Lab- UE and LE HVLA

Question 1

what is the normal ROM of flexion of the elbow?

Answer 1

140-150 degrees

Question 2

what is the normal ROM of extension of the elbow?

Answer 2

0- -5 degrees

Question 3

how do you get ulnar adduction?

Answer 3

the distal part of the wrist is our reference point medial force distally, lateral force proximally (varus testing)

Question 4

how do you get an ulnar abduction?

Answer 4

the distal part of the wrist is our reference point lateral force distally, medial force proximally (valgus testing)

Question 5

what is the anterior glide of the radial head coupled with?

Answer 5

supination

Question 6

what is the posterior glide of the radial head coupled with?

Answer 6

pronation

Question 7

what is radial head rotation normally treated with?

Answer 7

MET

Question 8

what are radial head glide restrictions treated with?

Answer 8

HVLA

Question 9

how do you treat an ulnar abduction SD with HVLA?

Answer 9

you move the supinated elbow into ulnar adduction- apply a medial to lateral thrust over the medial olecranon

Question 10

how do you treat an ulnar adduction SD with HVLA?

Answer 10

move the supinated elbow into ulnar abduction- apply a lateral to medial thrust over the lateral olecranon

Question 11

how do you treat an anterior radial head SD with HVLA?

Answer 11

it likes to supinate, so you need to pronate-flex elbow and pronate forearm; exert a rapid hyperflexion while simultaneously thrusting the radial head posteriorly

Question 12

how do you treat a posterior radial head SD with HVLA?

Answer 12

it likes to pronate, so you need to supinate-extend and supinate the elbow; exert a rapid hyperextension force while simultaneously thrusting the radial head anteriorly

Question 13

how do you treat a wrist extension/ventral carpal SD with HVLA?

Answer 13

pronate the elbow; grasp the pt’s hands and deliver a whip like thrust moving from extension to flexion through the carpal dysfunction

Question 14

how do you treat a wrist flexion/ dorsal carpal SD with HVLA?

Answer 14

pronate the elbow; grasp the pt’s hands and deliver a whip-like thrust moving from flexion to extension through the carpal dysfunction

Question 15

how do you treat a phalangeal SD with HVLA?

Answer 15

you isolate the dysfunctional joint; exert traction and a hyperflexion thrust

Question 16

how do you test the proximal fibular head?

Answer 16

grasp the proximal fibular head between the index finger and thumb and then translate anteriolateral and posteriormedial

Question 17

when might you find a patient with a posterior fibular head?

Answer 17

inversion ankle sprains

Question 18

how do you treat a posterior fibular head with HVLA?

Answer 18

patient lies supine with hip and knee flexed; cephalad hand: index MCP on posterior aspect of fibular head; evert, dorsiflex foot and ankle and externally rotate the leg; abruptly flex the knee

Question 19

how do you treat an anterior fibular head with HVLA?

Answer 19

patient lies supine with pillow under knee; cephalad hand: thenar eminance on the anterior aspect of the fibular head to push posterior; internally rotate distal leg for anterior fibular head; direct posterior medial thrust at the fibular head

Question 20

what are the motions of the talus?

Answer 20

inversion/eversion and platar/dorsi flexion

Question 21

what glide is associated with plantarflexion?

Answer 21

anterior glide

Question 22

how do you treat a plantarflexed talus?

Answer 22

caudad traction to engage barrier and then thrust into barrier; place more force on the 4th and 5th phalanges

Question 23

how do you treat a dorsiflexed talus?

Answer 23

caudad traction with thrust into barrier; place more force on 2nd and 3rd phalanges

Question 24

how do you treat a subtalar inversion SD with HVLA?

Answer 24

caudad traction with eversion or abduction position of the ankle

Question 25

how do you treat a subtalar eversion SD with HVLA?

Answer 25

caudad traction with inversion or adduction of the ankle

Question 26

how do you preform the hiss whip?

Answer 26

place both of your thumbs over the plantar surface of the affected structure; then slightly abduct the patient’s lower extremity off the table and flex the knee; thrust downward through thumbs with a whip like motion at the ankle and knee