| back 5 bone motion (example: shoulder flexion) |
front 6 Define Joint plane/Treatment plane | back 6 where the joint surfaces come together in space |
front 7 Explain the Convex-Concave Rule
Which direction do you mobilize for both? | back 7 - When a convex surface moves on a concave surface
-
the direction of the joint glide (arthrokinematics) is
opposite
the direction of the osteokinematic motion
(glenohumeral flexion)
- Mobilize in
opposite
direction of joint movement
- When
a concave surface moves on a convex surface
- the
direction of the joint glide (arthrokinematics) is the
same as the direction of the osteokinematic movement
(knee extension)
-
Mobilize in same
direction of joint movement
|
front 8 3 Grades of Traction (Kaltenborn)
- ID
- Function
- How to perform
- Used for (for grade 1 and 2)
| back 8 - Grade I
-
Unweight
-
Support joint surfaces to cancel out the effects of
gravity.
-
Used for pain relief.
- Grade
II
-
Take up slack
-
Pull perpendicular to joint surfaces until capsule
tightens.
-
Used for pain relief
- Grade
III
-
Stretch
-
Stretch at end range all tissues crossing the
joint.
|
front 9 Grades of Mobilization/manipulation
- ID
- Explain how to perform
- Function
| back 9 - I
- How to perform
- Small
amplitude oscillation at the beginning of the range
- Function
- Pain
relief
- II
- How to perform
- Large amplitude oscillation
at the beginning of the range
- Function
- Pain relief
- III
- How to perform
-
Large amplitude oscillation at the end of the
range
- Function
- ↑
motion
- IV
- How to perform
- Small amplitude oscillations
at the end of the range
- Function
- ↑ motion
- V (Thrust)
- How to perform
-
Small amplitude high velocity thrust at the limit of
the range
- Function
-
↑ motion
|
front 10
Shoulder Lab Techniques
Week 2 | |
front 11 Mobilization rules
- Joint is in loose / close pack
position
- Ideally, what direction should you
mobilize?
- One hand ___, one hand ___
- Mobilizing
force should be perpendicular /
parallel to joint line
- Or perpendicular /
parallel for traction
- Therapist’s
forearm/body should be perpendicular /
parallel with treatment plane
| back 11 - Joint is in
- loose pack
position
- Mobilizing direction
- In direction of gravity (ideally)
- One hand stabilizes, one hand
mobilizes
- Mobilizing force should be
- parallel to joint line
- Or
perpendicular for traction
- Therapist’s forearm/body should be
-
parallel/in line with treatment plane
|
front 12 Glenohumeral joint mobilization
- What is the loose-packed position?
| back 12 - 30 degrees flexion
- 55 degrees abduction
|
front 13 GH Long Axis Traction
- Joint type
- Reason
- Name of surfaces and
which is concave/convex
- Joint/Treatment plane
- Perform
| back 13 - Joint type
- Ball and Socket
- Reason
- Pain relief
- Pressure relief
-
Stretch
- Surfaces
-
Convex Humeral head
-
Concave Glenoid Fossa
- Joint/Treatment plane
- 30° anteriorly
twisted to Sagittal Plane
- Perform
- LPP:
- 30 degrees flexion
- 55 degrees abduction
|
front 14 Alt. GH Long Axis Traction
- Joint type
- Reason
- Name of surfaces and
which is concave/convex
- Joint/Treatment plane
- Perform
| back 14 - Joint type
- Ball and Socket
- Reason
- Pain relief
- Pressure relief
-
Stretch
- Surfaces
-
Convex Humeral head
-
Concave Glenoid Fossa
- Joint/Treatment plane
- 30° anteriorly
twisted to Sagittal Plane
- Perform
- LPP:
- 30 degrees flexion
- 55 degrees
abduction
|
front 15 GH Anterior Glide
- Joint type
- Reason
- Name of surfaces and
which is concave/convex
- Joint/Treatment plane
- Perform
| back 15 - Joint type
- Ball and Socket
- Reason
- Convex Humeral head on Concave Glenoid
Fossa
- Mobilize in
opposite direction of
movement
- Improve posterior
movements
- Shoulder extension
- Horizontal abduction
- External Rotation
- Name of surfaces and which is
concave/convex
- Convex Humeral
-
Concave Glenoid Fossa
