Accessory Technique 2

Front 1

Primary movements of SC joint
1.
2.
3.

Back 1

1. Abduction
2. Horizontal Flexion
3. Rotation

Front 2

The medial end of the clavicle is intimately related to ______.

Back 2

the anterior aspect of the first rib

Front 3

As the clavicle is abducted, it ____(motion), and as it returns to neutral, it ___ (motion).

Back 3

externally rotates

internally rotates

Front 4

Primary movements of AC joint
1.
2.
3.

Back 4

1. abduction
2. internal rotation
3. external rotation

Front 5

AC joint is angled laterally at approximately ___ degree from before backward.

Back 5

30

Front 6

Clinical experience has shown that loss of AC joint function is highly significant, particularly the loss of ___.

Back 6

abduction

Front 7

Tightness and shortening of the___ and the ___ muscles are notoriously found in a dysfunctional upper extremity, particularly the impingement syndrome or the rotator cuff.

Back 7

Levator scapulae
Latissimus dorsi

Front 8

3 joints at elbow region
1.
2.
3.

Back 8

1. humeroulnar joint
2. humeroradial joint
3. proximal radioulnar joint

Front 9

Primary movements of elbow joint
1.
2.
3.

Back 9

1. flexion and extension
2. pronation and supination
3. a small amount of abduction-adduction

Front 10

Flexion-extension is the primary movement at the ____ joint.

Back 10

humeroulnar

Front 11

Pronation-supination is a combined ____ and ____ joint movement.

Back 11

humeroradial
proximal radioulnar

Front 12

Abduction-adduction movement is primarily a joint play movement at the _____ joint, and, when dysfunctional, reduces the____ range.

Back 12

humeroulnar
flexion-extension

Front 13

____ dysfunction is the most common somatic dysfunction within the elbow region.

Back 13

Radial head

Front 14

Anterior shift of radial head causes of ___ restriction.

Back 14

pronation

Front 15

Posterior shift of radial head causes of ___ restriction.

Back 15

supination

Front 16

The only articulation of the upper extremity with the trunk is the ____ jt.

Back 16

sternoclavicular

Front 17

The upper extremity has a strong interrelationship with the ____, ____, and ____ through the multiple muscle relationships.

Back 17

cervical spine
thoracic spine
rib cage

Front 18

In approaching dysfunctions within the upper extremity, the operator should first examine and treat any dysfunctions within the ____, ____, and _____.

Back 18

cervical spine
thoracic spine
rib cage

Front 19

The relationship of ___ with the ___ and the _____ joint is of major significance in upper extremity problems.

Back 19

T1
first rib
sternoclavicular

Front 20

Evaluation of symptoms in the upper extremity should proceed from ____ to ____ because of the influence of the cervical spine and thoracic inlet on circulatory and neural functions.

Back 20

proximal
distal

Front 21

The _____ are at risk at the intervertebral foramen as they exit from the vertebral canal.

Back 21

cervical roots

Front 22

Dysfunction or disease of the zygopophysial joints may negatively affect the foraminal size and shape from the ____ direction, reducing space for the nerve roots.

Back 22

posterior

Front 23

Hypertonicity of the intertransversarii muscles is common with segmental dysfunction at the ____ level.

Back 23

same

Front 24

The roots forming the brachial plexus pass through the _____ muscles.

Back 24

scalene

Front 25

Hypertonicity and passive congestion of scalene muscles, commonly found in ____ and ____ dysfunction, negatively influence the brachial plexus.

Back 25

cervical
upper rib cage

Front 26

The ____ and ____ bind the triangular shaped region.

Back 26

lateral portion of the second rib
posterior aspect of the clavicle

Front 27

Dysfunction of the ____, particularly where it is held in an inhalation position in the lateral bucket-handle range, and of the sternoclavicular and acromioclavicular articulations can result in potential entrapment at the costoclavicular canal.

Back 27

second rib

Front 28

The shoulder region consists of the ____, _____ and _____ articulations.

Back 28

sternoclavicular
acromioclavicular
glenohumeral

Front 29

Upper Extremity
Sternoclavicular joint
Diagnosis
Test for Resricted Abduction

Back 29

P407

Front 30

Upper Extremity
Sternoclavicular joint
Mobilization w/o impulse (articulatory treatment)
Daiagnosis: Restricted Abduction

Back 30

P408

Front 31

Upper Extremity
Sternoclavicular joint
Muscle Energy Technique
Sitting
Diagnosis: Restricted Abduction

Back 31

P410

Front 32

Upper Extremity
Sternoclavicular joint
Diagnosis
Test for Restricted Horizontal Flexion

Back 32

P411

Front 33

Upper Extremity
Sternoclavicular Joint
Mobilization w/o impulse (articulatory treatment)
Diagnosis: Restricted Horizontal Flextion

Back 33

P412

Front 34

Upper Extremity
Sternoclavicular Joint
Muscle Energy Technique
Supine
Diagnosis: Restricted Horizontal Flexion

Back 34

P413

Front 35

Upper Extremity
Acromioclavicular Joint
Diagnosis: Test for Restricted Abduction and Adduction

Back 35

P415

Front 36

Upper Extremity
Acromioclavicular Joint
Muscle Energy Technique
Sitting
Diagnosis: Restricted Abduction

Back 36

P416

Front 37

Upper Extremity
Acromioclavicular Joint
Diagnosis: Test for Restricted IR and ER

Back 37

P417

Front 38

Upper Extremity
Acromioclavicular Joint
Muscle Energy Technique
Diagnosis: Restricted IR and ER

Back 38

P418

Front 39

Glenohumeral Joint
Spencer Seven-Step Technique

Back 39

P424-425

Front 40

Elbow Region
Diagnosis: Restricted Abduction-Adduction (humeroulnar joint)

Back 40

P426

Front 41

Elbow Region
Muscle Energy Technique
Restricted Elbow Extension

Back 41

P427

Front 42

Elbow Region
Muscle Energy Technique
Restricted Pronation and Supination

Back 42

P428-429

Front 43

Elbow Region
Diagnosis of Radial Head Dysfunction
Test 1: Palpation for Asymmetry

Back 43

P429

Front 44

Elbow Region
Diagnosis of Radial Head Dysfunction
Test 2: Motion of the Radial Head

Back 44

P430

Front 45

Elbow Region
Muscle Energy Technique
Diagnosis
Position: Radial Head Posterior
Motion Restriction: Supination

Back 45

P431

Front 46

Elbow Region
Mobilization w/ impulse Technique
Diagnosis
Position: Radial Head Posterior
Motion Restriction: Supination

Back 46

P432

Front 47

Elbow Region
Mobilization w/ Impulse Technique
Diagnosis
Position: Radial Head Anterior
Motion Restriction: Pronation

Back 47

P433

Front 48

Wrist and Hand Region
Mobilization w/ Impulse Technique

Back 48

P438

Front 49

Wrist and Hand Region
Joint Play: Long-Axis Extension
Radiocarpal Joint

Back 49

P439

Front 50

Wrist and Hand Region
Joint Play
Distal Radioulnar and Ulna-meniscal-triquetral Articulations

Back 50

P440

Front 51

Wrist and Hand Region
Joint Play
First Carpometacarpal Joint

Back 51

P443

Front 52

Wrist and Hand Region
Myofascial Rlease
Wrist Retinaculi

Back 52

P445