UE Diagnostic Manual - Mobility Deficit Elbow Flashcards
conditions associated with mobility deficit at the elbow
OA
elbow stiffness
outcome measures for mobility deficit at elbow
PSFS
Quick DASH
explain primary vs secondary OA and its relation to the elbow
primary = typically uncommon
secondary = common due to the amount of injuries at the elbow
explain the incidence of elbow stiffness
more common due to complications of trauma at elbow
– fx or burns
what increases risk of stiffness at elbow
immobilization > 14 days
extrinsic vs intrinsic causes of elbow joint stiffness
ex = skin, muscle capsule, ligament, and heterotrophic ossification
in = articular cartilage destruction, intraarticular adhesions, joint congruency
in OA at elbow, compare A vs PROM
both are decreased
- passive flexion is more limited than extension
- pro/supination remain normal
- crepitus (popping) is seen in both
in general stiffness, compare A vs PROM
<120° flexion
loss of ≥30° of extension
explain end feels of extrinsic vs intrinsic elbow stiffness
ex = soft end feel
in = abrupt and hard end feel
where will pain be noticed in those with mob deficit at the elbow
end range ROM
explain muscle performance of those with a mobility deficit at the elbow
MMT = normal
resisted = strong and painless
palpation findings associated with OA
bony enlargements
cool joint effusion could be
palpation findings of elbow stiffness
w/ overpressure may cause pain if stiffness is due to extrinsic causes
joint mobility findings associated with OA
decreased joint mobility in one or more directions at either the
- humeroulnar joint
- radiohumeral joint
joint mobility finding associated with elbow stiffness
if due to intrinsic cause
- may be challenging to assess
neurological findings associated with mob deficit at elbow
n/a
special tests for mob deficit at the elbow
n/a
explain pt education intervention for mob deficit at elbow
activity modification - functional pain free ROM
match stretching intensity with level of irrability
explain improving ROM intervention for those with mob deficit at elbow? what if caused by ex vs intrinsic factors?
early ROM within 7-10 days of immobilization (if permitted)
if due to intrinsic cause, full ROM may not be attainable – focus on functionality
joint mobility intervention
all affected joints at elbow complex
how to retrain muscles in new found ROM
progressive loading
medical interventions associated with mob deficit at elbow
corticosteroids
– if non-traumatic
NSAIDs
surgery
– if traumatic
