Practical Techniques Flashcards
UCS Flexion AM with OP (ax.)
UCS Extension AM with OP (ax.)
UCS Side Flexion AM with OP (ax.)
UCS Rotation AM with OP (ax.)
Cervical Flexion AM with OP (ax.)
Cervical Extension AM with OP (ax.)
Cervical Side Flexion AM with OP (ax.)
Cervical Rotation AM with OP (ax.)
Thoracic Flexion AM with OP (ax.)
Thoracic Extension AM with OP (ax.)
Thoracic Side Flexion AM with OP (ax.)
Thoracic Rotation AM with OP (ax.)
UCS Combined Movements - extension/rotation (ax.)
UCS Combined Movements - extension/side flexion (ax.)
UCS Combined Movements flexion/side flexion (ax.)
UCS Combined Movements rotation/flexion (ax.)
UCS Quadrant - extension/rotation/side flexion
Cervical Combined Movement - extension/rotation (ax.)
Cervical Combined Movement - extension/side flexion (ax.)
Cervical Combined Movements - flexion/side flexion (ax.)
Cervical Combined Movements - rotation/side flexion (ax.)
Cervical Quadrant - extension, rotation, side flexion
Thoracic Spine combined movements - rotation/side flexion (ax.)
Thoracic Spine combined movements - extension/side flexion (ax.)
Spurling’s Test (ax.)
Distraction Test (ax.)
Cervical PAIVM - unilateral PA (ax.)
Cervical PAIVM - unilateral AP (ax.)
Cervical PAIVM - side glide (ax.)
Thoracic PAIVM - central PA (ax.)
Thoracic PAIVM - unilateral PA over the transverse process (ax.)
Thoracic PAIVM - unilateral PA over the rib (ax.)
Thoracic PAIVM - caudal pressure on rib 1 (ax.)
Cervical PPIVM - full flexion rotation (ax.)
Cervical PPIVM - downslope technique (ax.)
Cervical PPIVM - upslope technique (ax.)
Median Neurodynamic test 1
Median neurodynamic test 2
Radial neurodynamic test
Ulnar neurodynamic test
Palpation GON (ax.)
Palpation median nerve (ax.)
Palpation radial nerve (ax.)
Palpation ulnar nerve (ax.)
TOS - Adson and Halstead Manouevres
TOS - Costoclavicular manouevre
depress and retract the shoulder
arm straight at side and slightly back
don’t hold breath
TOS - Wright’s Test
hold one minute
90 degrees abduction
progress full abduction
TOS - assess extensibility of the scalenes
TOS - assess extensibility of subclavius
TOS - assess extensibility of pec minor
TOS - assess capacity of upper traps
Neural Integrity - Strength all cervical roots (ax.)
Neural Integrity - sensation all cervical roots (ax.)
Neural Integrity - reflexes all (ax.)
Muscle tests cervical flexors (four)
independent recruitment in supine
control of neutral under extension load
through range - inner range
through range - outer range
Muscles Tests cervical extensors (three)
control of neutral
through range - end range hold
through range - full range
Muscle tests scapula - posterior loading (three)
arm neutral
90 abduction
full elevation
Muscle tests scapula - anterior loading
double arm
single arm
Sensorimotor Test - joint position
Sensorimotor Test - balance
Sensorimotor Test - oculomotor
PAIVM unilateral PA cervical spine (rx.)
Upslope - superior level, painful side, promotes contralateral rotation
Downslope - inferior level, painful side, promotes ipsilateral rotation
PAIVM cervical side glide peripheral somatic pain (rx.)
head does not move
done on superior level
promote right side bending = left side glide = push form right to left
PAIVM cervical side glide neurogenic pain patient (rx.)
head moves as well
superior level
promote IVF opening on the painful side - push away from that side
put into IVF opening - flexion and rotation away
PAIVM unilateral AP (rx.)
flexion = inferior level
rotation - contralateral side
To promote flexion and right rotation = inferior level on the left side
PAIVM central PA upper thoracic spine (rx.)
Stand at their head
heel of hand
PAIVM central PA middle thoracic spine (rx.)
screw technique
on each transverse process (1.5 levels above)
PAIVM central PA lower thoracic spine (rx.)
c-grip
PAIVM unilateral PA thoracic spine (rx.)
with elbow over their transverse process upper and lower = 1 above middle - 1.5 above inferior level = extension ipsilateral side = rotation to that side
PAIVM transverse pressure thoracic spine (rx.)
applied with elbow to the side of the spinous process
PAIVM caudal pressure first rib (rx.)
PPIVM upslope cervical spine (rx.)
pain on side opposite to direction rotating
done on the superior level
PPIVM downslope cervical spine (rx.)
done on the superior level
for pain one same side as direction rotating
PPIVM rotation thoracic spine (rx.)
PPIVM extension thoracic spine (rx.)
MWM cervical flexion (rx.)
superior level
MWM cervical rotation (rx.)
superior level upslope - on painful side, get them to rotate away from you
inferior level downslope - on painful side, get them to rotate towards you
Active Assisted Cervical Rotation home exercise (rx.)
hand on side rotating towards pulls on opposite cheek to produce movement
other hand behind head
Snag Self MWM Cervical rotation home exercise (rx.)
Active Assisted cervical flexion (rx.)
Home exercises to promote flexion (two) rx.
in supine
against wall
Home exercises to promote flexion (two) rx.
in supine
against wall
Home exercise to promote thoracic rotation (rx.)
chair
Home exercise to promote thoracic extension (rx.)
door frame
kneeling
Find It Cervical Flexion (rx.)
Control It Cervical Flexion (rx.) (three)
neutral in supine
inner range
outer range
Control it rotation under extension load
in supine
Control It Cervical extensors (rx.) (four)
neutral under flexion load
through range under flexion load - end range hold and through range
through range under extension load - through full range
through range under flexion load - end range hold with UCS flexion/extension
Control it rotation under flexion load (rx.)
in prone - on elbows
Retraining scapula muscle performance posterior loading (rx.) (five)
arm in neutral - no load arm in neutral - functional load arm 90 abduction - functional load arm full elevation functional load isolated activation upper traps
Teach sliding neural mobilisation exercises
Radial nerve - arm slightly abducted, IR, pronated, elbow extended. Fingers flexed with thumb tucked in.
Head flexion away with wrist extension
Head flexion towards with wrist flexion
Ulnar nerve - arm 90 abducted, ER, pronated, wrist and fingers extended, elbow flexed.
Head flexion away, elbow extended
Head flexion towards, elbow flexed
Median nerve - arm abducted slightly, ER, elbow extended, wrist and fingers extended
Head flexion away, wrist flexed
Head flexion towards, wrist extended.
Teach tensioning neural mobilisation exercises
Radial - arm slightly abducted, IR, pronated, elbow extended, wrist and fingers flexed with thumb tucked in.
on = head flexion away, wrist flexion
off = head flexion towards, wrist extended
Ulnar - arm 90 abducted, ER, pronated, elbow flexion, wrist and fingers extended.
on = head flexion away, elbow flexion
off = head flexion towards, elbow extension
Median - arm abducted at side, ER, supinated, elbow extended, wrist extended
on = head flexion away, wrist extended
off = head flexion towards, wrist flexed