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Interventions > Mobilizations > Flashcards

Mobilizations Flashcards

1
Q

Glenohumeral Joint

A

resting position: abducted 55, HAdd 30, and rotated so forearm is in the plane of the scapula

stabilization: use belt if needed to fixate the scapula

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2
Q

GH Distraction

A

general mobility

patient supine, forearm supported between PT trunk and elbow; one hand in the patient’s axilla, PT feet facing laterally, move humerus laterally

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3
Q

GH Caudal Glide

A

increase abduction

patient supine, forearm supported between trunk and elbow, PT faces patient’s feet; one hand in patient’s axilla to distraction, other hand in placed just distally to acromion process; glide the humerus in inferior direction

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4
Q

GH Posterior Glide

A

increase flexion, IR/ER

Patient supine, forearm supported between trunk and elbow; slight distraction through joint, PT faces patient head, bends at knees, keep elbow straight and move posteriorly

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5
Q

GH Anterior Glide

A

increase extension, ER

patient prone, arm in resting position over treatment table, supported on thigh; *use wedge under acromion to stabilize

place ulnar side of hand just distal to posterior angle of acromion process; glide humeral head in anterior and slightly medial direction

*do not lift the arm at the elbow –> could lead to an anterior subluxation or dislocation of humeral head

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6
Q

AC joint

A

increase mobility of the joint

stabilization: fixate scapula with more lateral hand around acromion process

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7
Q

Anterior glide of clavicle on acromion

A

position: sitting

stand behind patient and stabilize the acromion with lateral fingers, thumb of other hand pushes downward through the UT and is placed posteriorly on the clavicle just medial to the joint space –push clavicle anteriorly with thumb

OR can move anterior to patient, stabilize the clavicle and move the acromion process posteriorly

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8
Q

SC joint

A

patient arm at side

for protraction/retraction: treatment plane is in clavicle; for elevation/depression, plane is in the manubrium

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9
Q

SC posterior glide

A

increase retraction

place thumb on anterior surface of the proximal end of the clavicle (can dummy finger); push posterior direction

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10
Q

SC superior glide

A

increase depression

place thumb on anterior surface of the proximal end of the clavicle (can dummy finger); push superior direction

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11
Q

SC anterior glide

A

increase protraction

fingers places superiorly and thumb inferiorly around the clavicle; lift anteriorly (not commonly done, most patients do not need an increase in scapular protraction)

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12
Q

SC caudal (inferior) glide

A

increase elevation

fingers places superiorly and thumb inferiorly around the clavicle; press inferiorly

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13
Q

Humeroulnar Joint

A

resting position: elbow flexed 70, supinated 10

stabilize: fixate humerus against table with belt or have patient S/L and fixate the humerus with opposite hand if relaxation can be maintained

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14
Q

HU distraction

A

increase flexion or extension (general mobility)

patient supine, elbow over edge of table or strapped down proximal to olecranon process; rest patient’s wrist against your shoulder

place fingers of medial hand over proximal ulna on the anterior surface, apply force against the proximal ulna at a 45 degree angle to the shaft of the bone. “sink in to take up lots of soft tissue and pull back”

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15
Q

HU distal (caudal) glide

A

increase flexion

patient supine, elbow over edge of table or strapped down proximal to olecranon process; rest patient’s wrist against your shoulder

first apply distraction force to joint at 45 angle, then while maintaining distraction, direct the force in a distal direction along long axis of ulna (SCOOP - distract down, then pull up)

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16
Q

HU radial glide

A

increase varus, flexion

patient side-lying on arm to be mobilized, wedge under humerus (no strap–have patient hold down humerus if can relax); PT place base of proximal hand just distal to the elbow and support distal forearm in the other hand; apply force against the ulna in radial direction

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17
Q

HU ulnar glide

A

increase valgus, extension

patient supine, arm in ER, and then position 70 flexion, 10 supination **wedge under proximal forearm (ulna and radius) for stabilization; PT apply force against distal humerus in a radial direction causing the ulna to glide ulnarly

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18
Q

Humeroradial Joint

A

resting position: elbow extended and forearm supinated to end range

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19
Q

HR distraction

A

increase mobility of HR joint, pushed elbow

position yourself between the patient’s hip and UE, feet facing inferior; stabilize humerus with strap–must be tight; grasping around the distal radius to feel the movement at the radial head, opposite hand stabilizes UH joint; PT pull radius distally

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20
Q

HR dorsal glides

A

increase elbow extension

stabilize humerus with strap; locate radial head, stabilize HU joint and push posteriorly –lots of soft tissue to get through

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21
Q

HR volar glides

A

increase elbow flexion

stabilize humerus with strap; locate radial head, stabilize HU joint and pull anteriorly

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22
Q

HR compression

A

reduce a pulled elbow sublux–Nancy will not have us demonstrate

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23
Q

Proximal Radioulnar Joint

A

Resting position: elbow flexed 70, supinated 35.