- Joint/Treatment plane
- 30° anteriorly
twisted to Sagittal Plane
- Perform
- LPP:
- 30
degrees flexion
- 55 degrees abduction
- Let arm rest on your leg - let it drop, don't hold it
up
|
front 16 GH Posterior Glide
- Joint type
- Reason
- Name of surfaces and
which is concave/convex
- Joint/Treatment plane
- Perform
| back 16 - Joint type
- Ball and Socket
- Reason
- Convex Humeral head on Concave Glenoid
Fossa
- Mobilize in
opposite direction of
movement
- Improve anterior
movements
- Shoulder flexion
- Horizontal adduction
- IR
- Name of surfaces and which is concave/convex
-
Convex Humeral head on Concave Glenoid
Fossa
- Joint/Treatment plane
-
30° anteriorly twisted to Sagittal Plane
- Perform
- LPP
- 30 degrees
flexion
- 55 degrees abduction
-
Push in postero-lateral direction
|
front 17 GH Inferior (caudal) glide
- Joint type
- Reason
- Name of surfaces and
which is concave/convex
- Joint/Treatment plane
- Perform
| back 17 - Joint type
- Ball and Socket
- Reason
- Convex Humeral head on Concave Glenoid
Fossa
- Mobilize in
opposite direction of
movement
-
Improve superior movements
-
Shoulder elevation
-
Shoulder flexion
-
Shoulder Abduction
-
Scaption
- scapular plane
elevation
- Name
of surfaces and which is concave/convex
- Convex
Humeral
- Concave Glenoid
Fossa
- Joint/Treatment plane
- 30° anteriorly twisted to Sagittal
Plane
- Perform
- LPP
- 30 degrees flexion
-
55 degrees abduction
|
front 18 Alt. GH Inferior (caudal) Glide
- Joint type
- Reason
- Name of surfaces and
which is concave/convex
- Joint/Treatment plane
- Perform
| back 18 - Joint type
- Ball and Socket
- Reason
- Convex Humeral head on Concave Glenoid
Fossa
- Mobilize in
opposite direction of
movement
-
Improve superior movements
- Shoulder
elevation
- Shoulder flexion
- Shoulder
Abduction
- Scaption
- Name of surfaces and which is concave/convex
-
Convex Humeral
- Concave
Glenoid Fossa
- Joint/Treatment
plane
- 30° anteriorly twisted to Sagittal
Plane
- Perform
- LPP
- 30 degrees flexion
- 55 degrees
abduction
|
front 19 For Sternoclavicular joint mobs, what is the loose packed position? | |
front 20 Elevation/Depression of Clavicle
- Clavicle and manubrium
- ID which is
convex and concave
- Elevation of clavicle
requires inferior /
superior glide of proximal clavicle
- Always
associated with ____/____ of scapula
| back 20 - Clavicle
- Convex
- Manubrium
- Concave
- Elevation of clavicle
- Inferior
glide
- Clavicle (convex) moving on manubrium
(concave) --> glides
opposite to osteokinematic
movement
- Always associated
with
- Elevation/Depression of
Scapula
|
front 25 Scapulothoracic joint mobs (Posterior position)
- Joint type
- Reason
- Name of surfaces and
which is concave/convex
- Joint/Treatment plane
- Perform
| back 25 - Joint type
- Not a true joint
- "Functional / False" Joint
- Reason
- Improve mobility
- Ex: Pt's with Frozen Shoulder
-
Any direction
scapula is pulled towards, opposite muscles
are stretched
- Protraction
- You're
mobilizing anteriorly -->
- ↑ anterior
movements
- Retraction
- You're mobilizing posteriorly -->
- ↑ posterior movements
- Elevation
- You're
mobilizing superiorly -->
- ↑ superior
movements
- Depression
- You're mobilizing inferiorly-->
- ↑ inferior movements
- Upward Rotation
- You're
mobilizing superiorly and protraction -->
-
↑ superior movements and
protraction
- Downward Rotation
- You're mobilizing inferiorly and
retraction-->
- ↑ inferior movements and
retraction
- Name of surfaces and which is concave/convex
-
Concave surface of the anterior scapula
- Convex surface of the posterior thoracic
cage
- Joint/Treatment plane
-
30 degrees anterior from frontal plane
- Perform
- Pillow placed between PT and pt
|
front 26
Elbow Lab Techniques
Week 3 | |
front 27 Humeroulnar joint
- LPP
- ID which structures are Concave and Convex
- Operates in which plane?
