by pulling it out a bit
  • Push toe down for AP glide
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8
Q

Knee Extension

A

–Patient is in supine

  • Put knee into flexion and then stretch out into extension
  • Put one arm on the ankle and the other just above the knee and slightly lift the ankle for knee hyper extensioon
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9
Q

Knee Flexion

A

–Patient is in supine

–Passively test their flexion ROM

–Support around the knee and around the foot and perform all grades in this position

  • If knee is very sore could do with patient prone
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10
Q

PA glide of knee (tibiofibular joint)

A
  • Patient in supine with knee flexed
  • Sit on their foot
  • Grab the back of just below the knee with both hands and place your two thumbs on the knee
  • Pull towards yourself for a PA glide
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11
Q

Medial glides of patella

A

– Patient is supine with knee in extension

– Place the pads of the thumbs against the lateral border of the patella and glide patella medially

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12
Q

Lateral glides of patella

A

– Patient is supine with knee in extension

– Place the pads of the thumbs against the medial border of the patella and glide patella laterally

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13
Q

1ST MTP joint (big toe) Extension and flexion

A
  • Lay patient supine with foot off the bed
  • grab top of the foot with one hand just below toe
  • use your finger and thumb to grab big toe to put it into flexion or extension
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14
Q

1st MTP joint PA Glide/ Dorsal

A
  • Patient in supine with foot hanging over the edge of the bed
  • With one hand grab the big toe and with the other hand find the joint line and use the finger and thumb for all these movements and join your thumbs up
  • Slightly distract the big toe by pulling it out a bit
  • Pull big toe up for PA glide
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15
Q

Ankle inversion

A
  • Patient in supine with foot hanging off the bed
  • Grab the lower leg with one hand and grab the foot from below with other hand
  • Push inwards towards body for inversion
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16
Q

Hip flexion

A
  • Patient lying in supine
  • one hand on the knee and one hand on the ankle
  • Flex the knee and push it into the patient
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17
Q

Hip extension (hyperextension)

A
  • Patient must be lying on their side
  • Grab patients upper leg with one hand on the knee tucked in between arm and body
  • Other hand placed on the hip
  • Move backwards to perform extension
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18
Q

Hip internal rotation

A
  • Patient in supine
  • Flex leg to 90 degrees
  • Hold bottom of ankle and back of knee
  • move leg out for internal rotation
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19
Q

Hip external rotation

A
  • Patient in supine
  • Flex leg to 90 degrees
  • Hold bottom of ankle and thigh
  • Move leg in for external rotation
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20
Q

Hip abduction and adduction

A
  • Patient in supine
  • One hand on bottom of ankle and other on bottom of knee
  • move leg away from body for abduction and bring back for adduction
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21
Q

Glenohumeral (shoulder) joint internal rotation

A
  • Patient laying in supine
  • Put arm into 90 degrees of abduction
  • Change positioning of arms and Grab elbow and wrist
  • Push arm forwards for internal rotation
22
Q

Glenohumeral (shoulder) joint external rotation

A
  • Patient laying in supine
  • Put arm into 90 degrees of abduction
  • Grab elbow and wrist
  • Push arm backwards for external rotation
23
Q

Glenohumeral (shoulder) joint flexion

A
  • Patient laying in supine with arm laying flat
  • One hand on elbow and one hand on arm
  • push arm all the way back with a slight bend at elbow
24
Q

Glenohumeral (shoulder) joint extension

A
  • Patient laying in supine with arm hanging off side of bed
  • Gently push arm down into extension
25
Q

Glenohumeral (shoulder) joint abduction

A
  • Patient laying in supine
  • Bend arm to 90 degrees of flexion from straight
  • Scoop one arm under elbow and bring arm out
  • Put their arm in between your body and put your other hand on their shoulder to stabilise
  • Lift arm up a bit and pull out for abduction
26
Q

Elbow flexion and extension

A
  • Patient sitting on the bed make sure their arm is tucked by their side
  • Grab the patients elbow and arm and flex for flexion like bicep curl
  • Extend from flexion for extension
27
Q

Wrist flexion

A
  • Patient sitting up on chair with hands on bed
  • Grab the arm with one of your hands
  • Grab the back hand with your other hand
  • For flexion bring the wrist down
28
Q

Wrist extension

A
  • Patient sitting up on chair with hands on bed
  • Grab the arm with one of your hands
  • Grab the palm of the hand with your other hand
  • For extension bring the wrist up
29
Q

Wrist radial deviation

A
  • Patient sitting up on chair with hands on bed
  • Remember DJ decks
  • Grab forearm with one arm and back hand with the other
  • Move the arm medially ( towards body)
30
Q

