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9 Cards in this Set
- Front
- Back
Long Axis Distraction of the GH Joint Supine
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Patient's Position: Supine with inv. arm slightly abducted and secured bet. the dr.'s thighs
Doctor's Position: Square stance on ipsilateral side facing the head, pt's arm bet. thighs Contact Hand: Lat. hand grips humerus Patient's Contact: Prox. humerus Stabilizing Hand: Thumb of medial hand in pt's axilla with fingers over the shoulder to stabilize the scapula Tissue Slack: Prox. to Distal on humerus LOD: Prox. to Distal Pr: Dr stabilizes the pt's scapula with the IH by pushing Ant. to Post. and Inf. and Sup. while distracting the humerus with their legs and contact hand in a prox. to distal direction |
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A-P Glide of the GH Joint Supine
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Patient's Position: Supine with inv. arm slightly abducted and secured bet. the dr.'s thighs
Doctor's Position: Square stance on ipsilateral side facing head, pt's arm is bet. dr.'s thighs Contact Hand: Both hands with thumbs over the ant. prox. humerus gripping the humerus Patient Contact: Prox. humerus with focus on the ant. surface Stabilizing Hand: Same as the contact hand Tissue Slack: Prox. to Distal and Ant. to Post. LOD: Ant. to Post. Pr: Dr distracts the humerus with their legs while pushing Ant. to Post. on the Prox. humerus then assess end feel |
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P-A Glide of the GH Joint Supine
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Patient's Position: Supine with the inv. arm slightly abducted and secured bet. dr.'s thighs
Doctors Position: Square Stance on ipsilateral side facing the head, pt's arm bet. thighs Contact Hand: Both hands with fingers wrapped under the posterior prox. humerus gripping the humerus Patient Contact: Prox. humerus with focus on the post. surface Stabilizing Hand: Same as the contact hand Tissue Slack: Prox. to Distal and Post. to Ant. LOD: Prox. to Distal and Post. to Ant. LOD: Post. and Ant. Pr: Dr. distracts the humerus with their legs while pulling Post. to Ant. on the Prox. humerus, then assess end feel. |
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M-L Glide of the GH Joint Supine
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Patient's Position: Supine with the inv. arm at their side and hand on their abdomen
Doctor's Position: Square stance on ipsilateral side facing head Contact Hand: Fingers and palm of the medial hand Patient's Position: Med. aspect of the prox. humerus Stabilizing Hand: Stabilizes pt's ipsilateral elbow Tissue Slack: Prox. to Distal and Med to Lat. LOD: Med. to Lat. Pr: Dr distracts and stabilizes the pt's arm against their flank while pushing Med. to Lat. with their contact hand, then assesses end feel |
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Internal Rotation of the GH Joint Supine
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Patient's Position: Supine, with the involved arm abducted to 90 degrees and elbow flexed at 90 degrees
Doctor's Position: On one knee on the ipsilateral side and facing the patient dr. cradles the pt's forearm for safety Contact hand: Fingers and palms of both hands Patient's Contact: Prox. humerus Stabilizing Hand: Same as the contact hand Tissue Slack: Prox to Distal and Internal Rotation LOD: Internal Rotation Pr: Dr gently distracts and stabilizes the pt's arm on their knee while internally rotation with both hands and assess end feel |
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External Rotation of the GH Joint Supine
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Patients Position: Supine, with the involved arm abducted to 90 degrees and elbow flexed at 90 degrees
Doctors Position: On one knee on the ipsilateral side and facing the patient, doctor cradles the pt's forearm for safety Contact Hand: Fingers and palms of both hands Patient's Contact: Prox. Humerus Stabilizing Hand: Same as the contact hand Tissue Slack: Prox. to Distal and into Ext. Rotation LOD: External Rotation Pr: Dr gently distracts and stabilizes the pt's arm should be kept at 90 degrees of abduction during the procedure |
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L-M in flexion/J Move of the GH Joint
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Patient's Position: Supine, with the inv. arm internally rotated and flexed to 90 degrees the hand should rest on the contralateral shoulder
Doctor's Position: On one knee on the ipsilateral side facing the pt Contact Hand: Fingers and palms of both hands Patient Contact: Prox. Humerus Stabilizing Hand: Same as the contact hand Tissue Slack: Distal and Prox. Ant. to Post. and Med. ant Lat. LOD: Ant. and Post. and Med. to Lat. with a slight scooping motion =J Move Pr: Dr. gently distracts the arm then moves it in the LOD and assesses end feel |
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S-I in flexion Supine of the GH Joint
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Patient Position: Supine, with the inv. arm externally rotated and flexed to 90 degrees; the hand should rest on the ipsilateral shoulder
Doctor Position: On one knee on the ipsilateral side and facing the head Contact Hand: Fingers and palms of both hands Patient Contact: Prox. Humerus Stabilizing Hand: Same as the contact hand Tissue Slack: Distal to Prox. Ant. to Post. and Sup. and Inf. LOD: Sup. to Inf. Pr: Dr. gently distracts the pt's arm Med. to Lat. then pulls it Sup. to Inf. and assesses end feel. |
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S-I in abduction of the GH Joint
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Patient's Position: Supine with the inv. arm abducted to 90 degrees and resting on the dr.'s knee
Doctor's Position: On one knee on the ipsilateral side and facing feet Contact Hand: Web, thenar eminence or hypothenar eminence of the medial hand Patient Contact: Sup. aspect of the Prox. Humerus Stabilizing Hand: Holds the medial aspect of the humerus while cradling the pt's forearm Tissue Slack: Distal to Prox. Med. to Lat. and Sup. to Inf. LOD: Sup. to Inf. Pr: Dr. gently distracts the pt's arm Med. to Lat. then pushes it Sup. to Inf. and assesses end feel. |