- You mobilize perpendicular /
parallel to it
- Which direction do you mobilize?
(Same or Opposite)
- Which direction do you mobilize to help
increase:
- Flexion
- Extension
| back 27 - LPP
- 70 degrees flexion
- ID which structures are Concave and Convex
- Concave
- Ulna (Olecranon)
- Convex
- Humerus
(Trochlea)
- Operates
in which plane?
- Transverse plane
- You mobilize
- perpendicular
to it
- Which direction do you
mobilize?
- Concave moving on
convex --> mob in same direction
- Which direction do you mobilize to help increase:
- Flexion
- Anterior
- Extension
- Posterior
|
front 28 HU Distal Glide – HU Scoop
- Joint type
- Reason
- Name of surfaces and
which is concave/convex
- Joint/Treatment plane
- Perform
| back 28 - Joint type
- Hinge joint
- Reason
- Concave Trochlear Notch of
Ulna gliding on Convex Trochlea of Humerus
- Mobilize in
same direction as osteokinematic
movement
- Anterior glide
--> helps with elbow flexion
- Pt usually was
in a cast
- Surgery, elbow fracture, etc.
- Name of surfaces and which is concave/convex
- Concave Trochlear Notch of Ulna
- Convex Trochlea of Humerus
- Joint/Treatment plane
- Transverse
plane
- Perform
- LPP:
70 flexion
- Arm relaxed, elbow resting on
table
- Press into the joint to get down to level of joint
- PT hands are pretty much just distal to crease
- Thumbs are wrapped on back of arm
- “Scoop” along line of joint towards yourself
- Be
sure to maintain the LPP
- To Pt, feels like PT is just
pulling on elbow
|
front 29 HR Anterior glide
- Joint type
- Reason
- Name of surfaces and
which is concave/convex
- Joint/Treatment plane
- Perform
| back 29  - Joint type
- Hinge joint
- Reason
- Concave radial head gliding
on Convex Capitulum of Humerus
- Mobilize in
same direction as osteokinematic
movement
- Helps with
-
Improves elbow flexion
- Name of surfaces and which is concave/convex
-
Concave radial head
-
Convex Capitulum of Humerus
- Joint/Treatment plane
- Transverse
Plane
- Perform
- LPP
- Full extension
- Get pt’s arm as straight as possible
- Sit on opposite
side of table
- Stabilizing hand can be on top or
underneath
- Mobilizing hand thumb – find radial head
- Supinate and pronate --> can feel that spool
spinning
- Push forward on the radius
- You can feel the beginning and end range
- Can
grade 1-4
- Try to get mob arm directly
behind direction you’re pushing so you can push in a stratight
line
- Graded on
- Patient relaxed and
positioned appropriately (10 points)
- Therapist using
good body mechanics (10 points)
- Stabilizing and
mobilizing hands in good position (10 points)
- Force is
in proper direction (10 points)
- Amount of force is
appropriate (10 points)
- Safety of procedures (5
points)
- Confidence (5 points)
|
front 30 HR Posterior glide
- Joint type
- Reason
- Name of surfaces and
which is concave/convex
- Joint/Treatment plane
- Perform
| back 30 - Joint type
- Hinge joint
- Reason
- Concave radial head gliding
on Convex Capitulum of Humerus
- Mobilize in
same direction as osteokinematic
movement
- Helps
-
Improves elbow extension
- Name of surfaces and which is concave/convex
-
Concave radial head
-
Convex Capitulum of Humerus
- Joint/Treatment plane
-
Transverse plane
- Perform
- LPP
- Full extension
- PT stands up
- Get up on top of the joint you’re
