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9 Cards in this Set

  • Front
  • Back
Long Axis Distraction of the GH Joint Supine
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
A-P Glide of the GH Joint Supine
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
P-A Glide of the GH Joint Supine
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.
M-L Glide of the GH Joint Supine
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
Internal Rotation of the GH Joint Supine
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
External Rotation of the GH Joint Supine
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
L-M in flexion/J Move of the GH Joint
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
S-I in flexion Supine of the GH Joint
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.
S-I in abduction of the GH Joint
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.