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G) Ortho Tests and Measures > UE Glides/Manips > Flashcards

UE Glides/Manips Flashcards

1
Q

wrist - distal RU joint (palmar and dorsa glide)

A

**looking for: neutral zone, R1, R2, any pain

Pt: Seated or supine & F/A in resting position

Pht:

  • Standing, facing pt’s hand
  • One hand: stabilizes ulna
  • One hand: grasp pt’s distal radius
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2
Q

wrist - RC joint (palmar and dorsal glide)

A

**looking for: neutral zone, R1, R2, any pain

Pt: Seated, F/A resting on bed; wrist over edge & in RP

Pht:
- Standing, close to pt’ hand

  • One hand: stabilize distal radius/ulna close to jt line
  • One hand: grasp proximal row of carpals
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3
Q

wrist (RC joint) - radial and ulnar glide

A

**looking for: neutral zone, R1, R2, any pain

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4
Q

wrist (RU joint) traction and compression

A

**looking for: neutral zone, R1, R2, any pain

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5
Q

fingers - MCP joint (palmar, dorsal, medial, lateral glides)

A

Pt seated, FA on bed & joint in RP (slight flexion)

Pht: using a pinch grip with both hands

  • For palmar & dorsal glides: on palmar/dorsal aspect of bones
  • For radial & ulnar glides on radial/ulnar aspect of bones
  • One hand: stabilize distal MC (♂), close to jt line
  • One hand: grasp proximal phalanx (♀)
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6
Q

fingers - MCP joint (traction/compression)

A

Pt seated, FA on bed & joint in RP (slight flexion)

Pht: using a pinch grip with both hands

  • For palmar & dorsal glides: on palmar/dorsal aspect of bones
  • For radial & ulnar glides on radial/ulnar aspect of bones
  • One hand: stabilize distal MC (♂), close to jt line
  • One hand: grasp proximal phalanx (♀)
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7
Q

fingers - IP joint (palmar and dorsal glide)

A

Pt seated, with FA on bed & joint in resting position (slight flexion)

Pht: using a pinch grip with both hands

  • One hand: stabilize proximal phalanx (♂), close to jt line
  • One hand: grasp base of adjacent (distal) phalanx (♀)
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8
Q

fingers - IP joint (traction/compression)

A

Pt seated, with FA on bed & joint in resting position (slight flexion)

Pht: using a pinch grip with both hands

  • One hand: stabilize proximal phalanx (♂), close to jt line
  • One hand: grasp base of adjacent (distal) phalanx (♀)
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9
Q

Wrist mobs of lateral column

A

The carpal bones should be mobilized in flexion.

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10
Q

Wrist mobs of medial column

A

mobs should be done in wrist flexion

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11
Q

Wrist mobs of mid column

A

mobs should be down with wrist in flexion

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12
Q

Thumb (CMC) traction/compression

A
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13
Q

Thumb (CMC) dorsal glide

A
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14
Q

Thumb (CMC) palmar glide

A
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15
Q

Thumb (CMC) radial glide

A
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16
Q

Thumb (CMC) ulnar glide

A
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17
Q

wrist manipulation - thrust in traction (lunate on radius)

A

Indications:

S/A: Mechanism of injury: full extension or flexion

O/A:
- Observation/palpation: any protuberance or dimple

  • ROM: flexion or extension ↓ & hard EF & pain
  • Glide: carpal bone palmar or dorsal glide ↓ NZ & hard EF

Special Considerations:

  • Scaphoid fracture (< 2wks) – can have been missed on x-ray
  • Carpal bones hypermobility
  • Nerves & blood vessel compression
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18
Q

wrist manipulation - palmar glide (lunate on radius)

A

Indications:

S/A: Mechanism of injury: full extension or flexion

O/A:
- Observation/palpation: any protuberance or dimple

  • ROM: flexion or extension ↓ & hard EF & pain
  • Glide: carpal bone palmar or dorsal glide ↓ NZ & hard EF

Special Considerations:

  • Scaphoid fracture (< 2wks) – can have been missed on x-ray
  • Carpal bones hypermobility
  • Nerves & blood vessel compression
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19
Q

wrist manipulation - dorsal glide (lunate on radius)

A

Indications:

S/A: Mechanism of injury: full extension or flexion

O/A:
- Observation/palpation: any protuberance or dimple

  • ROM: flexion or extension ↓ & hard EF & pain
  • Glide: carpal bone palmar or dorsal glide ↓ NZ & hard EF

Special Considerations:

  • Scaphoid fracture (< 2wks) – can have been missed on x-ray
  • Carpal bones hypermobility
  • Nerves & blood vessel compression
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20
Q

GH joint - posterior glide

A

*Pt always in supine!

