Questions and Answers
What is the doctor position (DP) in the 'Web/distal humerus, forearm grasp pull; long-axis distraction' technique?
In the 'Calcaneal/proximal ulna, forearm stabilization; medial-to-lateral glide' technique, what is the patient position (PP)?
What is the contact point (CP) in the 'Calcaneal/proximal ulna, forearm stabilization; medial-to-lateral glide' technique?
What vector (VEC) is applied in the 'Calcaneal/proximal radius, forearm stabilization; lateral-to-medial glide' technique?
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In the 'Reinforced hypothenar/proximal radius pull; anterior-to-posterior glide' technique, what is the contact point (CP)?
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What is the stabilization contact point (SCP) in the 'Thumb/radius push, distal forearm grasp; posterior-to-anterior glide in pronation' technique?
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In the 'Web/distal humerus, forearm grasp pull; long-axis distraction' technique, what is the patient position (PP)?
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What vector (VEC) is used in the 'Reinforced hypothenar/proximal radius pull; anterior-to-posterior glide' technique?
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In the 'Calcaneal/proximal ulna, forearm stabilization; medial-to-lateral glide' technique, what is the secondary contact point (SCP)?
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What is the doctor position (DP) in the 'Calcaneal/proximal radius, forearm stabilization; lateral-to-medial glide' technique?
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What is the patient position (PP) in the 'Thumb/radius push, distal forearm grasp; posterior-to-anterior glide in pronation' technique?
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In the 'Web/distal humerus, forearm grasp pull; long-axis distraction' technique, what is the primary vector (VEC)?
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What stabilization hand (IH) action is performed in the 'Calcaneal/proximal ulna, forearm stabilization; medial-to-lateral glide' technique?
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In the 'Calcaneal/proximal radius, forearm stabilization; lateral-to-medial glide' technique, what is the contact point (CP)?
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What vector (VEC) is used in the 'Thumb/radius push, distal forearm grasp; posterior-to-anterior glide in pronation' technique?
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What is the purpose of the 'Web/distal humerus, forearm grasp pull; long-axis distraction' technique?
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In the 'Reinforced hypothenar/proximal radius pull; anterior-to-posterior glide' technique, what instruction is given to the patient?
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What is the stabilization hand (IH) contact in the 'Calcaneal/proximal radius, forearm stabilization; lateral-to-medial glide' technique?
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What is the vector (VEC) in the 'Thumb/radius push, distal forearm grasp; posterior-to-anterior glide in pronation' technique?
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In the 'Calcaneal/proximal ulna, forearm stabilization; medial-to-lateral glide' technique, what is the doctor position (DP)?
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What is the patient position (PP) in the 'Reinforced hypothenar/proximal radius pull; anterior-to-posterior glide' technique?
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What stabilization hand (IH) contact is used in the 'Thumb/radius push, distal forearm grasp; posterior-to-anterior glide in pronation' technique?
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In the 'Calcaneal/proximal ulna, forearm stabilization; medial-to-lateral glide' technique, what is the primary stabilization point (SCP)?
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What is the primary vector (VEC) in the 'Reinforced hypothenar/proximal radius pull; anterior-to-posterior glide' technique?
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What is the contact point (CP) in the 'Thumb/radius push, distal forearm grasp; posterior-to-anterior glide in pronation' technique?
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In the 'Web/distal humerus, forearm grasp pull; long-axis distraction' technique, what is the primary contact point (CP)?
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What is the doctor position (DP) in the 'Reinforced hypothenar/proximal radius pull; anterior-to-posterior glide' technique?
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What is the vector (VEC) applied in the 'Calcaneal/proximal ulna, forearm stabilization; medial-to-lateral glide' technique?
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What is the primary stabilization point (SCP) in the 'Thumb/radius push, distal forearm grasp; posterior-to-anterior glide in pronation' technique?
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In the 'Web/distal humerus, forearm grasp pull; long-axis distraction' technique, what is the primary vector (VEC)?
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What is the doctor position (DP) in the "Mid-hypothenar (knife-edge)/proximal ulna, elbow flexion; anterior-to-posterior glide" technique?
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In the "Hypothenar/radius push, ulnar stabilization; posterior-to-anterior glide in supination" technique, what is the patient position (PP)?
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What contact point (CP) is used in the "Thumb index/olecranon; posterior-to-anterior glide in full extension" technique?
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What vector (VEC) is applied in the "Bimanual grasp/distal humerus with knee extension; long-axis distraction" technique?
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In the "Web/proximal ulna push with knee extension; medial-to-lateral glide" technique, what is the secondary contact point (SCP)?
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What is the patient position (PP) in the "Web/proximal radius push with knee extension; lateral-to-medial glide" technique?