working on
- Turn the pt legs to make room
- Pt’s forearm flat on table
- Stabilize humerus
with non-mobilizing hand
- With mob hand
- Push
through radius with heel of hand through all the soft
tissue
- Use other fingers to palpate radial head so
that when you push, you can tell when it starts to move
- You apply force directly over the radial
head
- Chad palpates radial head with
index finger then leans hand over the anterior surface
|
front 31 Radioulnar (RU) joint
- LPP
- Joint function
- Joint is in what
plane?
- ID which structures are Concave and Convex
- Proximally
- Distally
| back 31 - LPP
- Forearm supinated, resting on
table
- Joint function
-
Pronation
-
Supination
- Plane
-
Sagittal
- Proximally
-
Concave Ulna
- Convex
Radius
- Distally
-
Convex Ulna
- Concave
Radius
|
front 32 Proximal RU Anterior Glide
- Joint type
- Reason
- Name of surfaces and
which is concave/convex
- Joint/Treatment plane
- Perform
| back 32 - Joint type
- Synovial joint
- Diarthrodial uniaxial joints of the pivot (trochoid)
type
- Reason
-
Convex Head of Radius gliding on Concave Radial Notch
of Ulna
- --> mobilize in opposite
direction of osteokinematic motion
- Helps
- Increase Supination
- Name of surfaces and which is
concave/convex
- Convex Head of Radius
- Concave Radial Notch of
Ulna
- Joint/Treatment plane
- Sagittal plane
- Perform
- LPP
-
Forearm supinated, resting on table
- Come from behind pt’s arm
- Find radial
head
- Stabilizing hand "locks" the ulna
- Push out in line against radial head
- Can grade
these 1-4
|
front 33 Proximal RU Posterior Glide
- Joint type
- Reason
- Name of surfaces and
which is concave/convex
- Joint/Treatment plane
- Perform
| back 33 - Joint type
- Synovial joint
- Diarthrodial uniaxial joints of the pivot (trochoid)
type
- Reason
-
Convex Head of Radius gliding on Concave Radial Notch
of Ulna
- --> mobilize in opposite
direction of osteokinematic motion
- Helps
- Increase pronation
- Name of surfaces and which is
concave/convex
- Convex Head of Radius
- Concave Radial Notch of
Ulna
- Joint/Treatment plane
- Sagittal plane
- Perform
- LPP
-
Forearm supinated, resting on table
- PT stands up
- Pt is angled so you can
get in close
- Palpate radial head with index finger
- Stand and push down in line with radial head (directly
over)
- If small forearm, can just use thumbs and fingers,
but don’t get used to during it that way
- “skinny people
don’t really go to therapy”
|
front 34 Distal RU Posterior Glide
- Joint type
- AKA
- Reason
- Name of
surfaces and which is concave/convex
- Joint/Treatment
plane
- Perform
| back 34 - Joint type
- Pivot type synovial
joint
- AKA
-
Anterior Glide of Ulnar Head
- Reason
- Concave Ulnar Notch on Radius on
Convex Ulnar Head
- --> mobilize in
same direction as osteokinematic
movement
- Helps
-
Increase Supination
- Name of surfaces and which is concave/convex
-
Concave Ulnar Notch of Radius on
-
Convex Ulnar Head
- Joint/Treatment plane
- Sagittal
- Perform
- LPP
- Forearm supinated, resting on
table
- Arm relaxed on table
- Turn their legs away
- Stabilizing hand
- Wrap hand around ulna – stabilize
- Other hand on radius straight on top of the joint, lean
down to create posterior glide
- "Block" ulna
- don't let it move
- Press down on radius
- Graded on
