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GH JOINT

Humerus is CONVEX
Resting position: ABDuction 55, ADDuction 30

GH JOINT

Long Axis Traction
Distraction
Inferior Glide: Increases ABDuction
Posterior Glide: Increases: Flexion & Internal Rotation
Anterior Glide: Increases: Extension & External Rotation

AC JOINT

Clavicle is CONVEX

AC JOINT

Anterior Glide
Helps with Gen. Mobility - good for people with TOS

SC JOINT

Saddle Joint - the clavicle is:
Superior & Inferior = CONVEX
Anterior & Posterior CONCAVE
*the SC jt. is the only jt. that stabilizes the GH jt.

SC JOINT

Posterior Glide:
Increases retraction
Anterior Glide:
Increases protraction
Superior Glide:
Increases depression
Inferior Glide:
Increases elevation

SCAPULOTHORACIC ARTICULATION

Scapular Fossa is CONCAVE
Helps to obtain normal shoulder girdle mobility

SCAPULOTHORACIC ARTICULATION

Distraction
Superior Glide
Increases elevation
Inferior Glide
Helps with depression
Medial Glide
Helps with retraction
Lateral Glide
Helps with protraction
Superior Rotation
Helps with ABDuction & Flexion
Inferior Rotation
Helps with ADDuction & Extension

HUMEROULNAR JOINT

Ulna is CONCAVE
Resting position: 70 elbow flexion & 10 supination

HUMEROULNAR JOINT

Distraction
To decrease pain (Gr. 1-2) OR to increase flexion or extension (Gr. 3-4)
Anterior Glide
Flexion
Posterior Glide
Extension
Medial Glide
To help with Valgus & increase Extension
Lateral Glide
To help with Varus & increase Flexion

HUMERORADIAL JOINT

Radius is CONCAVE
Resting position: full extension & supination

HUMERORADIAL JOINT

Distraction
To increase mobility of jt.
Posterior Glide
To increase Extension & Supination
Anterior Glide
To increase Flexion & Pronation

PROXIMAL RADIOULNAR JOINT

Radius is CONVEX
Resting position: elbow flexed at 35 and supination 70

PROXIMAL RADIOULNAR JOINT

Anterior Glide
To increase Supination
Posterior Glide
To increase Pronation

DISTAL RADIOULNAR JOINT

Radius is CONCAVE
Resting Position: 10 supination

DISTAL RADIOULNAR JOINT

Posterior Glide
To increase Supination
Anterior Glide
To increase Pronation

RADIOCARPAL JOINT

Carpals are CONVEX (Scaphoid, Lunate, Triquetrum)
Resting Position: slight flexion

RADIOCARPAL JOINT

Distraction
Gen. Mobility & px control
Anterior Glide
*To increase Extension
Posterior Glide
*To increase Flexion
Medial Glide
*To increase radial deviation
Lateral Glide
*To increase ulnar deviation

MIDCARPAL JOINT

Distal row is CONCAVE (Hammate, Capitate, Trapezoid, Trapezium)

MIDCARPAL JOINT

Anterior Glide
Increases Flexion
Posterior Glide
Increases Extension
Medial Glide
To increase ulnar deviation
Lateral Glide
To increase radial deviation

ULNAR-MENISCAL TRIQUETRAL ARTICULATION

*Convex-Concave rule does not apply
You are moving the TRIQUETRUM & stabilizing the head of the ULNA
To unlock the articular disk (puts the disc back in place), which may block motions of the wrist or forearm

ULNAR-MENISCAL TRIQUETRAL ARTICULATION

Anterior Glide - to bring the disc posterior
Posterior Glide - to bring the disc anterior

CARPOMETACARPAL JOINT OF THE THUMB

*The 1st CMC is a saddle jt.
Trapezium is concave & the proximal metacarpal is convex for abduction/adduction.
Trapezium is convex & the proximal metacarpal is concave for flexion/extension
*fixate the trapezium with the hand that is closer to the cl. & move the 1st metacarpal

CARPOMETACARPAL JOINT OF THE THUMB

Carpometacarpal Distraction (Thumb):
Testing: initial tx, px control, general jt mobility

Ulnar (Medial )Glide (Concave): to increase flexion
Radial (Lateral) Glide (Concave): to increase extension
Posterior Glide (Convex): to increase abduction
Anterior Glide (Convex): to increase adduction

SPECIFIC CARPAL GLIDES

1) The 3 Lateral's: Stabilize Scaphoid & move Trapezoid & Trapezium together
Anterior Glide -
Posterior Glide

SPECIFIC CARPAL GLIDES

2) The 4 Medial's: Stabilize Lunate & Triquetrum & move Capitate & Hammate
Anterior Glide -
Posterior Glide -

METACARPOPHALANGEAL & INTERPHALANGEAL JOINTS OF FINGERS

*In all cases, the phalanges are concave

METACARPOPHALANGEAL & INTERPHALANGEAL JOINTS OF FINGERS

Metacarpalphalangeal & Interphalangeal Distraction:
Testing: initial tx, px control, general mobility

Metacarpalphalangeal & Interphalangeal Glides & Progressions:

Anterior Glide: to increase flexion
Posterior Glide: to increase extension
Radial or Ulnar Glide: to increase abduction or adduction

PATELLOFEMORAL JOINT

The patella is CONVEX
Resting position: 25 degrees of flexion

PATELLOFEMORAL JOINT

Distraction HHelps with Gen. Mobility
Superior Glide: Helps with Extension
Inferior Glide: Helps with Flexion
Medial Glide: Helps with patellar tracking 'Patello-femoral Syndrome'
Rotation: Helps with internal and external rotation of the tibia & pivoting of the patella
Tilting: Helps by stretching the retinaculum

TIBIOFEMORAL JOINT

Tibia is CONCAVE

TIBIOFEMORAL JOINT

Distraction
Gen. Mobility and px
Posterior Glide
To increase flexion
Anterior Glide
To increase Extension

PROXIMAL TIBIOFIBULAR JOINT

Fibula is CONCAVE

PROXIMAL TIBIOFIBULAR JOINT

Anterior Glide
To increase dorsi flexion
Posterior Glide
To increase Dorsi Flexion

DISTAL TIBIOFIBULAR JOINT

Fibula is CONVEX

DISTAL TIBIOFIBULAR JOINT

Anterior Glide:
To increase dorsi flexion
Posterior Glide:
To increase Dorsi Flexion

TIBIOTALAR (Talocrural) JOINT

Talus is CONVEX & (Tibia is Concave

TIBIOTALAR (Talocrural) JOINT

Distraction:
To increase Gen. Mobility
Anterior Glide:
To increase Plantarflexion
Posterior Glide:
To increase Dorsiflexion

SUBTALAR JOINT

Calcaneus is CONVEX *it's a Saddle Jt.

SUBTALAR JOINT

Distraction:
To increase Gen. mobility
Rocking:
To increase Gen. Mobility & heel strike
Medial Glide:
To increase Eversion
Lateral Glide:
To increase Inversion

TALONAVICULAR JOINT

Navicular is CONCAVE

TALONAVICULAR JOINT

Inferior Glide (cl. is supine):
For high arches
Superior Glide (cl. is prone):
For low arches - flat foot

HIP JOINT

convex femoral head
Resting Position: hip flexion 30, abduction 30 & slight external rotation
Stabilization: fixate the pelvis to the tx table

HIP JOINT

Posterior glide: Increasion flexion and internal rotation
Anterior glide: Increase extenstion and external rotation
Inferior glide: Increase Abduction

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