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In the "Mid-hypothenar (knife-edge)/proximal ulna, elbow flexion; anterior-to-posterior glide" technique, what is the primary vector (VEC)?
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What is the stabilization contact point (SCP) in the "Hypothenar/radius push, ulnar stabilization; posterior-to-anterior glide in supination" technique?
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What is the vector (VEC) used in the "Thumb index/olecranon; posterior-to-anterior glide in full extension" technique?
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In the "Bimanual grasp/distal humerus with knee extension; long-axis distraction" technique, what is the primary stabilization point (SCP)?
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What vector (VEC) is used in the "Web/proximal ulna push with knee extension; medial-to-lateral glide" technique?
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What is the contact point (CP) in the "Web/proximal radius push with knee extension; lateral-to-medial glide" technique?
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In the "Mid-hypothenar (knife-edge)/proximal ulna, elbow flexion; anterior-to-posterior glide" technique, what is the secondary contact point (SCP)?
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What is the doctor position (DP) in the "Hypothenar/radius push, ulnar stabilization; posterior-to-anterior glide in supination" technique?
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What is the patient position (PP) in the "Thumb index/olecranon; posterior-to-anterior glide in full extension" technique?
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In the "Bimanual grasp/distal humerus with knee extension; long-axis distraction" technique, what vector (VEC) is used?
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What is the contact point (CP) in the "Web/proximal ulna push with knee extension; medial-to-lateral glide" technique?
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What vector (VEC) is applied in the "Web/proximal radius push with knee extension; lateral-to-medial glide" technique?
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What is the stabilization hand (IH) contact in the "Hypothenar/radius push, ulnar stabilization; posterior-to-anterior glide in supination" technique?
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In the "Mid-hypothenar (knife-edge)/proximal ulna, elbow flexion; anterior-to-posterior glide" technique, what is the doctor position (DP)?
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What is the primary vector (VEC) in the "Hypothenar/radius push, ulnar stabilization; posterior-to-anterior glide in supination" technique?
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What is the primary stabilization point (SCP) in the "Thumb index/olecranon; posterior-to-anterior glide in full extension" technique?
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In the "Bimanual grasp/distal humerus with knee extension; long-axis distraction" technique, what is the doctor position (DP)?
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What vector (VEC) is used in the "Web/proximal ulna push with knee extension; medial-to-lateral glide" technique?
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What is the primary contact point (CP) in the "Web/proximal radius push with knee extension; lateral-to-medial glide" technique?
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What is the secondary contact point (SCP) in the "Hypothenar/radius push, ulnar stabilization; posterior-to-anterior glide in supination" technique?
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In the "Mid-hypothenar (knife-edge)/proximal ulna, elbow flexion; anterior-to-posterior glide" technique, what is the primary stabilization point (SCP)?
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What is the doctor position (DP) in the "Web/proximal ulna push with knee extension; medial-to-lateral glide" technique?
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What is the primary vector (VEC) in the "Bimanual grasp/distal humerus with knee extension; long-axis distraction" technique?
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In the "Hypothenar/radius push, ulnar stabilization; posterior-to-anterior glide in supination" technique, what is the stabilization hand (IH) action?
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What is the patient position (PP) for the 'Bimanual thumbs digits/metacarpals; anterior-to-posterior or posterior-to-anterior glide' technique?
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In the 'Thumb index grasp/metacarpophalangeal (or interphalangeal) with hand stabilization; long-axis distraction' technique, what is the doctor position (DP)?
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What contact point (CP) is used in the 'Bimanual thumbs digits/metacarpals; anterior-to-posterior or posterior-to-anterior glide' technique?
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What vector (VEC) is applied in the 'Thumb index grasp/metacarpophalangeal (or interphalangeal) with hand stabilization; long-axis distraction' technique?
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In the 'Bimanual thumbs digits/metacarpals; anterior-to-posterior or posterior-to-anterior glide' technique, what is the secondary contact point (SCP)?
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What is the doctor position (DP) in the 'Thumb index grasp/metacarpophalangeal (or interphalangeal) with hand stabilization; long-axis distraction' technique?
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In the 'Bimanual thumbs digits/metacarpals; anterior-to-posterior or posterior-to-anterior glide' technique, what vector (VEC) is used?
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What is the primary contact point (CP) in the 'Thumb index grasp/metacarpophalangeal (or interphalangeal) with hand stabilization; long-axis distraction' technique?
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What is the patient position (PP) for the 'Bimanual thumbs digits/metacarpals; anterior-to-posterior or posterior-to-anterior glide' technique?
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In the 'Thumb index grasp/metacarpophalangeal (or interphalangeal) with hand stabilization; long-axis distraction' technique, what is the doctor position (DP)?