Proximal ulna is stabilized

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24
Q

Proximal RU dorsal glides

A

increase pronation

supine/sitting, elbow flexed 70, supinated 35–place forearm on patient’s stomach and have them hold it

fixate the ulna with hand around the medial aspect of the forearm; other hand grasps the head of the radius between flexed fingers and palm and moves the radial head dorsally

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25
Q

Proximal RU volar glides

A

increase supination

supine/sitting, elbow flexed 70, supinated 35 –place forearm on patient’s stomach and have them hold it

fixate the ulna with hand around the medial aspect of the forearm; other hand grasps the head of the radius between flexed fingers and palm and moves the radial head volarly

26
Q

Distal Radioulnar Joint

A

resting position: forearm supinated 10

stabilize the distal ulna

27
Q

Distal RU dorsal glide

A

increase supination

supine with arm extended, resting on table/sitting, forearm on treatment table

stabilize ulna by placing fingers of one hand on the dorsal surface and the thenar eminence and thumb on the volar surface. Place other hand on radius in same way, glide the distal radius dorsally

28
Q

Distal RU volar glide

A

increase pronation

supine with arm extended, resting on table/sitting, forearm on treatment table

stabilize ulna by placing fingers of one hand on the dorsal surface and the thenar eminence and thumb on the volar surface. Place other hand on radius in same way, glide the distal radius volarly

29
Q

Radiocarpal Joint

A

resting position: straight line through radius and third MC with slight ulnar deviation

stabilize distal radius and ulna

30
Q

Radiocarpal Distraction

A

increase general mobility of the wrist

sitting, forearm supported by table, wrist over the edge

grasp around the styloid processes and fixate the radius and ulna against the table; grasp distal row of carpals with other hand; pull in distal direction

31
Q

RC dorsal glide

A

increase flexion

sitting, forearm resting on table in pronation; force comes from hand around distal row of carpals, move dorsally–distract first

32
Q

RC volar glide

A

increase extension

sitting, forearm resting on table in pronation; force comes from hand around distal row of carpals, move volarly –distract first

33
Q

RC radial glide

A

increase ulnar deviation

sitting, forearm resting on table in midrange position; force comes from hand proximal to the CMC joint, move radially –distract first

34
Q

RC ulnar glide

A

increase radial deviation

sitting, forearm resting on table in midrange position; force comes from hand proximal to CMC joint, move ulnarly –distract first

35
Q

CMC joint of the thumb

A

resting position: midway between flexion and extension and between abduction/adduction

stabilize the trapezium

36
Q

CMC distraction

A

increase general mobility

position: forearm and hand resting on table; fixate trapezium with one hand, grasp MC with other hand; apply long-axis traction to separate the joint

37
Q

CMC ulnar glide

A

increase flexion

stabilize trapezium, forearm midposition; place thenar eminence of other hand against the base of the patient’s thumb, side opposite the desired glide, move ulnarly

38
Q

CMC radial glide

A

increase extension

stabilize trapezium, forearm midposition; place thenar eminence of other hand against the base of the patient’s thumb, side opposite the desired glide, move radially

39
Q

CMC dorsal glide

A

increase abduction

stabilize trapezium, forearm supinated; place thenar eminence of other hand against the base of the patient’s thumb, side opposite the desired glide, move dorsally

40
Q

CMC volar glide

A

increase adduction

stabilize trapezium, forearm supinated; place thenar eminence of other hand against the base of the patient’s thumb, side opposite the desired glide, move volarly. (thumb of therapist is placed in webspace between the index and thumb of the patient’s hand

41
Q

Hip Joint

A

resting position: 30 flexion, 30 abduction, slight ER

42
Q

Hip Joint Distraction

A

increase general mobility

method 1: supine, hug bent thigh against body and lean back
method 2: use belt, pad closet to joint as possible–hook around PT body very tight, lean back (belt very low on buttock)

43
Q

Hip Joint Caudal Glide

A

increase general mobility (very effective for OA patient with superior femoral and acetabular degeneration)

PT grasp superior to malleoli and lean back– if patient has knee problems, pull above the epicondyles of the femur

