UE various treatments Flashcards

1
Q

Visual TART screening for shoulder

A

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

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2
Q

Joint palpation for shoulder

A

glenohumeral, SC, AC

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3
Q

Myofascial palpation for shoulder

A

upper traps, deltoids, pectoralis, rhomboids

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4
Q

Indications for glenohumeral SD BLT

A

subdeltoid bursitis or frozen shoulder

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5
Q

Glenohumeral BLT

A

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

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6
Q

SC ABduction

A

scapular elevation, inferior SC movement

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7
Q

SC ADduction

A

shoulder depression, superior SC movement

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8
Q

SC Flexion

A

Protraction of scapula leading to posterior SC glide

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9
Q

SC Extension

A

Retraction of scapula leading to anterior SC glide

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10
Q

SC ADducted Still’s

A

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

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11
Q

SC ABducted Still’s

A

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

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12
Q

SC HVLA

A

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

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13
Q

Direction of thrust for ADducted SC

A

inferior

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14
Q

Direction of thrust for Extended SC

A

posterior

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15
Q

AC joint separated SD still’s

A

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

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16
Q

Supraspinatus TP location

A

midsupraspinatus just superior to spine of scapulae

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17
Q

Supraspinatus TP positioning

A

F arm 45 degrees, abduct 45 degrees, externally rotate

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18
Q

Levator scapulae TP location

A

levator at superior angle of scapula

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19
Q

Levator scapulae TP positioning

A

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

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20
Q

Subscapularis TP location

A

anterolateral border of scapula on subscapularis m.

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21
Q

Subscapularis TP positioning

A

pt’s shoulder extended and internally rotated

22
Q

Biceps Brachii long head TP location

A

over long head of biceps tendon in bicipital groove

23
Q

Biceps brachii long head TP positioning

A

elbow and shoulder flexed, arm minimally abducted and internally rotated

24
Q

Biceps brachii short head TP location

A

inferolateral aspect of coracoid process on short head tendon of biceps

25
Q

Biceps brachii short head TP positioning

A

Elbow and shoulder flexed, arm minimally adducted and internally rotated

26
Q

Ulnar ABduction HVLA

A

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

27
Q

Ulnar ADduction HVLA

A

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

28
Q

Radial head anterior glide is coupled with what motion

A

supination

29
Q

Radial head posterior glide is coupled with what moton

A

pronation

30
Q

Anterior radial head SD

A

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

31
Q

Posterior radial head SD

A

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

32
Q

Interosseous membrane MFR

A

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

33
Q

Interosseous BLT

A

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

34
Q

Wrist flexor retinaculum MFR

A

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

35
Q

Raciocarpal joint SD articulatory

A

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

36
Q

Wrist extension/ventral carpal HVLA

A

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

37
Q

Wrist flexion/dorsal carpal HVLA

A

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

38
Q

Phalangeal dysfx HVLA

A

isolate dysfunctional joint, exert traction and hyperflexion thrust through SD

39
Q

Radial head-lateral TP location

A

anterolateral aspect of radial head at supinator attachment

40
Q

Radial head-lateral TP tx

A

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

41
Q

Medial epicondyle TP location

A

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

42
Q

Medial epicondyle TP tx

A

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

43
Q

Dorsal wrist (extensor carpi radialis) TP location

A

dorsal surface second metacarpal assoc with extensor carpi radialis

44
Q

Dorsal wrist (extensor carpi radialis) TP tx

A

pt’s wrist passively extended and abducted

45
Q

Dorsal wrist (extensor carpi ulnaris) TP location

A

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

46
Q

Dorsal wrist (extensor carpi ulnaris) TP tx

A

pt’s wrist extended and adducted

47
Q

Palmar wrist (flexor carpi radialis) TP location

A

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

48
Q

Palmar wrist (flexor carpi radialis) TP tx

A

pt’s wrist flexed and abducted

49
Q

Palmar wrist (flexor carpi ulnaris) TP location

A

palmar base fifth metacarpal in flexor carpi ulnaris muscle

50
Q

Palmar wrist (flexor carpi ulnaris) TP tx

A

pt’s wrist flexed and adducted

51
Q

First CMP (abductor pollicis brevis) TP location

A

palmar base of first metacarpal in abductor pollicis brevis m.

52
Q

First CMP (abductor pollicis brevis) TP tx

A

pt’s wrist passively flexed, thumb abducted