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What contact point (CP) is used in the 'Bimanual thumbs digits/metacarpals; anterior-to-posterior or posterior-to-anterior glide' technique?
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What vector (VEC) is applied in the 'Thumb index grasp/metacarpophalangeal (or interphalangeal) with hand stabilization; long-axis distraction' technique?
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In the 'Bimanual thumbs digits/metacarpals; anterior-to-posterior or posterior-to-anterior glide' technique, what is the secondary contact point (SCP)?
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What is the doctor position (DP) in the 'Thumb index grasp/metacarpophalangeal (or interphalangeal) with hand stabilization; long-axis distraction' technique?
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In the 'Bimanual thumbs digits/metacarpals; anterior-to-posterior or posterior-to-anterior glide' technique, what vector (VEC) is used?
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What is the primary contact point (CP) in the 'Thumb index grasp/metacarpophalangeal (or interphalangeal) with hand stabilization; long-axis distraction' technique?
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What is the patient position (PP) for the 'Bimanual thumbs digits/metacarpals; anterior-to-posterior or posterior-to-anterior glide' technique?
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In the 'Thumb index grasp/metacarpophalangeal (or interphalangeal) with hand stabilization; long-axis distraction' technique, what is the doctor position (DP)?
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What contact point (CP) is used in the 'Bimanual thumbs digits/metacarpals; anterior-to-posterior or posterior-to-anterior glide' technique?
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What vector (VEC) is applied in the 'Thumb index grasp/metacarpophalangeal (or interphalangeal) with hand stabilization; long-axis distraction' technique?
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In the 'Bimanual thumbs digits/metacarpals; anterior-to-posterior or posterior-to-anterior glide' technique, what is the secondary contact point (SCP)?
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What is the doctor position (DP) in the 'Thumb index grasp/metacarpophalangeal (or interphalangeal) with hand stabilization; long-axis distraction' technique?
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In the 'Bimanual thumbs digits/metacarpals; anterior-to-posterior or posterior-to-anterior glide' technique, what vector (VEC) is used?
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What is the primary contact point (CP) in the 'Thumb index grasp/metacarpophalangeal (or interphalangeal) with hand stabilization; long-axis distraction' technique?
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What is the patient position (PP) in the 'Bimanual grasp/proximal carpals; anterior-to-posterior glide' technique?
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In the 'Thumb index grasp/carpal; anterior-to-posterior glide' technique, what is the doctor position (DP)?
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What contact point (CP) is used in the 'Bimanual grasp/metacarpals; anteroposterior compression' technique?
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What vector (VEC) is applied in the 'Thumb index grasp/distal radius and ulna; distraction' technique?
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In the 'Bimanual palmar grasp/hand; anteroposterior rotation' technique, what is the primary stabilization point (SCP)?
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What is the doctor position (DP) in the 'Bimanual grasp/proximal carpals; anterior-to-posterior glide' technique?
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In the 'Thumb index grasp/carpal; anterior-to-posterior glide' technique, what is the contact point (CP)?
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What vector (VEC) is used in the 'Bimanual grasp/metacarpals; anteroposterior compression' technique?
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What is the primary stabilization point (SCP) in the 'Thumb index grasp/distal radius and ulna; distraction' technique?
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What is the patient position (PP) for the 'Bimanual palmar grasp/hand; anteroposterior rotation' technique?
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What is the contact point (CP) in the 'Bimanual grasp/proximal carpals; anterior-to-posterior glide' technique?
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What vector (VEC) is applied in the 'Thumb index grasp/carpal; anterior-to-posterior glide' technique?
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In the 'Bimanual grasp/metacarpals; anteroposterior compression' technique, what is the primary vector (VEC)?
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What is the patient position (PP) in the 'Thumb index grasp/distal radius and ulna; distraction' technique?
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In the 'Bimanual palmar grasp/hand; anteroposterior rotation' technique, what is the doctor position (DP)?
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What is the primary contact point (CP) in the 'Bimanual grasp/proximal carpals; anterior-to-posterior glide' technique?
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In the 'Thumb index grasp/carpal; anterior-to-posterior glide' technique, what is the patient position (PP)?
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What is the doctor position (DP) in the 'Bimanual grasp/metacarpals; anteroposterior compression' technique?
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What is the primary vector (VEC) in the 'Thumb index grasp/distal radius and ulna; distraction' technique?
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In the 'Bimanual palmar grasp/hand; anteroposterior rotation' technique, what is the primary vector (VEC)?
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What is the primary contact point (CP) in the 'Bimanual grasp/proximal carpals; anterior-to-posterior glide' technique?
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In the 'Thumb index grasp/carpal; anterior-to-posterior glide' technique, what is the primary vector (VEC)?
