Musculoskeletal I (Shoulder Mobilizations)

35 terms by Jay_Merritts

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What motions do an inferior GH glide facilitate?

abduction and flexion of the GH joint

What motions do a posterior GH glide facilitate?

medial rotation, flexion, and horizontal adduction of the GH joint

What motions do an anterior GH glide facilitate?

lateral rotation, extension, and horizontal abduction of the GH joint

What motions does a scapulothoracic superior glide facilitate?

elevation and lateral rotation of the scapula

What motions does a scapulothoracic inferior glide facilitate?

depression and medial rotation of the scapula

What motions does a scapulothoracic medial glide facilitate?

retraction, depression and medial rotation of the scapula

What motions does a scapulothoracic lateral glide facilitate?

protraction, elevation and lateral rotation of the scapula

List the functional progression/order in which all scapular glide work with a patient should be done

gain mobility --> end range stability --> controlled mobility --> and strength throughout the range

An inferior glide of the sternoclavicular joint should be done to facilitate what motion(s)

shoulder elevation

A posterior glide of the sternoclavicular joint should be done to facilitate what motion(s)

retraction and horizontal abduction

A posterior glide of the AC joint helps to facilitate what motion(s)

elevation

An anterior glide of the AC joint helps to facilitate what motion(s)

elevation

What performing scapulothoracic joint mobilizations what direction should the patient be facing?

sidelying toward the therapist

With reference to the sternoclavicular joint- when moving the clavicle on the sternum for elevation/depression, which structure is considered 'convex'

clavicle is convex and sternum is concave

With reference to the sternoclavicular joint- when moving the clavicle on the sternum for protractio/retraction, which structures is considered 'concave'

clavicle is concave and sternum is convex

What is the resting position for the sternoclavicular joint

arm at side, patient supine

What is the closed pack position for the sternoclavicular joint

full elevation

What is the capsular pattern for the sternoclavicular joint

full elevation is limited

To test the AC joint motions, which structure should you stabilize and which one do you move

stabilze the acromion and move the clavicle

what is the resting position for the AC joint

arm at side

what is the closed pack position for the AC joint

arm abducted to 90 degrees

what is the capsular pattern for the AC joint

full elevation is limited

Describe the "help" line for a posterior GH glide

posterior acromion and coracoid process

Describe the "help" line for an inferior GH glide

out the armpit

What is the most important thing for the therapist to consider about their own body when performing mobilizations?

forearm should be in line with the direction of force

What should be done following all mobilizations performed at restricted range in order to maintain the motion that was just gained?

agonist -->antagonist --> agonist cycle

If pain is a primary concern what position should the therapist start the mobilizations in

resting position

If pain is not a primary concern what position should the therapist start the mobilizations in

end range/ restricted range

What is the mobilization sequence?

assess -->treat--> re-assess

What is the first thing that a therapist should look at when there are GH joint problems?

positioning of the scapula

What is the closed pack position for the GH joint?

full elevation and lateral rotation

What is the capsular pattern for the GH joint?

ER>ABD>IR

If you found hypomobility during your assessment, what type of oscillations might you perform

Grade III-IV

If you found hypermobility without pain during your assessment what type of oscillations might you perform

joint mobilization would not be indicated

If you found hypermobility with pain during your assessment what type of oscillations might you perform

Grade I-II

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