MT Flashcards
Management criteria- Subluxation?
- technique driven
- may use x-ray, instrumentation, posture, motion, muscle testing, etc.
- we use mechanoreceptor theory, based on hiltons law.
Hilton’s law
the same trunks of nerves whose branches supply the groups of muscles moving a joint, furnish also a distribution of nerves to the skin over the insertion of the same muscles, and the interior of the joint receives its nerves from the same source.
Sterno clavicular joint (S/C Joint)
- criteria= relative muscle test via mechanoreceptor theory
- relative muscle test= pec. major, clavicular branch (superior branch)
S/C Joint muscle test:
- pec maj.
- thumb down shoulder at 90º patient supine
- Dr pulls down and away at 20-30º angle from the patient
- is RMT weak? is there recruitment?
- can you challenge? if so in what direction?
S/C supine adjustment- same side
SCP= medial aspect of the S/C joint
CP=soft pisiform of inside hand
Stab hand=lat. humeral head, tractioning post/inf
LOC= M-L, A-P, along the line of the clavicle
Acromioclavicular Joint- A/C joint
RMT= coracobrachialis
hand to shoulder, pointy elbow, patient supine, dr pushes arm towards ipsilateral ASIS
A/C joint MC misalignment?
Supierior
challenge is which direction? S-I
A/C joint adjustment
- patient supine, arm abducted to stopping point
- Thumb and 2nd digit
- dr on same side
- SCP = 1/2”-1” medial to the AC joint (distal third of the clavicle
- CP= end of the thumb and 2nd digit middle metacarpal joint
A-I humerus RMT
- test BOTH anterior deltoid and teres major before considering adjusting either one
- patient supine, arms at 45º push to table (ant. delt)
- Supine, hand under ribs at inferior border of scapula (make triangle with arm elbow bent) stabilize the shoulder with hand closest to patient grab elbow and pull A-P
A/I Humerus- Supine same side
SCP= Olecranon of involved side and the lateral glenohumeral joint (elbow, and lat shoulder)
CP= palms of the hands
LOD (LOC)= I-S and A-P
