Treatment And Remex Flashcards
Ulnar Nerve Lesion
Cubital: Light Tapping over Cubital area, GTO Extensors, MM strip Extensors
Guyon: Light Tapping over Pisiform, Hook of Hamate, GTO Extensors, MM Strip Extensors
Hydro: Cool on medial forearm
Stretch: Lateral Wrist Extensors
Strengthen: Medial Wrist
PJM: Elbow
Carpal Tunnel Syndrome
Light Tapping over Thenar Eminence, Facial to Flexors, MM Strip Extensors
Hydro: Cool on wrist
Stretch: Flexors
Strengthen: Thenar mm - Abductor Pollicis Brevis
PJM: Wrist Distraction
Pronator Teres Syndrome
Light Tapping over heads of Pronator Teres, Facial over cubital tunnel, MM Strip Extensors Hydro: Cool on wrist Stretch: Extensors Strengthen: Flexors and Thenar mm PJM: Elbow Distraction
Dislocation SC AC GH Lunate
Facial, GTO, MM strip
Hydro: Hydrocollator
Stretch: SC-SCM, AC-Pec Major, GH-Pec Major, Lunate-Flexors
Strengthen: SC-Upper Traps, AC-Mid Deltoid, GH-Triceps, Lunate-Extensors
PJM: Not in direction of dislocation
Bells’ Palsy
Affected side: Light stroking or Tapotement - Chin-Ear-Forehead, GTO-Suboccipitals, MM strip-SCM
Hydro: Cool on affected, warm on unaffected
Stretch: SCM
Strengthen: Active assisted of Facial mm
PJM: Occiput traction
Trigeminal Neuralgia
GTO, MM Strip SCM, Occipital Release
Hydro: Heat on compensatory C/S and shoulders
Stretch: Suboccipitals
PJM: C/S Traction
TOS Anterior Scalene
Facial, MM strip, GTO Scalenes Hydro: Warm compress on one side of neck only Stretch: Anterior Scalene Strengthen: Suboccipitals PJM: C/S Distraction
TOS Pec Minor
Facial, MM strip, GTO-Pec’s, MLD-Hand,Arm
Hydro: Warm compress on 1 side of neck only, cool wash along arm if edema
Stretch: Pec Minor
Strengthen: Rhomboids
PJM: GH Posterior Glide
TOS Costoclavicular
Facial, MM strip, O and I - Rhomboids Hydro: DMH on Rhomboids Stretch: Rhomboids Strengthen: Upper Traps PJM: GH Posterior Glide
TMJ Dysfunction
Tapotement on Hypermobile side, GTO, MM Strip - Hypomobile side Hydro: Warm to Hypomobile side Stretch: SCM Strengthen: Resist Jaw movement PJM: Gr. 3 C/S Traction
Cruciate and Meniscal Injury
Menicus/ACL: Facial, GTO, MM strip-Quads
PCL: Facial, GTO, MM strip-Hamstrings
Hydro: Hydrocollator
Stretch: If strength is stable
Strengthen: Meniscus/ACL- Quad’s, PCL - Hamstrings
PJM: Meniscus/ACL - Anterior Glide, PCL - Posterior Glide
Intervertebral Disc Herniation
Facial, MM Approx, GTO, MM Strip Hydro: Hydrocollator Stretch: L/S-QL’s, C/S-SCM Strengthen: L/S-Glut Max, C/S-Suboccipitals PJM: Gr. 3 TVP, PACVP
Facet Joint Dysfunction
Facial, GTO-Suboccipitals, MM strip
Hydro: Warm on C/S, Hydrocollator on Back
Stretch: C/S-SCM, L/S-QL (Banana Stretch)
Strengthen: C/S-Posterior C/S mm, L/S-Multifidi
PJM: Positional Tractioning: Palpate segment to be distracted, Place neck in flexion, side bend away from injury and rotate toward injury and apply slight traction for 7-10 seconds
SI Joint Dysfunction
Sacral Release, Hypomobile Glutes, Piriformis Release, MM strip-Treat mm with direct attachments to SI
Hydro: Hydrocollator to Glut Max, Piriformis, Lats
Stretch: Hypomobile Glutes, Piriformis
Strengthen: Hypermobile Glutes, Piriformis
PJM: Gr. 3 Long Axis Hip Traction
ITB Friction Syndrome
Fascial, MM Strip, Vibes over ITB attachment Hydro: Hydrocollator to thigh Stretch: ITB/TFL Strengthen: Vastus Medialis, Adductors PJM: Gr. 3 Long Axis Hip Traction
Piriformis Syndrome
Facial, MM strip, Vibes-Glutes Hydro: Heat on Piriformis, Cool on referral pattern Stretch: Piriformis Strengthen: TFL, Adductors PJM: Hip
Frozen Shoulder
Thawing Stage
Facial, GTO, MM Strip- Rotator Cuff MM & Biceps Hydro: Hydrocollator Stretch: Pec’s Strengthen: Deltoids PJM: Gr. 3 GH Distraction
Epicondylitis
Facial, GTO, MM Strip
Hydro: Hydrocullator on affected tendon
Stretch: Medial-Flexors, Lateral-Extensors
Strengthen: Medial-Extensors, Lateral-Flexors
PJM: Gr. 3 Distractions to Humeroulnar Joint (Increase general mobility)
Patellofemoral Syndrome
Facial, GTO, MM Strip-Quads Hydro: Hydrocollator to ITB, Vastus Lateralis Stretch: ITB/TFL Strengthen: Adductors PJM: Gr. 3 Anterior Drawer of Knee
Tendinitis
Bicep’s or Supraspinatus
Facial, GTO, MM Strip
Hydro: Hydrocollator
Stretch: Biceps-Biceps, Supraspinatus-Supraspinatus
Strengthen: Biceps-Triceps, Supraspinatus-Teres Major
PJM: Gr. 3 Distraction to GH (increase general mobility)
Dupuytren’s Contracture
Facial- Palmar Aponeurosis, GTO-CFT, MM Strip-Flexors and Lumbricals
Hydro: Hydrocollator to Hand
Stretch: Flexors
Strengthen: Extensors
PJM: Gr. 3 Wrist Traction to Radiocarpal Joint
Rheumatoid Arthritis
Between Flare-Ups
Light Fascial and MM Approx-Forearm Extensors, Tapotement or Vibes - Intrinsic Hand mm Hydro: Cool on affected Stretch: Extensors Strengthen: Intrinsic Hand mm PJM: Gr. 1-2 Radiocarpal Distraction
Osteoarthritis
Early Stage
Facial, GTO, MM Strip - Surrounding involved joint
Hydro: Hydrocullator
Stretch: P.A.S - MM crossing affected joint
Strengthen: AR- MM that opens joint
PJM: Gr. 3