UE misc objectives

Question 1

most UE problems are assoc with what SD? why?

Answer 1

SD of upper thoracic, upper rib, and cervical due to sympathetic nerves innervating the UE arise from the upper thoracic spine and interconnected with superior, middle, and inferior cervical ganglion

Question 2

why treat upper thoracic, upper rib, and cervical SD before treating UE?

Answer 2

will reduce the sympathetic tone to the UE, thereby relaxing the mm and improving the arterial supply to and lymphatic and venous return from that region

Question 3

if UE problem (esp shoulder) is slow or non-responsive to tx, think of what type or problems and why?

Answer 3

systemic problems like diabetes or hypothyroidism because neuroMSK condition may not respond until systemic problem is properly treated and under control

Question 4

chin pivot HVLA used for

Answer 4

flexed SD in upper thoracic area (T1-T3)

Question 5

chin pivot HVLA technique (ex: T1 FRSL)

Answer 5

1. sidebend patient’s neck toward barrier until motion is palpated at T1
2. place the heel of your L hand over the posterior transverse process of T1 and apply an anterior, lateral, and caudal force to engage the barrier
3. place your R hand of the L side of the patient’s head and slightly rotate the patient’s head to the L, localizing motion to T1.
4. final corrective force is a quick anterior, lateral, and caudal force from your L hand over the L transverse process of T1

Question 6

supraspinatus tenderpoint: location
patient position
initial position

Answer 6

location: supraspinatus mm, superior to spine of the scapula
patient position: supine
initial position: flexion, abduction to 45 degrees, external rotation of humerus

Question 7

subscapularis tenderpoint:
location
patient position
initial position

Answer 7

location: anterior and lateral surface of scapula
patient position: supine
initial position: extension, slight abduction, internal rotation of humerus

Question 8

biceps brachii tenderpoint:
location
patient position
initial position

Answer 8

location: long head tendon in bicipital groove, mm belly, biceps tendon
patient position: supine or seated
initial position: flexion of elbow, minor flexion or arm, adduction and internal rotation or arm as needed

Question 9

medial epicondyle tenderpoint:
location
patient position
initial position

Answer 9

location: medical epicondyl at common flexor tendon and attachment of pronator teres
patient position: supine or seated
initial position: flex elbow to 90 degrees, pronate wrist and fine tune with internal/external rotation

Question 10

radial head tenderpoint:
location
patient position
initial position

Answer 10

location: lateral surface of radial head
patient position: supine or seated
initial position: full extension of elbow, supination or wrist, fine tune with abduction/adduction of forearm

Question 11

Spencer’s technique

Answer 11

1. extension
2. flexion
3. compression with circumduction
4. traction with circumduction
5. adduction and external rotation
6. abduction
7. internal rotation
8. joint pump - traction with inferior glide

Question 12

pos arm drop test indicates

Answer 12

pos = pain and weakness

supraspinatus tear

Question 13

pos jobe’s (empty can) test indicates

Answer 13

supraspinatus tear

Question 14

pos speed’s test indicates

Answer 14

problem in the bicipital groove

Question 15

pos Hawkin’s and Neer’s impingement sign indicates

Answer 15

impingement of supraspinatus or long head of biceps mm

Question 16

pos crossover test indicates

Answer 16

AC joint dysfx