- Patient relaxed and positioned
appropriately (10 points)
- Therapist using good body
mechanics (10 points)
- Stabilizing and mobilizing hands
in good position (10 points)
- Force is in proper
direction (10 points)
- Amount of force is appropriate
(10 points)
- Safety of procedures (5 points)
- Confidence (5 points)
|
front 35 Distal RU Anterior Glide
- Joint type
- AKA
- Reason
- Name of
surfaces and which is concave/convex
- Joint/Treatment
plane
- Perform
| back 35 - Joint type
- Pivot type synovial
joint
- AKA
- Posterior glide of ulnar
head
- Reason
-
Convex Ulnar head on Concave Ulnar Notch of the
Radius
- --> mobilize in opposite
direction of osteokinematic movement
- Helps
- Increase pronation
(posterior movement)
- Name of surfaces and which is concave/convex
-
Convex Ulnar head
- Concave
Ulnar Notch of the Radius
- Joint/Treatment plane
- Sagittal
- Perform
- LPP
-
Forearm supinated, resting on table
- Arm relaxed on table
- Turn their legs
away
- Make sure you're right on top of pt's hand
- Stabilizing hand
- Wrap hand around radius –
stabilize / blocks it
- Other hand on
ulna - straight on top of the joint, lean down to create
"anterior" glide
- Press down on radius
|
| |
front 37 RC Traction / Distraction
- Joint type
- Reason
- Name of surfaces and
which is concave/convex
- Joint/Treatment plane
- Perform
| back 37 - Joint type
- Synovial joint
- Reason
- Improves general ROM
- Ex: If they were in a cast
- Name of surfaces and which is concave/convex
-
Convex Proximal carpal row on Concave
Radius
- Joint/Treatment plane
- Transverse plane
- Perform
- LPP
-
Neutral wrist
- Pt's
hand pronated
- Stabilizing hand around radial styloid
- Should feel radial styloid by thumb and index
finger
- Mobilizing hand right next to
stabilizing hand, should be touching
- Lean back and
provide traction
|
front 38 RC Ulnar Glide
- Joint type
- Reason
- Name of surfaces and
which is concave/convex
- Joint/Treatment plane
- Perform
| back 38 - Joint type
- Synovial joint
- Reason
- Convex Proximal carpal row on Concave
Radius
- Mobilize in the
opposite direction of
osteokinematic motion
-
Improves radial devation
- Name of surfaces and which is concave/convex
-
Convex Proximal carpal
-
Concave Radius
- Joint/Treatment plane
- Transverse
plane
- Perform
- LPP
- Neutral wrist
-
Pt's hand in neutral
- Stabilizing hand around radial styloid
- Should feel radial styloid by thumb and index
finger
- Mobilizing hand right
next to stabilizing hand, should be touching
- Push down with straight arms in ulnar direction
toward floor
|
front 39 RC Radial Glide
- Joint type
- Reason
- Name of surfaces and
which is concave/convex
- Joint/Treatment plane
- Perform
| back 39 - Joint type
- Synovial joint
- Reason
- Convex Proximal carpal row on Concave
Radius
- Mobilize in the
opposite direction of
osteokinematic motion
-
Improves Ulnar deviation
- Name of surfaces and which is concave/convex
-
Convex Proximal carpal
-
Concave Radius
- Joint/Treatment plane
- Transverse
plane
- Perform
- LPP
- Neutral wrist
-
Pt's hand in neutral
-
Stabilizing hand around radial styloid
- Should feel radial styloid by thumb and index
finger
- Mobilizing hand right
next to stabilizing hand, should be touching
- Pull up towards ceiling in radial
direction