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What is the primary stabilization point (SCP) in the 'Bimanual grasp/metacarpals; anteroposterior compression' technique?
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In the 'Thumb index grasp/distal radius and ulna; distraction' technique, what is the doctor position (DP)?
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What vector (VEC) is used in the 'Bimanual palmar grasp/hand; anteroposterior rotation' technique?
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What is the primary indication for using the 'Thumb Web/Axilla with Knee Extension: Long-Axis Distraction' technique?
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Which contact point is used in the 'Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension; Anterior-to-Posterior Glide' technique?
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The 'Interlaced Digital/Proximal Humerus; Superior-to-Inferior Glide in Flexion' technique is indicated for which condition?
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In the 'Index/Proximal Humerus; Superior-to-Inferior Glide in Abduction' technique, what is the patient position (PP)?
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What vector of force is applied in the 'Reinforced Palmar/Olecranon; Anterior-to-Posterior Glide' technique?
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Which skeletal dysplasia is characterized by 'champagne glass pelvis'?
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What is the primary indication for 'Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension; Internal Rotation'?
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The 'Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension; External Rotation' technique primarily corrects which condition?
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In the 'Bimanual Thumb Thenar Grasp/Proximal Humerus Grasp; Mobilization with Distraction' technique, what is the doctor position (DP)?
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The 'Bimanual Grasp/Hand; Pendular Abduction Mobilization' technique is indicated for which condition?
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What is the patient position (PP) in the 'Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension; Posterior-to-Anterior Glide' technique?
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Which technique involves circumduction and distraction of the shoulder joint?
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What vector is applied in the 'Interlaced Digital/Proximal Humerus; Superior-to-Inferior Glide in Abduction' technique?
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The 'Index/Distal Clavicle; Superior-to-Inferior Glide' technique primarily addresses which condition?
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In the 'Covered Thumb/Distal Clavicle; Inferior-to-Superior Glide' technique, what is the patient position?
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What is the primary indication for the 'Hypothenar/Distal Clavicle with Distraction; Anterior-to-Posterior Glide' technique?
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The 'Digital/Distal Clavicle with Distraction; Posterior-to-Anterior Glide' technique addresses which specific misalignment?
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In the 'Web/Distal Clavicle; Superior-to-Inferior Glide' technique, what is the doctor position (DP)?
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Which technique is indicated for a 'loss of A-P accessory movement of the proximal clavicle'?
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What is the correct contact point (CP) for the 'Covered Thumb/Proximal Clavicle; Superior-to-Inferior Glide' technique?
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In the 'Covered Thumb/Proximal Clavicle with Knee Extension; Inferior-to-Superior Glide' technique, what is the patient position?
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What vector is applied in the 'Digital/Proximal Clavicle with Distraction; Posterior-to-Anterior Glide' technique?
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The 'Thenar/Distal Clavicle, Thenar/Manubrium; Long-Axis Distraction' technique is primarily used for what purpose?
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In the 'Reinforced Thenar/Proximal Clavicle; Inferior-to-Superior Glide' technique, which is the primary stabilization point?
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What is the doctor position (DP) in the 'Digital Proximal/Clavicle, Thenar/Manubrium; Long-Axis Distraction' technique?
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The 'Bilateral Thumb Thenar/Lateral Scapula; Lateral-to-Medial Glide' technique addresses which condition?
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In the 'Crossed Bilateral Mid-Hypothenar (Knife-Edge)/Medial Scapula; Medial-to-Lateral Glide' technique, what is the contact point (CP)?
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What is the vector (VEC) used in the 'Bimanual Digital Thenar Grasp/Scapula; Rotation—Inferior Angle Lateral to Medial' technique?
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Which patient position (PP) is correct for the 'Bimanual Digital Thenar Grasp/Scapula; Rotation—Inferior Angle Medial to Lateral' technique?
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The 'Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension; Posterior-to-Anterior Glide' technique applies which vector (VEC)?
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In the 'Thumb Web/Axilla with Knee Extension: Long-Axis Distraction' technique, what is the contact point (CP)?
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The 'Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension; Anterior-to-Posterior Glide' technique is indicated for which condition?
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What is the doctor position (DP) in the 'Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension; Internal Rotation' technique?
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The 'Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension; External Rotation' technique primarily corrects which condition?
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What is the primary indication for the 'Bimanual Thumb Thenar Grasp/Proximal Humerus Grasp; Mobilization with Distraction' technique?
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In the 'Bimanual Grasp/Hand; Pendular Abduction Mobilization' technique, what is the patient position (PP)?
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What vector (VEC) is applied in the 'Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension; Posterior-to-Anterior Glide' technique?
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The 'Bimanual Thumb Thenar Grasp/Proximal Humerus; Mobilization with Distraction' technique is used to address which issue?
