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JOINT MOBS > shoulder > Flashcards

shoulder Flashcards

1
Q

anterior glide - purpose & precautions

A

PURPOSE: increase extension, pain management
PRECAUTIONS: anterior joint capsule is loose & more lax, so don’t over mobilize

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2
Q

anterior glide - hand placement

A

-stabilizing hand: scapula and clavicle are resting on a firmly rolled towel for support, stabilize distal arm under distal humerus
-mobilizing hand: the head of the humerus in the anterior direction

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3
Q

anterior glide - helpful suggestions

A

keep patient’s elbow flexed and relaxed to not pull on the biceps tendon

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4
Q

long axis traction - purpose & precautions

A

PURPOSE: increase overall ROM, pain management
PRECAUTIONS: do not allow the shoulder girdle to move inferiorly as it may compress the brachial plexus between the clavicle & first rib

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5
Q

long axis traction - hand placement

A

-stabilizing Hand: start with the shoulder girdle in an inferior position, place proximal hand on coracoid process and on the AC joint
-mobilizing Hand: grasp the distal humerus proximal to the epicondyles and distract inferiorly through the long axis of the humerus

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6
Q

long axis traction - helpful suggestions

A

keep patient’s elbow flexed, therapist rotates body to facilitate pulling humerus

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7
Q

posterior glide - purpose & precautions

A

PURPOSE: increase internal rotation & flexion, pain management
PRECAUTIONS: do not allow the humerus to externally rotate

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8
Q

posterior glide - hand placement

A

-stabilizing Hand: spine of scapula on scapula and block arm with hip to prevent external rotation of the humerus
-mobilizing Hand: head of the humerus is moved posteriorly and slightly lateral

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9
Q

posterior glide - helpful suggestions

A

therapists thumbs are parallel to the joint line and help guide mobilization

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10
Q

inferior glide at 90º ABD - purpose & precautions

A

PURPOSE: increase ABD & flexion, pain management
PRECAUTIONS: with inferior joint instability use caution, may provoke pain

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11
Q

inferior glide at 90º ABD - hand placement

A

-stabilizing Hand: proximal to medial epicondyle of humerus, gentle grasp
-mobilizing Hand: gently pull the humerus first then mobilize the head of the humerus inferiorly

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12
Q

inferior glide at 90º ABD - helpful suggestions

A

depress the shoulder girdle first as this stabilizes the scapulothoracic joint

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13
Q

inferior glide at 90º flexion - purpose & precautions

A

PURPOSE: increase flexion & ABD, pain management
PRECAUTIONS: do not lever the joint as this may damage the capsule. Take caution for inferior joint instability. Try to minimize pain at the humeral head while mobilizing

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14
Q

inferior glide at 90º flexion - hand placement

A

-stabilizing Hand: distal humerus on therapists shoulder
-mobilizing Hand: head of the humerus in the inferior direction

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15
Q

inferior glide at 90º flexion - helpful suggestions

A

make sure mobilizing hand is distal to the acromion

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16
Q

lateral distraction - purpose & precautions

A

PURPOSE: increase overall ROM, pain management
PRECAUTIONS: do not apply pressure to patient’s chest with forearms, may compress the ribs, your forearm should be just below the breast tissue

17
Q

lateral distraction - hand placement

A

-stabilizing Hand: distal humerus at lateral supracondylar crest
-mobilizing Hand: grasp proximal humerus in the axilla and mobilize laterally

18
Q

superior glide / shoulder elevation - purpose & precautions

A

PURPOSE: increase shoulder elevation & stability, pain management
PRECAUTIONS: soft touch and light pressure to prevent muscle guarding

19
Q

superior glide / shoulder elevation - hand placement

A

-superior hand: on acromion and upper trapezius
-inferior Hand: the inferior angle of the scapula is between your thumb and index finger - mobilize the scapula superiorly between your hands using both hands

20
Q

superior glide / shoulder elevation

A

use your body weight to mobilize superiorly rather than arm strength

21
Q

inferior glide / shoulder depression - purpose & precautions

A

PURPOSE: increase shoulder depression & mobility, pain management
PRECAUTIONS: If brachial plexus is stretched or compressed, it may cause symptoms during this mobilization, discontinue - perform with care

22
Q

inferior glide / shoulder depression - hand placement

A

-superior Hand: on acromion and upper trapezius
-inferior Hand: the inferior angle of the scapula is between your thumb and index finger - mobilize the scapula inferiorly between your hands, using both hands

23
Q

inferior glide / shoulder depression - helpful suggestions

A

use your body weight to mobilize superiorly rather than arm strength

24
Q

lateral rotation (upward) - purpose & precautions

A

PURPOSE: increase lateral rotation & elevation, pain management
PRECAUTIONS: use a broad and soft contact for numerous bony prominences

25
Q

lateral rotation (upward) - hand placement

A

-superior Hand: acromion process and supraspinous fossa
-inferior Hand: inferior angle of the scapula -
mobilize the scapula in a superior lateral (rotational) direction by the inferior angle, while the opposing hand directs the mobilization superiorly and medially

26
Q

lateral rotation (upward) - helpful suggestions

A

use a soft touch and light pressure to prevent muscle guarding

27
Q

medial rotation (downward) - purpose & precautions

A

PURPOSE: increase medial rotation & depression
PRECAUTIONS: use a broad and soft contact for numerous bony prominences

28
Q

medial rotation (downward) - hand placement

A

-superior Hand: acromion process and the deltoids
-inferior Hand: inferior angle between thumb and index finger - mobilize the scapula by pulling the inferior angle of the scapula medially with the inferior hand, the superior hand pulls downward and laterally

29
Q

medial rotation (downward) - helpful suggestions

A

use a soft touch and light pressure to prevent muscle guarding

30
Q

distraction (scapulothoracic) - purpose & precautions

A

PURPOSE: increase overall mobility, pain management
PRECAUTIONS: Do not perform if patient has winged scapula - too much pressure may cause muscle guarding and pain

31
Q

distraction (scapulothoracic) - hand placement

A

retract the scapula with your fingers, lift off the thoracic cage

32
Q

distraction (scapulothoracic) - helpful suggestions

A

stand on opposite side of scapula being mobilized

33
Q

compression to subscapularis - purpose & precautions

A

PURPOSE: increase scapulothoracic mobility, pain management
PRECAUTIONS: If painful, discontinue

34
Q

compression to subscapularis - hand placement

A

-superior Hand: on the scapula
Inferior Hand: grasping just proximal to the elbow
-apply pressure to the scapula while pulling on the humerus. Repeat 5-10 times

35
Q

compression to subscapularis - helpful suggestions

A

try to create a gentle rhythm between both hands to prevent muscle guarding

JOINT MOBS (18 decks)

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