|
front 40 RC Dorsal Glide
- Joint type
- Reason
- Name of surfaces and
which is concave/convex
- Joint/Treatment plane
- Perform
| back 40 - Joint type
- Synovial joint
- Reason
- Convex Proximal carpal row on Concave
Radius
- Mobilize in the
opposite direction of
osteokinematic motion
-
Improves Wrist Flexion
- Name of surfaces and which is concave/convex
-
Convex Proximal carpal
-
Concave Radius
- Joint/Treatment plane
- Transverse
plane
- Perform
- LPP
- Neutral wrist
-
Pt's hand is supinated
-
Stabilizing hand around radial styloid
- Should feel radial styloid by thumb and index
finger
- Mobilizing hand right
next to stabilizing hand, should be touching
- Push down with straight arms towards floor in
dorsal direction
|
front 41 RC Volar Glide
- Joint type
- Reason
- Name of surfaces and
which is concave/convex
- Joint/Treatment plane
- Perform
| back 41 - Joint type
- Synovial joint
- Reason
- Convex Proximal carpal row on Concave
Radius
- Mobilize in the
opposite direction of
osteokinematic motion
-
Improves Wrist Extension
- Name of surfaces and which is concave/convex
-
Convex Proximal carpal
-
Concave Radius
- Joint/Treatment plane
- Transverse
plane
- Perform
- LPP
- Neutral wrist
-
Pt's hand is pronated
-
Stabilizing hand around radial styloid
- Should feel radial styloid by thumb and index
finger
- Mobilizing hand right
next to stabilizing hand, should be touching
- Push down with straight arms towards
floor
|
front 42 Intercarpal Mobilization
- Joint type
- Reason
- Joint/Treatment
plane
- Perform
| back 42 - Joint type
- Synovial plane joints
- Reason
-
Improve general ROM
- usually after
immobilization such as a cast
- Joint/Treatment plane
- Sagittal
- Perform
- Get a hold of one and the one next to
it and wiggle”
- Not really specific or exact
- You can’t feel dividing line between most carpal bones
- Basically, just squeeze one and wiggle the next door
bone
|
front 43 Intermetacarpal Joints 2-5 Dorsal / Volar Glide
- Joint type
- Reason
- Joint/Treatment
plane
- Perform
| back 43 - Joint type
- Synovial plane
joints
- Reason
-
Improve general ROM
- usually after
immobilization such as a cast
- Joint/Treatment plane
- Sagittal
- Perform
- Get a hold of one and the one next to
it and "wiggle”
- Dorsal - Pull up towards
ceiling
- Volar - Push down towards palm
- Not really specific or exact
- Basically, just
squeeze one and wiggle the next door bone
|
front 44 Intermetacarpal Joints Cupping
- Joint type
- Reason
- Joint/Treatment
plane
- Perform
| back 44 - Joint type
- Synovial plane
joints
- Reason
-
Increase general ROM
- Usually after
immobilization such as a cast
-
Just trying to spread metacarpals apart to increase
concavity
- Joint/Treatment plane
- Sagittal
- Perform
- Can also do hand position opposite to
pic
- Thumbs on Dorsal surface of hand
|
front 45 Intermetacarpal Joints Flattening
- Joint type
- Reason
- Name of surfaces and
which is concave/convex
- Joint/Treatment plane
- Perform
| back 45 - Joint type
- Synovial plane
joints
- Reason
-
Increase general ROM
- Usually after
immobilization such as a cast
- Joint/Treatment plane
- Sagittal
- Perform
- Can also do hand position
opposite to pic
- Thumbs on Dorsal surface of hand
|
front 46 CMC Joint of Thumb Radial Glide
- Joint Type
- Reason
