Term
| What does Allen's test check? |
|
Definition
| patency of the radial and ulnar arteries |
|
|
Term
| What is a positive for Allen's test? |
|
Definition
| delay in refill of the hand (> 5 second delay) |
|
|
Term
| What is a possible cause of a positive Allen’s? |
|
Definition
| Subluxation, Reynaud’s, old fractures, scar tissue (all can affect patency of the arteries). |
|
|
Term
| What are the 2 positives of Finkelsteins, and what do they indicate? |
|
Definition
Positive – Unable to bring the thumb across, and/or muscle wasting.
Indication – Ulnar nerve palsy.
Positive – Pain along the radial side of the forearm.
Indication – Stenosing Tenosynovitis of DeQuervain |
|
|
Term
| What would be some differential diagnoses for a positive Finkelstein’s? |
|
Definition
| A scaphoid fracture or carpal subluxation. |
|
|
Term
| Treatment for a positive Finkelstein’s? |
|
Definition
| Ice and biomechanical correction. |
|
|
Term
| What tendons make up the Tunnel of DeQuervain? |
|
Definition
| The extensor pollicis brevis and the abductor pollicis longus. I call them “eb and al”. |
|
|
Term
| What some causes of ulnar nerve palsy? |
|
Definition
| Trauma to the ulnar nerve (banged it or compressed it), or elbow subluxation. |
|
|
Term
| What is a positive Fromon't? |
|
Definition
| Patient’s thumb flexes in order to hang onto the paper. |
|
|
Term
| What does a positive Fromont's indicate? |
|
Definition
| ulnar nerve palsy. By flexing the thumb the patient recruits the median in order to hang on to the paper. |
|
|
Term
| What ways are there to verify a positive Froment’s? |
|
Definition
| Look for thenar or hypo-thenar muscle wasting; loss of strength in muscle tests; or utilize EMG. |
|
|
Term
| What is a positive English Test? |
|
Definition
upon removing the arterial occlusion
the symptoms of CTS are reproduced. |
|
|
Term
| A positive English Test indicates what? |
|
Definition
|
|
Term
| What are two reasons the English Test works? |
|
Definition
| Hypoxia and the pooling of blood increases the pressure at the carpal tunnel on the nerves |
|
|
Term
| What are some differential diagnoses for Carpal Tunnel Syndrome? |
|
Definition
| Cervical subluxation; pronator teres syndrome; elbow subluxation; shoulder subluxation; thoracic outlet syndrome; Reynaud’s syndrome; Tenosynovitis of DeQuervain; ulnar nerve palsy; radial nerve palsy; fractures; trigger points on the thumb for the stomach and liver. |
|
|
Term
| Carpal tunnel syndromes incude? |
|
Definition
| pain, parasthesia, numbness, and tingling of the median nerve distribution |
|
|
Term
| What are two tests that could verify a positive tap test? |
|
Definition
|
|
Term
| What is the direction of carpal misalignment in CTS? |
|
Definition
|
|
Term
| Is the lunate usually hypermobile or hypomobile in CTS? |
|
Definition
|
|
Term
| What makes up the carpal tunnel? |
|
Definition
| The lunate at the posterior aspect and the transverse carpal ligament at the anterior aspect. |
|
|
Term
| What are the contents of the carpal tunnel? |
|
Definition
| The nine-‐flexor tendons and the median nerve. |
|
|
Term
| The adjusting move of choice with CTS? |
|
Definition
| Wrist traction, flexion only (no extension, it would aggravate the lunate anterior, push it further anterior). |
|
|
Term
|
Definition
| Repeat the orthopedic tests that were positive on the pre-‐check. |
|
|
Term
| Which CTS test would you not do as a post check and why? |
|
Definition
| Don’t do the Reverse Phalen’s; it would drive the lunate anterior. |
|
|
Term
| What would you do after treating CTS? |
|
Definition
| After adjusting (for the lunate anterior) brace or support the wrist then strengthening exercises. |
|
|
Term
| What procedure should the Dr. perform to help differentially diagnose (DDx) with a positive Cozen’s or Mill’s test? |
|
Definition
| Palpate for point tenderness. Palpate to differentiate whether the pain is over the radial head or the lateral epicondyle. |
|
|
Term
| What treatment protocol would you perform for a Lateral Epicondylitis? |
|
Definition
| Correct any biomechanical dysfunction, protect, ice the swelling, wear a counter-‐force armband, and change activities for the elbow as this alters the fulcrum for extension so it’s not directly over the lateral epicondyle. |
|
|
Term
Cozen's test
What is the positive and what does it indicate? |
|
Definition
Pain over the lateral epicondyle
Lateral epicondylitis |
|
|
Term
Mills test
Positive and what it indicates |
|
Definition
Pain over lateral epicondyle
Lateral epicondylitis |
|
|
Term
| Positive lift test in pronation indicates |
|
Definition
lateral epicondylitis
Also look for a possible Radial P with pain over the radial head and decreased radial fluid motion |
|
|
Term
| Positive lift test in supination |
|
Definition
Medial epicondylitis
Look for a possible Ulna P with pain 1-1.5" distal to medial epicondylitis, decreased fluid motion, or a PM ulna. |
|
|
Term
| Positive Adsons and what it indicates |
|
Definition
decreased radial pulse amplitude.
