UE MSK Lab/DSA

Question 1

humerus BLT

Answer 1

stand on affected side, patients arm holding opposite clavicle
hands around humerus, thumbs over head
leverage with humerus to chest and pull laterally
patient moves uninvolved shoulder posteriorly
gently int/ext rotate humerus and superior until feel change in tissue tension

Question 2

weight of force used for BLT

Answer 2

no more than 5 pounds

Question 3

position for scapulothoracic joint BLT

Answer 3

thumb under scapula with pad against ribs nail against scapula
patient leans back so can contact serratus anterior
other hand on scapula contact to spine and disengage inf medial scapula border

Question 4

Tx Post radial

Answer 4

pronation

axial force bring into supination

Question 5

closed reduction nursemaids elbow

Answer 5

palpat radial head

axial compression at wrist while supinating and flexing elbow

Question 6

closed reduction nursemaids elbow

Answer 6

palpate radial head

axial compression at wrist while supinating and flexing elbow

Question 7

girls or boys more affected by nursemaids

Answer 7

girls

Question 8

mm to balance in scapulothoracic BLT

Answer 8

serratus ant
rhomboids
teres

Question 9

hypertonic serratus anterior does what to scapula

Answer 9

elvation and lateral displacement

Question 10

who is fulcrum who is activating force in BLT

Answer 10

patient activating force

physician fulcrum

Question 11

motion mechanics between bones and joint

Answer 11

change in shape of joint space

Question 12

motion mechanics between bones and joint

Answer 12

change in shape of joint space

Question 13

Chin pivot used for what SD

Answer 13

T1-T3

Question 14

Tx FRSL T1 chin pivot

Answer 14

chin on table
lift patients head and neck sidebend until motion palpated, then head back on table
heel of L hand post transverse proecss T1 and lateral caudal force
R hand on L side rotate head to L to localize

Question 15

sidebend and rotation forces in chin pivot HVLA

Answer 15

sidebend toward restriction and rotate to ease

Question 16

final force in chin pivot T1FSRL

Answer 16

anterior lateral caudal from L hand to L transverse T1

Question 17

indications b/l shoulder balancing

Answer 17

SD sternoclavicular, acromioclavicular and glenohumeral

Question 18

Tx b/l internally rotated humerus with b/l balancing

Answer 18

pals hands on AC joints with fingers over proximal humeruses

both hands asses shoulder motion all planes and find equal tension in all hold until release

Question 19

tenderpoints shoulder for counterstrain

Answer 19

bicepital groove- biceps
ant, inf lateral scapula- subscapularis
above scapular spine- suprascap

Question 20

forearm and wrist tenderpoints

Answer 20

medial epincondyle
radial head
palmar wrist and dorsal wrist

Question 21

position for supraspinatus counterstrain

Answer 21

flexion ABduction to 45 degrees and ext rotation

Question 22

position for subscap counterstrain

Answer 22

extention
slight ABduction
internal rotation

Question 23

position for counterstrain biceps brachii

Answer 23

flexion elbow, minor flexion arm AD duction and internal rotation

Question 24

mm for biceps brachii counterstrain

Answer 24

brachialis and biceps brachii

Question 25

position for counterstrain radial hear

Answer 25

full extension elbow

supination of wrist and fine tune with AB/ADduction

Question 26

position counterstrain medial epicondyle and mm involved

Answer 26

flex elbow 90 degrees and pronate wrist, fine tune with int/ext rotation
forearm flexors and pronator teres

Question 27

position counterstrain dorsal wrist

Answer 27

wrist extension and fine tune with radial ulnar deviation

use wrist extensors

Question 28

position counterstrain palmar wrist

Answer 28

wrist in flexion, fine tune with radial ulnar deviation

use wrist flexors

Question 29

position counterstrain palmar wrist

Answer 29

wrist in flexion, fine tune with radial ulnar deviation

use wrist flexors

Question 30

Stages of Spencers

Answer 30

Extenstion
Flexion
Compression with Circumduction
Traction with Circumduction
ADduction and ext rotation
ABduction
Internal rotation
pump/milking