- Name of surfaces and
which is concave/convex
- Joint/Treatment plane
- Perform
| back 46 - Joint type
- Saddle joint
- Reason
- Helps
- Increases
extension
- Name of
surfaces and which is concave/convex
- Concave 1st
metacarpal
- Convex
Trapezium
- Joint/Treatment plane
- Sagittal plane
- Perform
- Stabilizing hand
- Wiggle 1st metacarpal to see where it ends
- Come just proximal to the 1st MC (where there's no
movement) - this is the Trapezium
- Stabilize
trapezium
- Mobilizing
hand
- Hold thumb and pull up on the thumb in
radial direction parallel to palm
|
front 47 CMC Joint of Thumb Ulnar Glide
- Joint Type
- Reason
- Name of surfaces and
which is concave/convex
- Joint/Treatment plane
- Perform
| back 47 - Joint type
- Saddle joint
- Reason
- Increases
flexion
- Name of surfaces and which
is concave/convex
- Concave
first MC
- Convex
Trapezium
- Joint/Treatment plane
- Sagittal plane
- Perform
- Stabilizing hand
- Wiggle 1st metacarpal to see where it ends
- Come just proximal to the 1st MC (where there's no
movement) - this is the Trapezium
- Stabilize
trapezium
- Mobilizing
hand
- Hold thumb and drive thumb down in ulnar
direction parallel to palm
|
front 48 CMC Joint of Thumb Dorsal Glide
- Joint Type
- Reason
- Name of surfaces and
which is concave/convex
- Joint/Treatment plane
- Perform
| back 48 - Joint type
- Saddle joint
- Reason
- Improve
abduction
- Name of surfaces and which
is concave/convex
- Convex
first MC
- Concave
Trapezium
- Joint/Treatment plane
- Sagittal
- Perform
- Stabilizing hand
- Wiggle 1st
metacarpal to see where it ends
- Come just proximal
to the 1st MC (where there's no movement) - this is the
Trapezium
- Stabilize trapezium
-
Mobilizing hand
- Hold thumb and pull
up on the thumb in dorsal direction
|
front 49 MCP Joints 2-5 Medial Glide
- Joint Type
- Reason
- Name of surfaces and
which is concave/convex
- Joint/Treatment plane
- Perform
| back 49 - Joint Type
- Condyloid joint
- Reason
- Concave phalanx moves on
Convex metacarpal
- Mobilize in
same direction as osteokinematic
motion
- Help improve
adduction
- Name of surfaces and which
is concave/convex
- Concave phalanx
- Convex metacarpal
- Joint/Treatment plane
-
Transverse
- Perform
- LPP
- MCP in Full Extension
- Pinch knuckle (head of MC)
- Mob hand
- Get on
top or bottom of phalanx
|
front 50 MCP Joints 2-5 Lateral Glide
- Joint Type
- Reason
- Name of surfaces and
which is concave/convex
- Joint/Treatment plane
- Perform
| back 50 - Joint Type
- Condyloid joint
- Reason
- Concave phalanx moves on
Convex metacarpal
- Mobilize in
same direction as osteokinematic
motion
- Help improve
abduction
- Name of surfaces and which
is concave/convex
- Concave phalanx
- Convex metacarpal
- Joint/Treatment plane
-
Transverse
- Perform
- LPP
- MCP in Full Extension
- Pinch knuckle (head of MC)
- Mob hand
- Get on
top or bottom of phalanx
|
front 51 MCP Joints 2-5 Dorsal Glide
- Joint Type
- Reason
- Name of surfaces and
which is concave/convex
- Joint/Treatment plane
- Perform
| back 51 - Joint Type
- Condyloid joint
- Reason
- Concave phalanx moves on
Convex metacarpal
- Mobilize in
same direction as osteokinematic
motion
- Increases
extension
- Name of surfaces and which
is concave/convex
- Concave phalanx
- Convex metacarpal