Thoracic outlet syndrome caused by scalenus anticus syndrome |
|
|
Term
| Eden's test positive and what it indicates |
|
Definition
decreased radial pulse amplitude
TOS from costoclavicular syndrome |
|
|
Term
Wrights test
Positive and what it indicates |
|
Definition
| TOS: hyperabduction syndrome |
|
|
Term
| What subluxation would elbow traction be most effective for? |
|
Definition
|
|
Term
| How would you post check elbow traction? |
|
Definition
| Check the fluid motion that was lost in the pre-‐check; look for diminished pain point; and improved elbow extension range of motion (ROM). When adjusting elbow subluxations when would you supinate and when would you pronate? You would pronate for Radius P and supinates for Ulna P and Ulna PM. |
|
|
Term
| What is the CP for radius P? |
|
Definition
|
|
Term
| What ROMs are utilized during the radius P procedures? |
|
Definition
| Full extension and pronation |
|
|
Term
| What is the pain point for radius P? |
|
Definition
| Right over the head of the radius |
|
|
Term
| What are some differential diagnosis for Radius P? |
|
Definition
| Lateral epicondylitis, and cervical subluxation (especially the C5-‐C6 area). |
|
|
Term
| What ROM is decreased with radius P? |
|
Definition
|
|
Term
| What subluxation might mimic lateral epicondylitis? |
|
Definition
|
|
Term
| What is the pain point for Ulna P? |
|
Definition
| The pain point is 1” to 1 ½“ distal to the medial epicondyle |
|
|
Term
| What ROMs are utilized during the Ulna PM procedure? |
|
Definition
|
|
Term
| What is the pain point for Ulna PM? |
|
Definition
|
|
Term
| What is the LOD for Ulna PM? |
|
Definition
| P-‐A even though the DC and SCP are on the medial side of the arm. |
|
|
Term
| What is the most common direction for the carpals to misalign? |
|
Definition
|
|
Term
| What are your stabilization hand fingers stabilizing during Capitate STH? |
|
Definition
| The proximal row of carpals. |
|
|
Term
| What ROM do you take the patient’s hand through while performing Scaphoid DTH? |
|
Definition
| Extension and radial deviation. |
|
|
Term
| What carpals do you test the scaphoid against for fluid motion? |
|
Definition
| The Trapezium, Trapezoid, and Lunate. |
|
|
Term
| What are some differential diagnoses (ddx) for a trapezium-scaphoid subluxation? |
|
Definition
| Scaphoid fracture, degenerative joint disease (arthritides), Stenosing Tenosynovitis of DeQuervain, subluxation(s) of scaphoid-‐lunate, trapezium-‐1st metacarpal. |
|
|
Term
| How would you differentiate the diagnostic possibilities for a trapezium-scaphoid subluxation. |
|
Definition
For the subluxations, you’d perform fluid motion check pain points, utilize information from the case history, and x-‐ray.
For DJD (arthritides) check x-‐ray and perform lab tests to differentiate the type of arthritis.
