Upper extremity HVLA

Question 1

Shoulder Tart

Answer 1

Shoulder height, angle of scapula (using thumbs under), spine of scapula if lines up, shoulder position in saggital plane (look sagittaly)

Question 2

Shoulder tart

Answer 2

Palpate glenohumeral, SC, AC joints. Do myofascial of Traps, deltoids, pectoralis, rhomboids (under traps on back side)

Question 3

Glenohumeral joint range of motion

Answer 3

Flexion 180, extension 180, Abduction 180, horizontal adduction 40-50, horizontal abduction,40-55 internal rotation 90, external rotation 90

Question 4

Glenohumeral SD BLT

Answer 4

They lateral recumbent facing you, top hand thumb and index web above glenohumeral, other hand grab their elbow right above their body, abduct the elbow till you feel relaxation int hat joint, then check flexion extension and internal external, compress and distract, put them into position of ease, then have them do breathing to get sense of relaxation

Question 5

SC Joint evaluation Abduction/adduction

Answer 5

They supine you above them, they shrug shoulders up, then shrug downwards. Look for weird movements at the sc joint

Question 6

SC Joint evaluation flexion extension

Answer 6

They supine you above them, they put hands up, reach for ceiling, then lowers hands back towards table.

Question 7

SC Elevated/Adducted SD Articulatory

Answer 7

They supine you above them, both hands on sc joint with thumb on sternal end, they inhale and on exhale push down

Question 8

SC Joint articulatory- Clavicle anterior and superior glide

Answer 8

Get contralateral, they supine, their near hand grab opposite elbow, you lean over grab opposite end of table and with near hand springing down on medial end of clavicle

Question 9

SC Elevated/Adducted SD MET

Answer 9

They supine, you on close side, you grab their wrist off table and other hand on sc joint, they try raise arm, then relax and you push down with both arms into new barrier.

Question 10

SC Horizontal Extension SD Met

Answer 10

They supine, they put their arm on your shoulder, you put one hand on their clavicle other behind their shoulder, have them pull down, then relax, then you pull up MET.

Question 11

SC Elevated/Adducted SD Still technique

Answer 11

They sitting on end of table, one hand around their neck to have thumb on bad clavicle, other hand grab elbow, slight extension and abduction with elbow, Compress towards sc joint with elbow, then bring elbow up and back around in a loop

Question 12

SC Depressed/abducted SD Still technique

Answer 12

They sitting on end of table, one hand around their neck to have thumb on bad clavicle, other hand grab elbow, slight extension and abduction with elbow, Compress towards sc joint with elbow, then bring elbow up and anterior around in a loop

Question 13

Sternoclavicular SD HVLA

Answer 13

They supine, bring their arm up hold it against your body, other hand pushing down sc joint, so you pulling up on arm and pushing down on sc joint. Adduction SD: inferior thrust, Extension SD: Posterior thrust

Question 14

AC Joint diagnosis

Answer 14

Look if distal clavicle is elevated, palpate for step off and tenderness tta, cross arm adduction test, spring on distal clavicle, spring anterior to posterior

Question 15

AC Joint Seperated SD Still technique

Answer 15

They steaded, you in front of them, one hand on ac joint, other grab their wrist, abduct their arm sideways apply traction, then pull arm across their body.

Question 16

Elbow TART ROM

Answer 16

Palpate elbow, Flexion 140-150, Extension 0- -5.

Question 17

Ulnar Abduction/edduction evaluation

Answer 17

Ulnar adduction is varus (should have wrist abduction), ulnar abduction is valgus (should have wrist adduction)

Question 18

Elbow MFR (direct or indirect

Answer 18

Indirect all way to where likes to go, direct where doesnt like to go (For flexion extension and pronation supination

Question 19

Ulnar Abduction adduction MET

Answer 19

Put them into restrictuive barrier, they push back, etc

Question 20

Ulnar Abduction SD HVLA

Answer 20

Bend arm slightly into flexion, one hand on olecranon, other hand on their wrist supinated, move arm into adduction, thrust is towards you on elbow.

Question 21

Ulnar Adduction SD HVLA

Answer 21

Arm supinated and bent slightly, ulnar abducted, push inwardly on the elbow for thrust.

Question 22

Interosseous membrane examination

Answer 22

their arm supinated, feel with thumbs deeply into arm

Question 23

Interosseous membrane MFR

Answer 23

Put thumbs over tense areas, compress or pull thumbs apart and hold until release is felt

Question 24

Interosseous Membrane BLT

Answer 24

Hold wrist one hand, other hand along their radiums, use thumbs on interosseous membrane, flex extend elbow till get BLT, then respiratory phases.

Question 25

Radial head evaluation

Answer 25

Supination: anterior, Pronate: posterior.

Question 26

Radial head MET Anterior=Supination

Answer 26

Pronate it, have them activate towards supination. Other one is reverse

Question 27

Anterior radial head SD HVLA

Answer 27

they steated, thumb of one hand into their elbow, other hand flex and pronate forearm, then do thrust hyper flex and pronate.

Question 28

Posterior radial head SD HVLA

Answer 28

One hand on elbow other on wrist, extend and supinate elbow, thumb over radial head, hyperextend and supinate.

Question 29

Radiocarpal (Wrist) joint tart and ROM

Answer 29

Flexion 80-90, extension 70, wrist adduction 30-40, wrist abduction 20-30

Question 30

Wrist Flexor Retinaculum MFR

Answer 30

They seated holding hand out supine, put thumbs on base of palm, push thumbs apart, hold for 20-60 seconds.

Question 31

Radiocarpal Joint SD Articulatory with traction

Answer 31

Physician cup hand, then put hands around on their wrist, then put your fingers in each other, then draw figure 8s with their arm, keeping pressure with your hands.

Question 32

Wrist extension/ventral carpal SD HVLA

Answer 32

Thumbs on dorsal aspect, index fingers on plantar aspect, start with hand arm limp in extension then whip like motion bring arm up. into flexion.

Question 33

Wrist flexion/dorsal carpal SD HVLA

Answer 33

Thumbs on dorsal aspect, index fingers on plantar aspect, start with hand arm up with hand flexed, then whip it down into extension

Question 34

Hand TART Screen and ROM evaluation

Answer 34

Abduction, adduction, then testing finger movements for flexion extension abduction adduction (can also do the rotations passively.

Question 35

Finger articulatory treatment

Answer 35

One hand hold thumb hand, other hand hold finger, then can do flexion extension or clockwise counterclockwise, can do at individual joints.

Question 36

Phalangeal SD HVLA

Answer 36

One hand on wrist, other hand use thumb and middle and index to grab part of finger, do traction, then hyperflexion