GH resting position

  • Anterior glide (ER/Ext)
  • Posterior glide (IR/Flex)
  • Inferior glide (Abd)
  • Traction/compression
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21
Q

GH joint - anterior glide

A

*Pt always in supine!

GH resting position

  • Anterior glide (ER/Ext)
  • Posterior glide (IR/Flex)
  • Inferior glide (Abd)
  • Traction/compression
22
Q

GH joint - inferior glide

A

*Pt always in supine!

GH resting position

  • Anterior glide (ER/Ext)
  • Posterior glide (IR/Flex)
  • Inferior glide (Abd)
  • Traction/compression
23
Q

GH joint - traction and compression

A

*Pt always in supine!

GH resting position

  • Anterior glide (ER/Ext)
  • Posterior glide (IR/Flex)
  • Inferior glide (Abd)
  • Traction/compression
24
Q

AC joint AROM

25
AC joint PROM ant rot
26
AC joint PROM post rot
27
AC joint - ant glide
28
AC joint post glide
29
AC joint inf glide
30
AC joint sup glide
31
AC joint compression
32
SC joint - post glide
33
SC joint - inf glide
34
SC joint sup glide
35
SC joint ant glide
36
Dynamic Scapula Test (bilat abd)
Bilateral abduction with thumbs up
37
Elbow (UH joint) - anterior/posterior glides
Anterior glide: Apply an anterior force through the long axis of ulna Posterior glide: Apply a posterior force through the long axis of ulna
38
Elbow (UH joint) - lateral medial glides
Lateral glide: Apply a lateral force to proximal ulna Medial glide: Apply a medial force to proximal ulna (Lat border of olecranon)
39
Elbow (UH joint) - traction/compression
40
Elbow (RH joint) - ant/post glide
Pt supine in elbow resting position (Full extension & supination versus 30 flex) Pht: Btw pt’s trunk & arm; cradle pt’s F/A Cranial hand: stabilize distal humerus (against the table) Caudal hand grasp radial head (thumb ant & fingers post)
41
Elbow (RH joint) - traction/compression
42
Elbow (RU joint) - glides
44
Elbow combined flexion/abduction
FLEXION/ADDUCTION Ulna ANT GLIDE + LAT GLIDE EXTENSION/ABDUCTION Ulna POST GLIDE + MED GLIDE whitmore 204
45
elbow combined flexion/adduction
FLEXION/ADDUCTION Ulna ANT GLIDE + LAT GLIDE EXTENSION/ABDUCTION Ulna POST GLIDE + MED GLIDE whitmore 204
46
elbow combined extension/adduction
FLEXION/ADDUCTION Ulna ANT GLIDE + LAT GLIDE EXTENSION/ABDUCTION Ulna POST GLIDE + MED GLIDE whitmore 203
47
elbow combined extension/abduction
FLEXION/ADDUCTION Ulna ANT GLIDE + LAT GLIDE EXTENSION/ABDUCTION Ulna POST GLIDE + MED GLIDE whitmore 203
48
elbow manipulation - ulnohumoral distraction
_Special considerations:_ - Ax ULNTs before - Joint hypermobility
49
elbow manipulation - lateral thrust of ulno-humoral joint
_Special considerations:_ - Ax ULNTs before - Joint hypermobility _Dysfunction: Ulna fixed in abduction_ Subjective: Fall on outstretch arm Pt’s c/o: Tennis elbow, De Quervain's, May c/o wrist pain Observation: ↑ carrying angle, Hand slight ulnar deviation & flexion AROM - ↓ Elbow flexion & supination - ↓ Wrist extension & radial deviation PROM - Adduction: ↓ & hard EF - ↓combined movt in flexion/supination (& adduction) & hard EF Glide: lateral glide: ↓ NZ & hard EF - Flex combined with adduction & lateral glide
50
elbow manipulation - medial thrust of ulno-humoral joint
_Special considerations:_ - Ax ULNTs before - Joint hypermobility _Dysfunction: Ulna fixed in adduction_ Subjective: secondary to trauma Observation - ↓ carrying angle - Wrist in slight radial deviation & extension AROM - ↓Elbow extension & pronation (Hard EF) - ↓combined movt of extension & pronation (& abduction) - ↓Wrist flexion & ulnar deviation PROM: Abduction: ↓ & hard EF Glide: Med glide: ↓ & hard EF - Ext combined with abduction & medial glide
51
elbow manipulation - posterior thrust of proximal RU joint
Dysfunction Radius fixed in supination - AROM/PROM: ↓ FA pronation & hard EF - Glide: ↓ posterolateral glide & hard EF
52
elbow manipulation - anterior thrust of proximal RU joint
Dysfunction Radius fixed in pronation - AROM/PROM: ↓ FA supination (Hard EF) - Glide: ↓ anteromedial glide (hard EF)

G) Ortho Tests and Measures (16 decks)

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