For Stenosing Tenosynovitis of DeQuervain perform Finkelstein’s. For a scaphoid fracture x-‐ray, wait ten days then x-‐ray again. |
|
|
Term
| Is there a difference between DJD and arthritis? |
|
Definition
| Arthritis has inflammation; therefore you’d want to deal with any swelling before adjusting to improve motion. |
|
|
Term
| What differential diagnoses should be ruled out before adjusting a scaphoid? |
|
Definition
| scaphoid fracture, radial styloid fracture, Stenosing Tenosynovitis of DeQuervain, other carpal subluxations, etc… |
|
|
Term
| Name the wrist adjusting procedures from least to most invasive. |
|
Definition
| Wrist traction, STH, DTH. |
|
|
Term
| The lunate usually misaligns in which direction? |
|
Definition
|
|
Term
| In CTS the lunate usually misaligns in which direction? |
|
Definition
|
|
Term
| Which carpal is the most common wrist subluxation? |
|
Definition
|
|
Term
| Which carpal is the 2nd most common wrist subluxation? |
|
Definition
|
|
Term
| Which carpal is the 3rd most common wrist subluxation? |
|
Definition
|
|
Term
| Is the posterior lunate misalignment hypermobile or hypomobile? |
|
Definition
|
|
Term
| Describe the wrist traction maneuver for CTS? |
|
Definition
| Traction S-‐I, flex, and return to neutral (no thrust and no extension). |
|
|
Term
| Describe the wrist traction maneuver for subluxation of a carpal. |
|
Definition
| Traction S-‐I, flex, extend, return to neutral, then release. |
|
|
Term
| What would be the move of choice when fluid motion is lost between the scaphoid and the lunate? |
|
Definition
| Traction (transverse/horizontal) would be the move of choice, then STH, then DTH. |
|
|
Term
| Describe the Scaphoid STH procedure? |
|
Definition
| Traction, extend and radially deviate (you may add an impulse at the end if the subluxation hasn’t reduced). |
|
|
Term
| What is it very important to be sure of when performing the Scaphoid DTH? |
|
Definition
| That all fingers are stabilizing the carpals around the scaphoid. |
|
|
Term
| What stabilizes the radius during the Scaphoid DTH? |
|
Definition
| The patients own body weight |
|
|
Term
| How would you perform wrist traction with a hypermobile anterior lunate? |
|
Definition
| Traction S-‐I, flex, return to neutral (DO NOT EXTEND). |
|
|
Term
| What direction does the 2nd C-‐MC subluxated? |
|
Definition
|
|
Term
| How can a first metacarpal subluxation be identified? |
|
Definition
| Look for loss of fluid motion (P-‐A), point tenderness at the C-‐MC joint, and a case history of a jammed thumb, etc… |
|
|
Term
| Which ROM is most prevalent at the metacarpal-‐carpal joints? |
|
Definition
| Rotation (hand cupping), not much in extension or flexion. |
|
|
Term
| What are some Differential Diagnoses (DDx) for a C-MC 1st subluxation? |
|
Definition
| Scaphoid subluxation, scaphoid fracture, trapezium fracture, Stenosing Tenosynovitis of DeQuervain, median nerve disturbance. |
|
|
Term
| What is the best way to post check the 2nd C-‐MC? |
|
Definition
|
|
Term
| Which one of the C-‐MCs 2-‐5 would be the most mobile? |
|
Definition
|
|
Term
| How would you determine a C-‐MC 2-‐5 subluxation? |
|
Definition
| Stabilize the distal row of carpals and rotate each metacarpal (relative to it’s adjacent carpal) to see if they have fluid motion. Pain over the C-‐MC joint space. A case history with possibly a blow to the area, use of power tools, area was stepped on, a cast was recently removed, etc… |
|
|
Term
| What are the normal ROMs for MC-‐P and I-‐P joints in the hand? |
|
Definition
| They should have glide from P-‐A and A-‐P as well as rotation. |
|
|
Term
| What type of joint pathologies would you perform MC-‐P and I-‐P Traction (Trxn) for? |
|
Definition
| You would adjust the MC-‐P and I-‐P joints with traction for MC-‐P/I-‐P subluxation, jammed fingers, arthritic fingers, DJD, etc… |
|
|
Term
| What types of joint pathologies are MC-‐P and I-‐P traction good for? |
|
Definition
| Any joint fixation, subluxation, or dislocation, jammed finger, arthritides, DJD. |
|
|
Term
| How long do you palpate the radialartery when performing Adson’s? |
|
Definition
| 10-20 seconds, enough to decide if the volume has changed |
|
|
Term
| What does a positive Adson’s indicate? |
|
Definition
| TOS-Scalenus Anticus Syndrome |
|
|
Term
| What usually causes scalenus anticus syndrome? |
|
Definition
|
|
Term
| What diagnosis is suspected with a positive Adson’s when the head is turned away from the side being palpated (Reverse Adson’s)? |
|
Definition
| It maybe Scalenus Medius Syndrome or a cervical rib. |
|
|
Term
| What syndrome(s) might cause a positive Allen’s Test? |
|
Definition
| TOS, Cervical subluxation, Reynaud’s syndrome. |
|
|
Term
| What is a positive Dawburn's and what does it indicate? |
|
Definition
Pain over the subacromial bursa disappears on abduction of the arm.
