UE/LE HVLA Flashcards
GH BLT
one hand shoulder for stabilizing one hand elbow
put GH in indirect position and hold
SC abduction/adduction evaluation
pt shrugs shoulders, doc hands on SC
shrug -> inferior movement
lowering -> superior movement
compare motion
SC flexion/extension evaluation
pt flexes shoulders to 90 reaching in front of them
flexion -> posterior motion
relaxation -> anterior motion
compare motion
SC elevated/adducted SD stills technique
adducted b/c shoulders adducted w/ SC elevation
adduct/extend shoulder and compress SC
move shoulder into superior glide/abducation
release, return to neutral
SC depressed/abducted SD stills technique
abduct/flex shoulder and compress SC
move shoulder into adduction w/ anterior circumduction
release and return to neutral
SC SD HVLA
doc one hand on SC, other hand grasping elbow and pulling arm w/ cephalad traction
thrust on SC and pull cephalad on patients arm simulatenously
adducted/elevated SC = inferior thrust
extended/anterior SC = posterior thrust
AC separation SD stills
affected joint abducted/extended
apply traction to AC and move arm into adduction/flexion
release and return to neutral
ulnar abduction SD HVLA
supinate/extend elbow and move elbow into ulnar adduction
aplly medial -> lateral thrust over medial olecranon
ulnar adduction SD HVLA
supinate/extend elbow and move elbow into ulnar abduction
apply lateral -> medial thrust over lateral olecranon
interosseous membrane BLT
doc holds wrist w/ one hand and other hand on radius, thumbs monitor membrane
position in BLT and add respiratory phases until release
anterior radial head HVLA
doc thumb in elbow crease over the radial head, other hand flexes elbow and pronates forearm
extert hyperflexion force while thrusting the radial head posteriorly
posterior radial head SD HVLA
doc thumb over radial head, other hand extends and supinates elbow
extert rapid hyperextension force while thrusting the radial head anteriorly
wrist extension/ventral carpal SD HVLA
pronate elbow, thumbs contact dorsal hand and deliver whip thrust moving wrist into flexion and pushing the carpal bones dorsally
wrist flexion/dorsal carpal SD HVLA
pronate elbow, thumbs contact dorsal hand and deliver whip thrust moving wrist into extension and pushing the carpal bones ventrally
femorotibial BLT
lean into leg w/ posterior force and approximate the joint
induce IR/ER into BLT and treat
boot-jack technique
cradle leg at calcaneus, other hand wraps around medial foot
doc leans back inducing further flexion of hip and knee while distracting the calcaneus from talus and induces a slight plantarflexion into BLT
posterior fibular head BLT
thumb on superolateral fibular head, other hand on distal fibula; slightly flex knee
thumb applies pressure towards the foot while other hand inverts the foot to BLT
anterior fibular head HVLA
pillow under knee and doc contralateral
cephalad hand on anterior fibular head, caudad hand on foot
supinate foot (invert/IR/plantarflex) to RB and treat w/ MET, on final MET thrust into table and supinate foot
posterior fibular head HVLA
leg flexed, doc one hand on fibular head other hand on foot and pronates it (evert/ER/dorsiflex)
thrust anterior on fibular head while rapidly flexing the knee
tibiotalar BLT
press down on distal tibia and find BLT, IR/ER tibia for balanced point
tibiotalar gapping
fingers crossed on dorsal foot, thumbs on ball of feet
exert caudad traction and thrust into barrier
anterior tibia on talus HVLA
one hand cups calcaneus, other hand on anteiror tibia
pull calcaneus caudad and thrust tibia into table
hiss whip
abduct LE off table and flex knee
thrust downard through thumbs
plantar navicular SD HVLA
one hand around foot, other hand bracing calcaneus and pinning it to table
thrust = eversion/rotational thrust w/ hand in contact w/ forefoot
plantar cuboid SD HVLA
one hand around foot, other hand bracing calcaneus
thrust = inversion/rotational thrust w/ hand in contact w/ forefoot
plantar metatarsal SD HVLA
thrust upward on distal metatarsal
dorsal metatarsal SD HVLA
thrust downward on proximal metatarsal