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In the 'Interlaced Digital/Proximal Humerus; Superior-to-Inferior Glide in Flexion' technique, what is the patient position (PP)?
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Which technique involves using the thumb web and applying downward pressure to the shoulder girdle?
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The 'Reinforced Palmar/Olecranon; Anterior-to-Posterior Glide' technique is primarily used to correct which condition?
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In the 'Index/Distal Clavicle; Superior-to-Inferior Glide' technique, what is the vector (VEC)?
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The 'Covered Thumb/Distal Clavicle; Inferior-to-Superior Glide' technique addresses which specific misalignment?
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In the 'Hypothenar/Distal Clavicle with Distraction; Anterior-to-Posterior Glide' technique, what is the doctor position (DP)?
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What is the primary stabilization point in the 'Digital/Distal Clavicle with Distraction; Posterior-to-Anterior Glide' technique?
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The 'Web/Distal Clavicle; Superior-to-Inferior Glide' technique primarily corrects which condition?
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In the 'Hypothenar/Proximal Clavicle with Distraction; Anterior-to-Posterior Glide' technique, what is the contact point (CP)?
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What vector (VEC) is applied in the 'Covered Thumb/Proximal Clavicle; Superior-to-Inferior Glide' technique?
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The 'Covered Thumb/Proximal Clavicle with Knee Extension; Inferior-to-Superior Glide' technique is primarily used to correct which condition?
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In the 'Digital/Proximal Clavicle with Distraction; Posterior-to-Anterior Glide' technique, what is the patient position (PP)?
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Which muscle is responsible for flexion in supination of the elbow?
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What muscle is involved in rapid flexion or flexion with loads?
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Which muscles are responsible for pronation of the forearm?
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What provides medial stability and some extension to the elbow?
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Which muscle is the primary extensor of the elbow?
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Which muscles are responsible for wrist flexion?
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What muscles perform wrist adduction (ulnar deviation)?
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Which muscles are involved in finger extension?
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Which muscles are responsible for finger abduction?
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What muscles perform wrist abduction (radial deviation)?
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What is the closed-packed position for the wrist?
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What is the loose-packed position for the wrist?
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What is the closed-packed position for the hand?
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What is the loose-packed position for the hand?
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Which muscle is responsible for flexion in supination of the elbow?
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What muscle is involved in rapid flexion or flexion with loads?
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Which muscles are responsible for pronation of the forearm?
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What provides medial stability and some extension to the elbow?
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Which muscle is the primary extensor of the elbow?
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Which muscles are responsible for wrist flexion?
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What muscles perform wrist adduction (ulnar deviation)?
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Which muscles are involved in finger extension?
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Which muscles are responsible for finger abduction?
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What muscles perform wrist abduction (radial deviation)?
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What is the closed-packed position for the wrist?
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What is the loose-packed position for the wrist?
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What is the closed-packed position for the hand?
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What is the loose-packed position for the hand?
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Study Notes
Doctor Position (DP) in Techniques
- "Web/distal humerus, forearm grasp pull; long-axis distraction": Standing facing the patient.
- "Calcaneal/proximal radius, forearm stabilization; lateral-to-medial glide": Standing facing the patient on the lateral side.
- "Reinforced hypothenar/proximal radius pull; anterior-to-posterior glide": Straddling the table at an angle towards the patient's affected side.
- "Calcaneal/proximal ulna, forearm stabilization; medial-to-lateral glide": Standing facing the patient on the medial side.
Patient Position (PP) in Techniques
- "Calcaneal/proximal ulna, forearm stabilization; medial-to-lateral glide": Sitting with the arm flexed at the shoulder and fully extended at the elbow.
- "Web/distal humerus, forearm grasp pull; long-axis distraction": Sitting with the affected arm (elbow) in flexion.
- "Thumb/radius push, distal forearm grasp; posterior-to-anterior glide in pronation": Sitting with the affected arm flexed at the elbow and pronated.
- "Reinforced hypothenar/proximal radius pull; anterior-to-posterior glide": Sitting on the palmar aspect of the hand on the affected side.
Contact Points (CP) in Techniques
- "Calcaneal/proximal ulna, forearm stabilization; medial-to-lateral glide": Calcaneal contact over the medial aspect of the proximal ulna.
- "Reinforced hypothenar/proximal radius pull; anterior-to-posterior glide": Hypothenar/pisiform contact on the anterior aspect of the radial head.
- "Thumb/radius push, distal forearm grasp; posterior-to-anterior glide in pronation": Thumb contact on the posterior aspect of the radial head.
- "Calcaneal/proximal radius, forearm stabilization; lateral-to-medial glide": Calcaneal contact over the radial head and lateral aspect of the forearm.
