02 Elbow Mobilizations Flashcards Preview

7232 Ortho > 02 Elbow Mobilizations > Flashcards

Flashcards in 02 Elbow Mobilizations Deck (41):
1

elbow
closed pack position

- ulnohumeral joint = full extension
- radiohumeral joint = 80-90˚ flexion
- proximal radioulnar joint = 5 ˚ supination

2

elbow
open pack position

- ulnohumeral joint = 70˚ flexion/10˚ supination
- radiohumeral joint = full extension, full supination
- proximal radioulnar joint = 35˚ supination

3

elbow capsular pattern

flexion > extension
supination > pronation

4

What are the elbow mobs? (7)

- distal traction - ulna
- distal traction - radius
- valgus force
- varus force
- J stroke
- cephalic movement of radius
- AP glides (radius)

5

distal traction - ulna
clinical indication

- decreased joint play
- decreased elbow flexion
- decreased elbow extension

6

distal traction - ulna
arthrology

concave on convex

7

distal traction - ulna
targeted tissues

when done in:
- extension: affects anterior capsule more
- flexion: affects posterior capsule more

8

distal traction - ulna
PT position

- web space of hand in antecubital fossa, stabilizing elbow to plinth
- grasp distal ulna » apply caudal mob force

9

distal traction - radius
clinical indication

- decreased joint play
- decreased elbow flexion
- decreased elbow extension
- decreased forearm supination
- decreased forearm pronation

10

distal traction - radius
arthrology

concave on convex

11

distal traction - radius
targeted tissues

- antero-lateral capsule
- annular ligament

12

distal traction - radius
PT position

- web space of hand in antecubital fossa, stabilizing elbow to plinth
- grasp distal radius » apply caudal mob force

13

valgus force
clinical indication

decreased joint play

14

valgus force
arthrology

concave on convex

15

valgus force
targeted tissues

- medial capsule
- UCL

16

valgus force
PT position

- hand on medial elbow to stabilize
- lateral elbow against thigh (use as fulcrum)
- elbow at 20˚ flexion
- caudal hand applies mob force in valgus direction

17

varus force
clinical indication

decreased joint play

18

varus force
arthrology

concave on convex

19

varus force
position of patient

- supine
- forearm supinated

20

varus force
targeted tissues

- lateral capsule
- LCL

21

varus force
PT position

- hand on lateral elbow to stabilize
- medial elbow against thigh (use as fulcrum)
- elbow at 20˚ flexion
- caudal hand applies mob force in varus direction

22

J stroke

two plane physiological mob that replicates the carrying angle

23

J stroke
clinical indication

decreased joint play

24

J stroke
arthrology

concave on convex

25

J stroke
position of patient

supine

26

J stroke
targeted tissues

- anterior and medial capsule
- UCL

27

J stroke
PT position

- same as for ulnar glide
- physiological mob force is applied into extension with valgus superimposed at end range of extension

28

cephalic movement of radius
clinical indication

- decreased elbow flexion
- decreased joint play

29

cephalic movement of radius
arthrology

concave on convex

30

cephalic movement of radius
patient position

- supine
- forearm pronated

31

cephalic movement of radius
targeted tissues

capsule

32

cephalic movement of radius
PT position

- elbow flexed to 90˚
- PT caudal thenar eminence on pt thenar eminence
- cephalad hand grasps distal humerus and palpates radial head
- mob force applied in a proximal direction, causing compression force

33

AP glides (radius)
clinical indication

- decreased joint play
- decreased supination and/or pronation

34

AP glides (radius)
arthrology

convex on concave

35

AP glides (radius)
position of patient

supine

36

AP glides (radius)
targeted tissues

- anterio-lateral capsule
- annular ligament

37

AP glides (radius)
PT position

- cephalad hand stabilizes distal humerus
- caudal hand grasps radial head with thumb and fingers
- perform AP glides of radius

38

distal traction (ulna)
patient position

- supine
- neutral position of forearm

39

distal traction (radius)
patient position

- supine
- neutral position of forearm

40

valgus force
patient position

- supine
- forearm supinated

41

Why would you use the J stroke?

- If they have limits in extension, they'll also have limits in valgus
- take them into extension and apply valgus stress at the end of the stress