Indicates subacromial bursitis. |
|
|
Term
| If the pain in Dawburns does not diminish when the arm is raised, what could be the cause? |
|
Definition
|
|
Term
| What is part 1 of the arm drop test? What does it indicate? |
|
Definition
| Patient attempts to raise their arm, if they can’t the doctor will raise it for them.The patient will then lower their arm to their side against gravity. If the arm drops fast it’s often a severe tear (Grade 3) of the rotator cuff. Most likely involving the supraspinatus muscle. |
|
|
Term
| What is part 2 of the arm drop test and what does it indicate? |
|
Definition
| Starting with the patient’s arm at 90° of abduction the Dr. will apply a little pressure to the arm while the patient lowers it to their side (some resistance). If the arm fails here it is a moderate tear (Grade 2) of the rotator cuff. |
|
|
Term
| What is part 3 of the arm drop test and what does it indicate? |
|
Definition
| With the patient’s arm at 90° of abduction, the Dr. will apply an impulse (S-‐I) to the arm. If this is positive it is a mild tear (Grade 1) strain of the rotator cuff. |
|
|
Term
| What does a positive Eden’s Test indicate? |
|
Definition
| TOS -‐ Costoclavicular syndrome. |
|
|
Term
| How to treat for a positive Eden’s Test? |
|
Definition
Determine if it is due to muscle guarding, often a hypertonic pectoralis major, which needs to be stretched out.
It may also be a cervical, thoracic or rib that is subluxated and can be helped by adjusting. |
|
|
Term
| What questions would be useful to ask a patient with a positive Eden's test? |
|
Definition
i. Do they carry: a backpack or heavy objects in front of them at work?
ii. Have they ever: had an accident with the seatbelt on; fractured or dislocoted their clavicle; or had a shoulder problem.
iii. Have they ever fallen on their shoulder or with an outstretched arm/hand (FOOSH)? |
|
|
Term
| What constitutes a positive Wright’s Test? |
|
Definition
A 10°-15° difference in left vs. right arm abduction.
You’re comparing where you lose the palpable radial pulse from one arm to the other arm. |
|
|
Term
| What does a positive Wright’s Test indicate? |
|
Definition
| TOS -Hyperabduction syndrome. |
|
|
Term
| What is the most common muscle involved with a positive Wright’s? |
|
Definition
|
|
Term
| What causes the pectoralis minor to be shortened or go into contracture? |
|
Definition
| Cervical subluxation, subacromial bursitis, rolled shoulder posture, other types of TOS. |
|
|
Term
| What constitutes a positive Yergason’s? |
|
Definition
| The bicepital tendon pops out of the groove. |
|
|
Term
| What could cause the instability noted in a positive Yergason's? |
|
Definition
| The instability may be due to a shallow groove or a lax/tear/sprain of the transverse humeral ligament. |
|
|
Term
| What could be causing the pain with a negative yergason's? |
|
Definition
|
|
Term
| What would the visual indicators of a A-CPS be? |
|
Definition
Distal end of the clavicle sits higher (posterior superior) causing a visual prominence.