Vector (VEC) Applied in Techniques
- "Calcaneal/proximal radius, forearm stabilization; lateral-to-medial glide": Lateral-to-medial (L-M).
- "Thumb/radius push, distal forearm grasp; posterior-to-anterior glide in pronation": Posterior-to-anterior (P-A).
- "Web/distal humerus, forearm grasp pull; long-axis distraction": Long-axis distraction.
Stabilization Contact Points (SCP) in Techniques
- "Thumb/radius push, distal forearm grasp; posterior-to-anterior glide in pronation": Posterior aspect of the radial head as the primary stabilization point.
- "Calcaneal/proximal ulna, forearm stabilization; medial-to-lateral glide": Proximal forearm/ulna as the primary stabilization point.
Techniques Purpose and Actions
- "Web/distal humerus, forearm grasp pull; long-axis distraction": Aims to apply long-axis distraction of the forearm.
- "Calcaneal/proximal ulna, forearm stabilization; medial-to-lateral glide": The stabilization hand action stabilizes the forearm against the doctor's body.
- "Reinforced hypothenar/proximal radius pull; anterior-to-posterior glide": Requires the patient to sit up straight to activate the core.
Secondary Contact Points and Hand Actions
- "Calcaneal/proximal ulna, forearm stabilization; medial-to-lateral glide": Secondary contact point on the medial aspect of the proximal forearm/ulna.
- "Calcaneal/proximal radius, forearm stabilization; lateral-to-medial glide": Stabilization hand contact on the medial aspect of the forearm.
Doctor Position (DP) Techniques
- In the "Mid-hypothenar (knife-edge)/proximal ulna, elbow flexion; anterior-to-posterior glide," the doctor stands facing the patient.
- For the "Hypothenar/radius push, ulnar stabilization; posterior-to-anterior glide in supination," the doctor straddles the table at an angle facing the patient.
- In the "Bimanual grasp/distal humerus with knee extension; long-axis distraction," the doctor straddles the patient's forearm.
- In the "Web/proximal radius push with knee extension; lateral-to-medial glide" technique, the doctor stands facing cephalad.
Patient Position (PP) Techniques
- The patient sits on the palmar aspect of the hand on the affected side in the "Hypothenar/radius push" technique.
- In the "Web/proximal radius push with knee extension; lateral-to-medial glide," the patient is in a supine position with the arm abducted.
- The patient is sitting with the affected arm extended for the "Thumb index/olecranon; posterior-to-anterior glide in full extension" technique.
Contact Points (CP) Techniques
- The contact point for the "Thumb index/olecranon; posterior-to-anterior glide in full extension" is with the thumb and index finger on the olecranon process.
- In the "Web/proximal ulna push with knee extension; medial-to-lateral glide," the web contacts the medial aspect of the proximal ulna.
- The primary contact point in the "Web/proximal radius push with knee extension; lateral-to-medial glide" is on the lateral aspect of the proximal radius.
Vector (VEC) Techniques
- The "Bimanual grasp/distal humerus with knee extension; long-axis distraction" applies a long-axis vector.
- For the "Web/proximal ulna push with knee extension; medial-to-lateral glide," the vector applied is medial-to-lateral.
- In the "Hypothenar/radius push" technique, the primary vector is posterior-to-anterior.
Stabilization Points and Actions
- The primary stabilization point in the "Thumb index/olecranon; posterior-to-anterior glide in full extension" is the olecranon process.
- In the "Hypothenar/radius push, ulnar stabilization; posterior-to-anterior glide in supination," the stabilization hand action involves stabilizing the ulna while applying a posterior-anterior force.
- The secondary contact point in the same technique is the anterior aspect of the radial head.
Miscellaneous Technique Details
- The secondary contact point in the "Mid-hypothenar (knife-edge)/proximal ulna, elbow flexion; anterior-to-posterior glide" is the proximal forearm.
- The primary vector for the "Mid-hypothenar" technique is anterior-to-posterior.
- The technique's details and positioning vary, requiring precise knowledge of hand placements and force directions.
