UE Flashcards
Diagnose the Scapulothoracic region?
what treatment will you do?
Downward rotation, the joint is looking downwards but the wing abducts
Upward rotation
Elevation by trapezius
Depression by trapezius and rhomboids
Protraction is bringing it forward
Retraction
Forward tilt and backward tilt
Indirect or Direct MFR (have the affected side on up, facing the patient. contact the scapula posteriorly with both hands, assess ease and restrictions of the 6 motions
Stack barriers indirectly or directly for MFR –> apply, wait for tissue release, reassess.
Diagnose the Glenohumoral joint:
Direct treatment
Indirect
this is with classic ROM
MET –>
for flexion/extension, IR/ER, AB/ADduction
find if they’re more restricted in something.
bring them to their restriction, and have them go opposite.
3-5x, 3-5s until no new barriers.
INDIRECT MFR
Diagnose the Acromioclavicular Joint:
Direct Treatment
1) clavicle on acromion –> look for asymmetry and springing. if it likes to spring = inferior clavicle, if not = superior clavicle.
2) ER and IR with hand at the AC joint, feeling any difference of rotation. –> MET
Diagnose the SC Joint:
Direct Treatment
Shrugging shoulders (sc moves downwards) = Abduction
arms back down = Adduction
Protraction (arms up to the ceiling) = Flexion (goes into body)
Retraction (arms from ceiling back down) = Extension
Direct –>
(ARTICULATORY –> adducted, have them exhale and push clavicle inferiorly…. abducted
Extended MET–> flex arm into shoulder –> contact scapula and have it go into protraction –> apply posterior force, and have them extend into your shoulder.
Diagnose the Ulnohumeral joint
kinda goes with the proximal radius too
Flexion (140-150), Extension (0), Pronation(90), Supination(90)
Direct –> MET
Indirect –> Indirect Elbow MFR
treat the Interosseus Membrane
Direct and indirect MFR
Diagnose the Wrist
Flexion (80-90), extension (70), adduction (30-40), abduction (20-30)
Direct –> Figure 8
Indirect –> indirect MFR?
Diagnose the Hand
Motions of the thumbs and fingers
Articulatory