Compare the trapezius muscles on each side to see if there is a smooth transition over the distal clavicle. |
|
|
Term
| What is the visualization for G-H I |
|
Definition
| Will see a (dimpling or indent of the soft tissue along the G-‐H joint space (sulcus sign). |
|
|
Term
|
Definition
| The medial (vertebral)border of the scapula has flared lateral in relation to the spine. |
|
|
Term
| What is the visualization for St-Cl S? |
|
Definition
| The proximal end of the clavicle sits higher than the opposite side. |
|
|
Term
| What is the fluid motion for A-C PS? |
|
Definition
| Stabilize the humeral head into the glenoid fossa, then apply S to I pressure over the distal end of the clavicle. |
|
|
Term
| What is the fluid motion for G-H? |
|
Definition
| Stabilize the A-C joint and the scapular spine with the hand closest to the patient. The other hand will hold the elbow and draw the humerus I-‐S. |
|
|
Term
| What is the fluid motion for S-T? |
|
Definition
| To check for a medial scapula – the Dr. will place their thumb at the medial inferior angle of the scapula and press from M-L. To check for a lateral scapula – the Dr. will place their thumb at the lateral inferior angle of the scapula and press from L-M. |
|
|
Term
| What is the fluid motion for St-Cl? |
|
Definition
| Dr. stands behind the patient and places their 2nd & 3rd digits at the St-‐Cl joints and asks the patient to shrug their shoulders up and roll them backward/forward. |
|
|
Term
| With any shoulder complaint the Dr. should routinely examine these 6 things. |
|
Definition
spine for subluxation
A-C
G-H
S-T
St-Cl
St-Co |
|
|
Term
| Which part of the A-C PS adjustment takes care of superiority? |
|
Definition
| Pushing down on the distal end of the clavicle. |
|
|
Term
| Which part of the A-C PS adjustment takes care of posteriority? |
|
Definition
| Pushing slightly forward and externally rotating the arm. |
|
|
Term
| What is a “shoulder separation”? |
|
Definition
| It is a dislocation (vs. subluxation) of the A-C joint. |
|
|
Term
| Treatment for AC dislocation |
|
Definition
| immobilize with a brace or “reminder” tether. |
|
|
Term
| What is the move of choice for the G-H joint? |
|
Definition
| G-H traction supine because you can palpate the joint during this procedure. |
|
|
Term
| Give at least 3 diagnoses that G-H Traction would work for? |
|
Definition
| Frozen shoulder, G-H I, G-H P, G-H dislocation, osteoarthritis with fixation. |
|
|
Term
| What tests will help to differentially diagnose (ddx) a G-H I and G-H P? |
|
Definition
Yergason’s,
Dawburn’s,
Supraspinatus.
For extra information use: Appley’s Scratch, Teres Major, Anterior Deltoid, internal and external rotation. |
|
|
Term
| What is the most common shoulder misalignment? |
|
Definition
|
|
Term
|
Definition
| Shoulder visualizes with a sulcus sign (soft tissue dimpling along the G-‐H); point tenderness at the anterior aspect of the G-‐H joint capsule; loss of fluid motion; decrease in Appley’s on external rotation; anterior deltoid weakness. |
|
|
Term
|
Definition
| Visualizes as normal (no apparent visual change); loss of fluid motion; point tenderness at the posterior aspect of the G-‐H joint; decrease in Appley’s on internal rotation; teres major muscle weakness. |
|
|
Term
| What part of the scapulo-‐humeral ration would be decreased with a G-‐H P? |
|
Definition
|
|
Term
| What is the LOC for G-H P? |
|
Definition
| P-A, being careful to not get any S-I. |
|
|
Term
| How to differentially diagnose a G-H P from a G-H I? |
|
Definition
a. Pain point is posterior; visualizes as normal, not inferior (no sulcus sign).
b. G-‐H P has decreased ROM on internal rotation, not external. Appley’s Scratch ROM loss internal rotation.
c. X-‐ray shows humeral head is posterior and superior, not inferior.
d. Teres major muscle test is weak on G-‐H P, not the anterior deltoid as G-‐H I. |
|
|
Term
| Is G-H Traction Supine the move of choice for a G-‐H fixation? |
|
Definition
| Yes, because you can palpate the joint space opening instead of trying to visualize it. |
|
|
Term
| What are at least 3 other diagnoses that G-‐H I should be differentiated from? |
|
Definition
| G-H P, Subacromial bursitis, bicepital tendonitis, bicepital instability, sprain or tear of the rotator cuff, dislocation, heart attack, gall bladder, spleen. |
|
|
Term
| What is preffered, G-H P prone or G-H P seated? |
|
Definition
| G-H P prone, the table stabilizes the shoulder joint. |
|
|
Term
| What ROMs do you use to bring G-H P seated to tension? |
|
Definition
|
|
Term
| What is the most common shoulder dislocation and why? |
|
Definition
| Anterior-‐inferior due to: gravity pulling down and forward; carrying things pulls it down and forward; the anterior glenoid labrum is shallow; and the anterior inferior aspect of the joint capsule is weaker |
|
|
Term
| What motions do you take the patient’s arm through for Kocher's? |
|
Definition
Traction
S-‐I, external rotation, adduction, internal rotation, finally support in the Dugas position. |
|
|
Term
| What 3 systems do you want to post check after performing kocher's? |
|
Definition
i. Vascular – Arterial – check pulse, color or nail beds, warmth (or lack) of hand.
ii. Neurological – Reflexes – pinwheel, sharp/dull, feel hot/cold, muscle test the hand, check muscle tone, ↓ pain.