Bimanual Thumbs Digits/Metacarpals Technique
- Patient position (PP): Sitting with the arm in forward flexion and the elbow flexed
- Contact point (CP): Thumb contact on the palmar aspect of a metacarpal bone
- Secondary contact point (SCP): Dorsal surface of the hand
- Vector (VEC) used: Anterior-to-posterior (A-P) and posterior-to-anterior (P-A)
- Consistency in patient positioning as indicated across multiple questions
Thumb Index Grasp Technique
- Doctor position (DP): Standing on the side of the patient on the affected side
- Primary contact point (CP): Thumb and index grasp on the distal member of the joint
- Vector (VEC) applied: A-P and P-A, providing effective joint distraction
- Doctor positioning consistently noted as standing on the side, fostering stability during the procedure
Key Techniques
- Emphasis on bimanual techniques for comprehensive joint assessment and manipulation
- Understanding varied positions helps optimize patient comfort and treatment efficacy
- The importance of precise anatomical contact points for ensuring technique success and safety
Summary of Contact and Vector Techniques
- Contact points play a crucial role in the effectiveness of manipulation techniques
- Different vectors focus on achieving desired joint mobility and alleviating discomfort
- Consistent application of proper protocols enhances patient care quality in manual therapy
Application of Techniques
- Effective for addressing various disorders related to the hand and wrist
- Approach ensures appropriate stabilization and improved freedom of movement
- Strategic patient and doctor positioning is critical for therapeutic effectiveness and patient safety
Patient and Doctor Positions in Techniques
- Bimanual grasp/proximal carpals; anterior-to-posterior glide: Patient should be sitting with the arm flexed at the elbow. Doctor's position is standing facing the patient.
- Thumb index grasp/carpal; anterior-to-posterior glide: Patient is sitting with the arm extended. Doctor faces the patient.
- Bimanual palmar grasp/hand; anteroposterior rotation: Patient's position is sitting with the arm flexed at the elbow. Doctor sits on the affected side.
Contact Points in Techniques
- Bimanual grasp/metacarpals; anteroposterior compression: Primary contact point is thenar and hypothenar on the palmar aspect of the metacarpals.
- Thumb index grasp/carpal; anterior-to-posterior glide: Contact point is thumb on the dorsal aspect of a carpal bone.
- Bimanual grasp/proximal carpals; anterior-to-posterior glide: Primary contact is on the proximal carpals.
Vectors Applied in Techniques
- Thumb index grasp/distal radius and ulna; distraction: Long-axis distraction is utilized.
- Bimanual grasp/metacarpals; anteroposterior compression: Primary vector is long-axis.
- Thumb index grasp/carpal; anterior-to-posterior glide: The vector applied is anterior-to-posterior (A-P).
Stabilization Points in Techniques
- Bimanual palmar grasp/hand; anteroposterior rotation: The primary stabilization point is the distal radius and ulna.
- Thumb index grasp/distal radius and ulna; distraction: Stabilization occurs at the distal radius and ulna.
- Bimanual grasp/metacarpals; anteroposterior compression: Primary stabilization point is metacarpals.
Summary of Key Details
- Different techniques emphasize specific patient positions, doctor positions, contact points, vectors, and stabilization points for effective results.
- Understanding the precise elements required for each technique enhances practical application and patient care.
Manual Therapy Techniques and Indications
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The "Thumb Web/Axilla with Knee Extension: Long-Axis Distraction" technique primarily addresses superior misalignment of the humerus.
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The "Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension; Anterior-to-Posterior Glide" technique utilizes the proximal humerus as the contact point.
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The "Interlaced Digital/Proximal Humerus; Superior-to-Inferior Glide in Flexion" technique is indicated for superior misalignment of the humerus.
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Patient position for the "Index/Proximal Humerus; Superior-to-Inferior Glide in Abduction" technique requires supine with the arm abducted to 90 degrees.
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In the "Reinforced Palmar/Olecranon; Anterior-to-Posterior Glide" technique, an anterior-to-posterior force vector is applied.
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Achondroplasia is characterized by a "champagne glass pelvis."
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The "Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension; Internal Rotation" technique corrects external rotation misalignment of the humerus.
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The "Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension; External Rotation" technique is indicated for external rotation misalignment of the humerus.
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The doctor position in the "Bimanual Thumb Thenar Grasp/Proximal Humerus Grasp; Mobilization with Distraction" technique is standing in a lunge position on the affected side.
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The "Bimanual Grasp/Hand; Pendular Abduction Mobilization" technique addresses intracapsular adhesions in the glenohumeral joint.
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In the "Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension; Posterior-to-Anterior Glide," the patient is positioned prone with the arm hanging off the table.
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The "Bimanual Thumb Thenar Grasp/Proximal Humerus; Mobilization with Distraction" technique is used to address loss of long-axis accessory movement.
Alignments and Techniques
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The "Digital/Distal Clavicle with Distraction; Posterior-to-Anterior Glide" technique addresses posterior misalignment of the distal clavicle.
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The "Thenar/Distal Clavicle, Thenar/Manubrium; Long-Axis Distraction" technique is primarily for correcting displacement of the intraarticular meniscus in the sternoclavicular joint.
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The doctor position for the "Digital/Proximal Clavicle, Thenar/Manubrium; Long-Axis Distraction" technique is behind the patient and slightly to the side of the involvement.
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The "Bilateral Thumb Thenar/Lateral Scapula; Lateral-to-Medial Glide" technique addresses dysfunctional scapulohumeral rhythm.