44
Q

Hip Posterior glide

A

increase flexion and IR

use bolster under knees (towel will not work); find greater trochanter as a reference, and very gently sink down (quad will fire if too quickly)

alternate: Thomas test position

45
Q

Hip Anterior glide

A

increase extension and ER

side-lying, top leg on stool (use towel underneath leg to get into abducted position); locate greater trochanter and stabilize pelvis (at ASIS) , push greater trochanter anteriorly making sure sure leg does not roll

alternate: prone, feet on floor, use belt to hold leg into resting position

46
Q

Tibiofemoral Joint

A

resting position: 25 flexion

47
Q

Tibiofemoral joint distraction

A

increase general mobility

  1. *** sitting: PT sitting on stool and stabilize femur (may need wedge underneath thigh); can hold with hands and knees
  2. prone: towel under distal femur, flex 25, hook above malleoli and distract
  3. supine: opposite leg in hook-lying, PT stands between bed and pt’s abducted leg; knee bent 25 and pull through malleoli
48
Q

Tibiofemoral joint anterior glide

A

increase extension

  1. ***prone: towel is under thigh, prop 25 flexion; sink through gastroc and anterior glide down and anterior to follow the joint line
  2. sitting: knee 25 flexion, wedge under distal thigh; distract with PT knees, and use both hands to pull anterior at angle of joint line (may have restriction from gastroc in this position)
  3. supine: bolster under thigh and pull creating the anterior glide at the angle of the joint line OR place towel under tibia and posteriorly slide the femur for same movement
49
Q

tibiofemoral joint posterior glide

A

increase flexion

  1. ***supine: bolster under distal thigh and posteriorly glide following joint angle
  2. sitting: knee 25 flexion, wedge under distal thigh; distract with PT knees and use both hands to push through posterior glide following joint angle
50
Q

Patellofemoral joint

A

resting position: full extension

Patient supine, knees flat.
Can use fingers or webspace to move patella in all four directions (medial, lateral, superior, inferior) —lateral slide is very rare, a lot of people have this pull already due to muscle tightness

51
Q

Proximal Tib/Fib (only posterior glide in this position)

A

Increase general ankle mobility

Resting position: slight flexion

Posterior glide: side-lying, facing the PT; towel under top ankle (can also use pillows in between leg to keep horizontal position) ; hand under tibia to stabilize and mobilize the fibular head

52
Q

Distal Tib/Fib

A

resting position: 10 PF (knee flexed to prevent restriction from gastroc)

53
Q

Distal Tib/Fib anterior glide

A

mortise limiting DF

patient prone, slight knee flexion (towel under distal tibia); use PT body to prevent inversion/eversion of ankle, stabilize anterior surface of the tibia and use thenar eminence on posterior distal lateral malleolus

54
Q

distal Tib/Fib posterior glide

A

mortise limiting DF

Patient supine, towel under knee to keep in slight flexion; use PT body/thigh to prevent full PF, stabilize anterior tibia, move through the anterior distal lateral malleolus

55
Q

Talocrural Joint

A

resting position: 10 PF, (knee flexed to prevent restriction from gastroc)

56
Q

Talocrural joint distraction

A

increase general PF/DF

supine, towel roll under knee; PT interlocks fingers on the talus and distract –can strap down tibia if moving too much. Keep ankle in 10 PF

57
Q

Talocrural posterior glide

A

increase DF

supine, towel under knee, stabilize the tib/fib with “cupping” hand placement; PT standing sideways with knee up on stool to support to PF position against thigh; pressure through webspace on anterior surface of the talus to more posterior

58
Q

Talocrural anterior glide

A

increase PF

prone, towel under tibia to flex up knee; Use stool to keep patient ankle in 10 PF against thigh, drive through calcaneous to move to talus anteriorly distal to the malleloi (stabilize anterior tib/fib)

59
Q

Subtalar Joint

A

resting position: neutral inversion/eversion, 10 PF

60
Q

Subtalar distraction

A

increase general mobility (inversion/eversion)

  1. Supine: with towel roll under knee, use PT body to prevent inversion/eversion; stabilize talus and malleoli, PT hand under calcaneous and distract
  2. prone: with towel roll under distal tib; use body to hold position, stabilize on ant tibia and malleoli and distract calcaneous
61
Q

Subtalar medial glide

A

increase eversion

Prone with towel roll under distal tibia; stabilize posterior or anterior talus and malleoli, and medial glide through calcaneous (do NOT torque)

62
Q

Subtalar lateral glide

A

increase inversion

Prone with towel roll under distal tibia; stabilize posterior or anterior talus and malleoli, and lateral glide through calcaneous (do NOT torque)

Interventions (1 decks)

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