UE Pain Lab Flashcards
2 indications for glenohumeral BLT?
How do you perform BLT of the glenohumeral joint?
Subdeltoid bursitis or frozen shoulder
Pt LR with hurt shoulder up, doc behind. One hand stabilizes the shoulder, and the other controls the elbow. Flex the elbow and put the shoulder where it likes to go and hold just like BLT.
How do we treat an elevated/adducted SC joint with stills?
Start with elbow slightly extended and adducted. Add compression toward the EC joint and Then abduct and superiorly glide the shoulder up with more of a posterior upward motion.
How do you treat depressed/abducted SC joint with stills?
Start with shoulder adducted and flexed.
Add compression towards SC
Adduct and inferiorly glide the shoulder down in an anterior motion.
How do we do HVLA to an elevated or adducted SC joint?
How do we do HVLA to an extended or anterior SC joint?
Inferior thrust of SC joint while at the same time applying rapid traction to the same side arm which is above the patients head
Same deal just posterior thrust at the SC joint
How do we perform stills of the AC joint?
Extend and abduct the arm like half of the touchdown sign kind of
Traction applied
Flex and Adduct across the body
Talk about varus/Valgus and abduction/adduction of the elbow and what is also happening at the wrist?
Varus is ulnar adduction and wrist abduction
Valgus is ulnar abduction and wrist adduction
How to do HVLA of an adducted and abducted ulna?
Fully extend and supinate the arm.
For adducted, lateral to medial force over the lateral epicondyle
For abduction, medial to lateral force over the medial epicondyle
How to perform ST of the interosseous membrane?
BLT of interosseous membrane?
Compress thumbs together or pull apart thumbs for traction
Hold wrist in one hand and elbow in the other. Indirect positioning of the elbow and wrist to BLT point in the membrane
HVLA of a posterior radial head?
HVLA of an anterior radial head?
Supinate and extend and then at the end hyperextend and thrust radial head anteriorly
Pronate and flex and at the end hyperflex and thrust radial head posterioly
How long do we hold wrist flexor retinaculum MFR for?
20-60 seconds
How to perform radiocarpal joint SD articulation?
Squeeze and traction of the patients joint and then go in circles, figure 8, or clockwise counter clock wise
HVLA for wrist extension?
HVLA for wrist flexion?
Pronate elbow and thrust extension to flexion
Pronate elbow and thrust flexion to extension
How to do phalangeal dysfunction HVLA?
Traction and hyperflexion