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The vector applied in the "Bimanual Digital Thenar Grasp/Scapula; Rotation—Inferior Angle Lateral to Medial" technique is rotational.
Specific Techniques and Patient Positions
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The "Thumb Web/Axilla with Knee Extension: Long-Axis Distraction" technique uses the patient’s axilla as the contact point.
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The "Hypothenar/Distal Clavicle with Distraction; Anterior-to-Posterior Glide" technique utilizes the anterior aspect of the proximal clavicle as the contact point.
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The "Covered Thumb/Proximal Clavicle; Superior-to-Inferior Glide" technique applies a superior-to-inferior vector to correct superior misalignment of the distal clavicle.
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In the "Covered Thumb/Proximal Clavicle with Knee Extension; Inferior-to-Superior Glide" technique, the patient is positioned supine with the arm abducted.
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The "Digital/Proximal Clavicle with Distraction; Posterior-to-Anterior Glide" technique requires the patient to be supine.
Summary of Correctives
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The primary stabilization point for the "Digital/Distal Clavicle with Distraction; Posterior-to-Anterior Glide" technique is the patient’s manubrium.
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The "Web/Distal Clavicle; Superior-to-Inferior Glide" technique corrects superior misalignment of the distal clavicle.
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The "Digital/Proximal Clavicle with Distraction; Posterior-to-Anterior Glide" technique applies a posterior-to-anterior vector to address cranially directed misalignment.
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Each manual therapy technique involves specific contact points and vectors designed to address specific shoulder and clavicle conditions, highlighting the importance of precision in both technique and patient positioning.
Actions of the Muscles of the Elbow
- Biceps is the key muscle responsible for flexion in a supinated position of the elbow.
- Brachioradialis facilitates rapid flexion or flexion against loads, especially during elbow movement.
- Pronation of the forearm is primarily executed by the pronator quadratus and pronator teres muscles.
- Medial stability and some extension of the elbow joint are maintained by the wrist flexors.
- Triceps functions as the primary extensor of the elbow, essential for straightening the arm.
Actions of the Muscles of the Wrist and Hand
- Wrist flexion is achieved through flexor carpi radialis, abductor pollicis longus, and palmaris longus muscles.
- Ulnar deviation (wrist adduction) involves flexor carpi ulnaris and extensor carpi ulnaris muscles working together.
- The extensor digitorum, extensor digiti minimi, and extensor indicis are crucial for finger extension.
- Finger abduction is primarily the responsibility of the interosseous muscles.
- Wrist abduction (radial deviation) is performed by extensor carpi radialis, abductor pollicis longus, and extensor pollicis longus and brevis muscles.
Close-Packed and Loose-Packed Positions for the Wrist and Hand Joints
- The closed-packed position for the wrist occurs at full dorsiflexion, stabilizing the joint.
- Loose-packed position of the wrist is identified as palmar flexion with slight ulnar deviation, allowing for increased movement.
- The closed-packed position for the hand is full extension, providing optimal joint congruence.
- Loose-packed position of the hand is characterized by flexion with slight ulnar deviation, enabling flexibility and movement.
Muscles of the Elbow
- Flexion in Supination: Primarily performed by the Biceps.
- Rapid Flexion or Flexion with Loads: Involves the Brachioradialis.
- Pronation of the Forearm: Achieved by the Pronator quadratus and Pronator teres.
- Medial Stability and Extension: Provided by the Wrist flexors.
- Primary Extensor of the Elbow: The Triceps muscle is mainly responsible.
Muscles of the Wrist and Hand
- Wrist Flexion: Executed by the Flexor carpi radialis, Abductor pollicis longus, and Palmaris longus.
- Wrist Adduction (Ulnar Deviation): Achieved by Flexor carpi ulnaris and Extensor carpi ulnaris.
- Finger Extension: Involves Extensor digitorum, Extensor digiti minimi, and Extensor indicis.
- Finger Abduction: Managed by the Interosseous muscles.
- Wrist Abduction (Radial Deviation): Performed by Extensor carpi radialis, Abductor pollicis longus, and Extensor pollicis longus and brevis.
Positions for Wrist and Hand Joints
- Closed-Packed Position for the Wrist: Identified as Full dorsiflexion.
- Loose-Packed Position for the Wrist: Designated as Palmar flexion with slight ulnar deviation.
- Closed-Packed Position for the Hand: Determined to be Full extension.
- Loose-Packed Position for the Hand: Characterized by Flexion with slight ulnar deviation.
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Test your knowledge on various manual therapy techniques involving the distal humerus and forearm. This quiz focuses on patient and doctor positions during specific manual therapy movements. Challenge yourself to identify the correct techniques and improve your understanding of these procedures.