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35 terms

Musculoskeletal I (Shoulder Mobilizations)

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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