Wrist Ulnar deviation

A
  • Patient sitting up on chair with hands on bed
  • Remember DJ decks
  • Grab forearm with one arm and back hand with the other
  • Move the arm laterally (away from body)
31
Q

1st MCP joint flexion

A
  • Patient sitting up on Chair with hands sideways on the bed
  • Pinch palm and back of the hand with one hand and stabilise
  • Grab thumb with other hand
  • For flexion keep straight and move downwards
32
Q

1st MCP joint extension

A
  • Patient sitting up on chair with hands sideways on the bed
  • Pinch palm and back of the hand with one hand and stabilise
  • Grab thumb with other hand
  • For extension keep straight and move backwards
33
Q

Elbow pronation

A
  • Patient sitting up on chair with hands sideways on the bed
  • Hold elbow and hand
  • Move hand into prone position
34
Q

Elbow supination

A
  • Patient sitting up on chair with hands sideways on the bed
  • Hold elbow and hand
  • Move hand into supine position with palm facing up
35
Q

Glenohumeral PA Glide

A
  • Patient in supine
  • Pull arm out and put arm in between your body and grab the humeral head with both hands with thumbs pointing out
  • push up PA glide
36
Q

Glenohumeral AP Glide

A
  • Patient in supine
  • Pull arm out and put arm in between your body and grab the humeral head with both hands with thumbs pointing out
  • push down towards your feet for AP glide
37
Q

What is Passive testing looking for

A
  • Range
  • end feel
  • pain
38
Q

AP glide of the knee (tibiofibular joint)

A
  • Patient in supine with knee slightly flexed
  • Sit on the patients foot for stability
  • Place both your hands just below knee at the back and have your thumbs pointing out on the knee
  • Push towards patient for AP glide
39
Q

Superior glide of the patella

A
  • Patient is in supine with knee in extension
  • Use your thumb and finger like a V to push the patella In an superior direction from the inferior border
40
Q

Inferior glide of the patella

A
  • Patient is in supine with knee in extension
  • Use your thumb and finger like a V to push the patella In an inferior direction from the superior border
41
Q

Ankle eversion

A
  • Patient in supine with foot hanging off the bed
  • Grab the lower leg with one hand and grab the foot from the top
  • Push outwards away from body for eversion
42
Q

AP glide for wrist flexion

A
  • Have patient sitting across the bed with their elbow and shoulder laying flat across the bed and their wrist coming off the edge pronated
  • Fixate patients forearm and grab the joint line of the wrist with your finger and thumb
  • Role and glide pushing down mostly and up slightly
43
Q

PA glide for wrist extension

A
  • Have patient sitting across the bed with their elbow and shoulder laying flat across the bed and their wrist coming off the edge pronated
  • Wrap both pinkies on their jointline of wrist ball their hand into fist and wrap your hands around with your thumbs inside their hands.
  • Roll the wrist up while pushing down on the joint line
44
Q

Inferior glide of the hip

A
  • Patient in supine with knee flexed
  • Hug the knee on side towards patient with one hand
  • Other hand on the patients Quad near groin
  • Push towards patients feet
45
Q

Protraction of Scapulothoracic joint

A
  • Patient on their side with their hand coming out for a hug
  • Put one hand under their outstretched hand and the other on the scapula
  • Pull Scapula towards you for protraction while bending ur knees
46
Q

Retraction of Scapulothoracic joint

A
  • Patient on their side with hand behind their back
  • Put one hand on their shoulder and the other on their scapula tucked under their arm
  • Push considerably for retraction with shoulder hand
47
Q

Mobilisation for ankle (subtalar) inversion and eversion

A
  • Patient in prone with slightly raised bed at the end and foot hanging off the bed
  • Put both your thumbs on the achilles and cross them over each other
  • Move into inversion or eversion
48
Q

Glenohumeral joint Internal rotation Alternative

A
  • Patient in sitting
  • Stand behind patient and move their arm behind their back and pull away from them grabbing their elbow and forearm
49
Q

Ankle PA alternative (Drawer test)

A
  • Patient in supine with foot hanging off the bed
  • With one hand grab below the calcaneus and with the other hand grab the ankle
  • Push against each other
50
Q

Ankle AP glide alternative

A
  • Patient in supine with knee tiny bit flexed with towel underneath
  • Grab under the calcaneus with one hand and allow sole onto your arm
  • Other hand put your finger and thumb over talus
  • Then pull up with one hand and push down with other

Sports therapy (16 decks)

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