- Joint/Treatment plane
-
Transverse
- Perform
- LPP
- MCP in Full Extension
- Pinch knuckle (head of MC)
- Mob hand
- Get on
top or bottom of phalanx
|
front 52 MCP Joints 2-5 Volar Glide
- Joint Type
- Reason
- Name of surfaces and
which is concave/convex
- Joint/Treatment plane
- Perform
| back 52 - Joint Type
- Condyloid joint
- Reason
- Concave phalanx moves on
Convex metacarpal
- Mobilize in
same direction as osteokinematic
motion
- Increases
flexion
- Name of surfaces and which
is concave/convex
- Concave phalanx
- Convex metacarpal
- Joint/Treatment plane
-
Transverse
- Perform
- LPP
- MCP in Full Extension
- Pinch knuckle (head of MC)
- Mob hand
- Get on
top or bottom of phalanx
|
front 53 MCP Joints 2-5 Traction/Distraction
- Joint Type
- Reason
- Name of surfaces and
which is concave/convex
- Joint/Treatment plane
- Perform
| back 53 - Joint Type
- Condyloid joint
- Reason
- Concave phalanx moves on
Convex metacarpal
- Mobilize in
same direction as osteokinematic
motion
- Increases general
ROM
- Name of surfaces and which is
concave/convex
- Concave phalanx
-
Convex metacarpal
- Joint/Treatment plane
-
Transverse
- Perform
- LPP
- MCP in Full Extension
- Pinch knuckle (head of MC)
- Mob hand
- Get on
top or bottom of phalanx
|
front 54 IP Joints Dorsal Glide
- Joint Type
- Reason
- Name of surfaces and
which is concave/convex
- Joint/Treatment plane
- Perform
| back 54 - Joint Type
- Hinge joint
- Reason
- Concave Distal Phalanx on Convex
Proximal Phalanx
- Mobilize in
same direction as osteokinematic
motion
- Helps increase
extension
- Name of surfaces
and which is concave/convex
- Concave Distal
Phalanx
- Convex Proximal
Phalanx
- Joint/Treatment plane
- Transverse
- Perform
- LPP: Slight Flexion
- Stabilize
around distal end of proximal phalanx
- Grasp proximal
phalanx
- Stabilizing and mobilizing fingers should be on
either side of the joint, very close to one another
|
front 55 IP Joints Volar Glide
- Joint Type
- Reason
- Name of surfaces and
which is concave/convex
- Joint/Treatment plane
- Perform
| back 55 - Joint Type
- Hinge joint
- Reason
- Concave Distal Phalanx on Convex
Proximal Phalanx
- Mobilize in
same direction as osteokinematic
motion
- Helps increase
Flexion
- Name of surfaces and
which is concave/convex
- Concave Distal Phalanx
- Convex Proximal Phalanx
- Joint/Treatment plane
-
Transverse
- Perform
-
LPP: Slight Flexion
- Stabilize around
distal end of proximal phalanx
- Grasp proximal
phalanx
- Stabilizing and mobilizing fingers should be on
either side of the joint, very close to one another
|
front 56 IP Joints Traction/Distraction
- Joint Type
- Reason
- Name of surfaces and
which is concave/convex
- Joint/Treatment plane
- Perform
| back 56 - Joint Type
- Hinge joint
- Reason
- Helps increase
general ROM
- Concave Distal Phalanx
on Convex Proximal Phalanx
- Mobilize in
same direction as osteokinematic
motion
- Name of
surfaces and which is concave/convex
- Concave
Distal Phalanx
- Convex Proximal
Phalanx
- Joint/Treatment plane
- Transverse
- Perform
- LPP: Slight Flexion
- Stabilize
around distal end of proximal phalanx
- Grasp proximal
phalanx
- Stabilizing and mobilizing fingers should be on
either side of the joint, very close to one another
- Lean/Pull back, providing traction
|