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Joint Mobs

STUDY
PLAY
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