iii. Musculoskeletal – biomechanical – Dugas is now negative, x-‐ray, and visually the shoulder appear |
|
|
Term
| How to differentiate a S-T L from a S-T M? |
|
Definition
a. Fluid motion decreased (↓) from lateral to medial for a S-T L, and ↓ from medial to lateral for a S-T M.
b. Visualization of distance of the medial border of the scapula from the spine. Greater (>) 3 finger widths for a S-T L, and < 3 finger widths for a S-T M.
c. S-T L – Appley’s scratch is ↓ on internal rotation.
d. S-T M – Appley’s scratch is ↓ on external rotation. |
|
|
Term
| Should ROM be checked after performing Kochers? |
|
Definition
| No, it will be hypermobile and could easily redislocate. |
|
|
Term
| Describe the 1st part to Frozen Shoulder. |
|
Definition
| Part 1: Patient’s arm is over the padded back of a sturdy chair, traction S-‐I to patient tolerance, hold for 60-‐90 seconds, then check ROM. If no improvement stick with Part 1. If improved go on to part 2. |
|
|
Term
| Describe the 2nd part of frozen shoulder. |
|
Definition
| Part 2: Same position, traction S-‐I while taking through the newly gained ROM (to tolerance). Do 1x per day until progress stops from 1 visit to the next then go on to Part 3 |
|
|
Term
| Describe the 3rd part of frozen shoulder. |
|
Definition
Determine the more restricted ROMs. At the end of a couple of those apply an impulse, then go back to
Part 2 until no progress is noted again between visits. Before performing Part 3: make sure patient is performing at home exercises. Post check with ROM comparing L to R side. |
|
|
Term
| What can the Dr have the patient do for home treatment of Frozen Shoulder? |
|
Definition
| Part 2 with a family member; arm over the padded back of a chair while swinging a weight or plastic jug filled with sand or H2O. Finger walking up the wall (abduction), broom handle assistance for ROM, towels to perform Appley’s scratch exercises, pulley over door or basement beam, et… |
|
|
Term
| What is the most important component to the Frozen Shoulder Treatment? |
|
Definition
| Find out what caused the patient to stop using their shoulder thus allowing it to “freeze”, then address that problem. It could be due to scar tissue buildup, or DJD/Arthritis. |
|
|
Term
| Why is a 3-‐part traction procedure preferred over surgery for Frozen Shoulder? |
|
Definition
| There is less risk of fracturing the humerus, dislocating the G-‐H joint, neurovascular damage. |
|
|
Term
| Pain point for both S-T L & S-T M? |
|
Definition
| Deep to the (anterior to the scapula) in the subscapularis muscle. |
|
|
Term
| How to differentiate a S-T L from a S-T M? |
|
Definition
A. Fluid motion decreased (↓) from lateral to medial for a S-T L, and ↓ from medial to lateral for a S-T M.
B. Visualization of distance of the medial border of the scapula from the spine. Greater (>) 3 finger widths for a S-T L, and < 3 finger widths for a S-T M.
C. S-T L – Appley’s scratch is ↓ on internal rotation.
D. S-T M– Appley’s scratch is ↓ on external rotation. |
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Term
| What position is the patient’s arm placed in for S-T L? |
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Definition
Behind the patient’s back while side-‐lying. This is to help pre-stress the scapula from lateral to medial.
The Dr will each their arm through the axillary/arm opening. |
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Term
| Where is #11 of the stabilization hand for an S-T L? |
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Definition
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Term
| Where are the fingers of the SH for a S-T L? |
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Definition
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Term
| In what direction does the Dr push with the SH to help bring the S-T articulation to tension? |
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Definition
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Term
| What position is the patient’s arm placed in S-T M? |
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Definition
| In front of the patient’s body while side-lying. This is to help pre-stress the scapula from medial to lateral. |
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Term
| Where is #11 of the SH for S-T M? |
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Definition
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Term
| Where are the fingers of the SH for S-T M? |
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Definition
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Term
| In what direction does the Dr push with the SH to help bring the S-T articulation to tension in ST-M? |
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Definition
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Term
| What are the 3 most common mistakes for S-T M prone? |
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Definition
A. The patient’s shoulder should be off of the table.
B. Dr should stand opposite the side of contact (reach across to medial aspect of scapula).
C. Dr should use an inferior CH. |
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Term
| In what direction does the Dr push with the SH to help bring the S-T articulation to tension in S-T M prone? |
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Definition
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