UE various treatments

Question 1

Visual TART screening for shoulder

Answer 1

shoulder height, angle of scapula, spine of scapula, shoulder position in sagittal plane

Question 2

Joint palpation for shoulder

Answer 2

glenohumeral, SC, AC

Question 3

Myofascial palpation for shoulder

Answer 3

upper traps, deltoids, pectoralis, rhomboids

Question 4

Indications for glenohumeral SD BLT

Answer 4

subdeltoid bursitis or frozen shoulder

Question 5

Glenohumeral BLT

Answer 5

Pt lateral recumbent with dysfx side up, put GH into indirect position

Question 6

SC ABduction

Answer 6

scapular elevation, inferior SC movement

Question 7

SC ADduction

Answer 7

shoulder depression, superior SC movement

Question 8

SC Flexion

Answer 8

Protraction of scapula leading to posterior SC glide

Question 9

SC Extension

Answer 9

Retraction of scapula leading to anterior SC glide

Question 10

SC ADducted Still’s

Answer 10

extend and adduct elbow, add compression toward SC joint, move shoulder into superior glide and abduction in posterior circumduction motion

Question 11

SC ABducted Still’s

Answer 11

abduct and flex elbow, add compression toward sc joint, move shoulder into adduction with anterior circumduction motion

Question 12

SC HVLA

Answer 12

apply cephalad traction on arm, thrust on SC joint while inducing traction through arm

Question 13

Direction of thrust for ADducted SC

Answer 13

inferior

Question 14

Direction of thrust for Extended SC

Answer 14

posterior

Question 15

AC joint separated SD still’s

Answer 15

affected side abducted with slight extension to open sc joint, apply traction and move arm into adduction/flexion

Question 16

Supraspinatus TP location

Answer 16

midsupraspinatus just superior to spine of scapulae

Question 17

Supraspinatus TP positioning

Answer 17

F arm 45 degrees, abduct 45 degrees, externally rotate

Question 18

Levator scapulae TP location

Answer 18

levator at superior angle of scapula

Question 19

Levator scapulae TP positioning

Answer 19

Pt head rotated away, IR pt’s shoulder, add mild-moderate traction with minimal abduction

Question 20

Subscapularis TP location

Answer 20

anterolateral border of scapula on subscapularis m.

Question 21

Subscapularis TP positioning

Answer 21

pt’s shoulder extended and internally rotated

Question 22

Biceps Brachii long head TP location

Answer 22

over long head of biceps tendon in bicipital groove

Question 23

Biceps brachii long head TP positioning

Answer 23

elbow and shoulder flexed, arm minimally abducted and internally rotated

Question 24

Biceps brachii short head TP location

Answer 24

inferolateral aspect of coracoid process on short head tendon of biceps

Question 25

Biceps brachii short head TP positioning

Answer 25

Elbow and shoulder flexed, arm minimally adducted and internally rotated

Question 26

Ulnar ABduction HVLA

Answer 26

supinate and extend elbow to 5 degrees, grasp olecranon, move elbow into adduction and apply a medial to lateral thrust

Question 27

Ulnar ADduction HVLA

Answer 27

supinate and extend elbow to 5 degrees, grasp olecranon, move elbow into abduction and apply lateral to medial thrust

Question 28

Radial head anterior glide is coupled with what motion

Answer 28

supination

Question 29

Radial head posterior glide is coupled with what moton

Answer 29

pronation

Question 30

Anterior radial head SD

Answer 30

place thumb into crease of patient's elbow to contact anterior radial head. Flex elbow and pronate forearm. exert a rapid hyperflexion force while thrusting the radial head posteriorly

Question 31

Posterior radial head SD

Answer 31

extend and supinate elbow, place thumb over posterior aspect of radial head, exert a hyperextension force while thrusting radial head anteriorly

Question 32

Interosseous membrane MFR

Answer 32

palpate for tension, place thumbs over tense areas, compress areas of tension while adding compression or traction

Question 33

Interosseous BLT

Answer 33

indirect positioning of wrist and elbow to attain BLT at interosseous membrane, add resp phases

Question 34

Wrist flexor retinaculum MFR

Answer 34

thumbs on medial and lateral attachments of transverse carpal ligament, press thumbs onto surface and hold 20-60 seconds

Question 35

Raciocarpal joint SD articulatory

Answer 35

place hands parallel to joint line, squeeze and add traction, move wrist in clockwise and counter-clockwise motion, carrying dysfx thru barrier

Question 36

Wrist extension/ventral carpal HVLA

Answer 36

pronate elbow and grasp pts hand with thumbs contacting radiocarpal joint, move from extension to flexion thru dysfx

Question 37

Wrist flexion/dorsal carpal HVLA

Answer 37

pronate elbow, grasp pt's hand, move from flexion to extension through SD

Question 38

Phalangeal dysfx HVLA

Answer 38

isolate dysfunctional joint, exert traction and hyperflexion thrust through SD

Question 39

Radial head-lateral TP location

Answer 39

anterolateral aspect of radial head at supinator attachment

Question 40

Radial head-lateral TP tx

Answer 40

pt's elbow in full extension, forearm supinated, fine tune with valgus force

Question 41

Medial epicondyle TP location

Answer 41

near medial epicondyle of humerus assoc with common flexor tendon and pronator teres

Question 42

Medial epicondyle TP tx

Answer 42

pt's elbow flexed, marked pronation, forearm slightly adducted

Question 43

Dorsal wrist (extensor carpi radialis) TP location

Answer 43

dorsal surface second metacarpal assoc with extensor carpi radialis

Question 44

Dorsal wrist (extensor carpi radialis) TP tx

Answer 44

pt's wrist passively extended and abducted

Question 45

Dorsal wrist (extensor carpi ulnaris) TP location

Answer 45

dorsal surface of fifth metacarpal associated with extensor carpi ulnaris m.

Question 46

Dorsal wrist (extensor carpi ulnaris) TP tx

Answer 46

pt's wrist extended and adducted

Question 47

Palmar wrist (flexor carpi radialis) TP location

Answer 47

palmar base second or third metacarpal in flexor carpi radialis m.

Question 48

Palmar wrist (flexor carpi radialis) TP tx

Answer 48

pt's wrist flexed and abducted

Question 49

Palmar wrist (flexor carpi ulnaris) TP location

Answer 49

palmar base fifth metacarpal in flexor carpi ulnaris muscle

Question 50

Palmar wrist (flexor carpi ulnaris) TP tx

Answer 50

pt's wrist flexed and adducted

Question 51

First CMP (abductor pollicis brevis) TP location

Answer 51

palmar base of first metacarpal in abductor pollicis brevis m.

Question 52

First CMP (abductor pollicis brevis) TP tx

Answer 52

pt's wrist passively flexed, thumb abducted