Cp2: Upper Extremity Ac Joint

Front 1

A-P Glide of AC Joint

Back 1

Patient's Position: Supine
Doctor's Position: Fencer's stance on ipsilateral side facing head
Contact Hand: Thumb of either hand
Patient Contact: Ant. to Lat. surface of the ipsilateral clavicle
SH: Thumb over contact thumb
Tissue Slack: Inf. to Sup. and Ant. to Post.
LOD: Ant. to Post.
Pr: Dr. wraps their finger over pt's over pt's shoulder and stabilizes the scapula.

Front 2

P-A Glide of AC Joint

Back 2

Patient's Postion: Supine
Doctor's Position: Fencer's stance on ipsilateral side facing the head
Contact Hand: 2-3 fingers of the medial hand
Patient's Contact: Post. to Lat. surface of the ipsilateral clavicle, as to close to the AC joint
SH: Grips over the patient's deltoid muscle and acromion process to stabilize the shoulder
Tissue Slack: Sup. to Inf. and Post. to Ant.
LOD: Post. to Ant.
PR: Dr. wraps their fingers behind the clavicle and while holding the shoulder down with the SH, pulls Post. to Ant.

Front 3

I-S Glide of AC Joint

Back 3

Patient's Position: Supine
Doctor's Position: Fencer's stance ipsilateral side facing head
Contact Hand: Thumb of the Medial hand
Patient Contact: Inf. to Lat. surface of the ipsilateral clavicle, as close to the AC joint as possible
SH: Grips over the pt's deltoid muscle and the acromion process to stabilize
Tissue Slack: Inf. to Sup. and Post. to Ant.
LOD: Inf. to Sup.
Pr: While holding the shoulder down with the SH, pushes Inf. to Sup. on the clavicle and assesses end feel

Front 4

S-I Glide of the AC Joint

Back 4

Patient's Position: Supine

Doctor's Position: Fencer's stance on ipsilateral side facing feet

Contact Hand: Thumb on either hand

Patient's Contact: Sup. to Lat. surface of the ipsilateral clavicle, as close to the AC Joint

SH: Thumb supports over the the dr.'s contact thumb

Tissue Slack: Post. to Ant. and Sup. to Inf.

LOD: Sup. to Inf.

Pr: Dr. pushes Sup. to Inf. with both thumbs and assesses end feel

Front 5

A-P Glide AC Joint Seated

Back 5

Patient's Postion: Seated
Doctor's Position: Straight stance in front of and facing pt on the ipsliateral side
Contact Hand: Thumb of either hand
Paient Contact: Ant. to Lat. surface of the ipsilateral clavicle
SH: Thumb over the contact thumb
Tissue Slack: Inf. to Sup. and Ant. to Post.
LOD: Ant. to Post.
Pr: Dr wraps their fingers over pt's shoulder and stabilize the scapula, keeping the forearm of contact hand in LOD and assesses end feel

Front 6

P-A Glide AC Joint Seated

Back 6

Patient's Position: Seated
Doctor's Position: Straight stance behind and on the ipsilateral side of the patient, facing the same direction
Contact Hand: Thumb of the medial hand
Patient Contact: Post. to Lat. surface of the ipsilateral clavicle, as close to the AC Joint
SH: Lat. hand grips over the patient's deltoid muscle and acromion process to stabilize the shoulder
Tissue Slack: Sup. to Inf. and Post. to Ant.
LOD: Post to Ant.
Pr: While stabilizing the shoulder with the SH, pushes Post. to Ant. on the clavicle.

Front 7

I-S Glide AC Joint Seated

Back 7

Patients Position: Seated
Doctor's Position: Straight stance behind and on the ipsilateral side of the pt. facing the same direction as the pt.
Contact Hand: 2-3 fingers of the medial hand
Patient Contact: Inf. to Lat. surface of the ipsilateral clavicle, as close to the AC Joint
SH: Lat. hand grips over the pt's deltoid muscle and acromion process to stabilize the shoulder
Tissue Slack: Inf. to Sup. and Post. and Ant.
LOD: Inf. to Sup.
PR: While stabilizing the shoulder with the IH, pulls Inf. to Sup. on the clavicle

Front 8

S-I Glide of AC Joint Seated

Back 8

Doctor's Position: Straight position behind and on the ipsilateral side of the patient facing the same side of the pt
Contact Hand: Thumb of the medial hand
Patient Contact: Sup. to Lat. surface of the ipsilateral clavicle as close to the AC joint
SH: Lat. hand grips over the pt's deltoid muscle and acromion process to stabilize the shoulder
Tissue Slack: Post. to Ant. and Sup. to Inf.
LOD: Sup. to Inf.
Pr: While stabilizing the shoulder with the IH, pushes Sup. to Inf. to assess end feel