NDT Mobilization

Question 1

Scapular abduction

Answer 1

Palmar crease over vertebral border
PT lean away and pull scapula into abduction
Pt can turn towards PT to increase

Question 2

Scapular adduction

Answer 2

Thenar eminence on axillary border
PT lean toward pt
Pt can turn away to increase it

Question 3

Scapular depression

Answer 3

Hook palmar crease on spine of scap
PT gives downward pressure
Pt can sit erect to increase it

Question 4

Scap elevation

Answer 4

Center of palm over inferior angle
Upward pressure
Pt can enhance by slumping

Question 5

Trunk extension

Answer 5

Half knee next to pt
Wrists neutral,
Ant tilt facilitated, at end of spine ext, PT apply forward and upward pressure at apex of lumbar spine flex

Question 6

Trunk flexion

Answer 6

PT Block thoracic flexion w/ head

Grasp ASIS bilaterally and post tilt pelvis as lumbar spine flexes

Question 7

Trunk lateral shift

Answer 7

PT apply lateral motion in an arc

Shifting at apex of stiffness into sidebend w/ firm hand

Question 8

Trunk mobe, Swiss ball

Answer 8

Lower level pts, support trunk

PT support pt hands by lying their forearm over pt

Question 9

Prior to UE activities (NDT)

Answer 9

Establish normal scap mobility and GHJ ROM
Optimize alignment
Normalize tone
Prepare the extremity

Question 10

Rules of sequencing - UE control

Answer 10

WB w/ control precedes nonWB function of WB w/ control
Proximal -> distal in WB and nonWB
Postural control —> moving and control through transition
Small increments precede large increments in ROM w/ control
Open hand before graded grasp, hand closing
Unilateral —> bilateral

Question 11

Sequence of handling

Answer 11

1. WB on stable surface
2. WB on mobile surface
3. WB arm moves on stable body
4. WB support w/ object in the hand
5. NWB w/ object in hand
6. NWB w/ free hand

Question 12

WB on stable surface

Answer 12

Sequence of handling step 1.
Body moves on arm on midline in and out of midline
Facilitate over triceps and post elbow to encourage ext

Question 13

WB on mobile surface

Answer 13

Sequence of handling step 2
Body and arm move together
WB through hand facilitated by putting pressure through thenar and hypothenar eminence

Question 14

WB arm moves on stable body

Answer 14

Sequence of handling step 3

Plane hand on object that will allow WB for normalization of tone, but allow movement of arm