ESAT Final exam

Questions and Answers

What is the doctor position (DP) in the 'Web/distal humerus, forearm grasp pull; long-axis distraction' technique?

Sitting facing the patient

Standing behind the patient

Standing facing the patient (correct)

Sitting beside the patient

In the 'Calcaneal/proximal ulna, forearm stabilization; medial-to-lateral glide' technique, what is the patient position (PP)?

Standing with the arm at the side

Sitting with the arm flexed at the shoulder and fully extended at the elbow (correct)

Supine with the arm abducted

Prone with the arm extended

What is the contact point (CP) in the 'Calcaneal/proximal ulna, forearm stabilization; medial-to-lateral glide' technique?

Calcaneal contact over the medial aspect of the proximal ulna (correct)

Thumb contact on the radial head

Thenar contact over the lateral aspect of the proximal ulna

Hypothenar contact over the distal radius

What vector (VEC) is applied in the 'Calcaneal/proximal radius, forearm stabilization; lateral-to-medial glide' technique?

L-M Signup and view all the answers

In the 'Reinforced hypothenar/proximal radius pull; anterior-to-posterior glide' technique, what is the contact point (CP)?

Hypothenar/pisiform contact on the anterior aspect of the radial head Signup and view all the answers

What is the stabilization contact point (SCP) in the 'Thumb/radius push, distal forearm grasp; posterior-to-anterior glide in pronation' technique?

Posterior aspect of the radial head Signup and view all the answers

In the 'Web/distal humerus, forearm grasp pull; long-axis distraction' technique, what is the patient position (PP)?

Sitting with the affected arm (elbow) in flexion Signup and view all the answers

What vector (VEC) is used in the 'Reinforced hypothenar/proximal radius pull; anterior-to-posterior glide' technique?

A-P Signup and view all the answers

In the 'Calcaneal/proximal ulna, forearm stabilization; medial-to-lateral glide' technique, what is the secondary contact point (SCP)?

Medial aspect of the proximal forearm/ulna Signup and view all the answers

What is the doctor position (DP) in the 'Calcaneal/proximal radius, forearm stabilization; lateral-to-medial glide' technique?

Standing facing the patient on the lateral side Signup and view all the answers

What is the patient position (PP) in the 'Thumb/radius push, distal forearm grasp; posterior-to-anterior glide in pronation' technique?

Sitting with the affected arm flexed at the elbow and pronated Signup and view all the answers

In the 'Web/distal humerus, forearm grasp pull; long-axis distraction' technique, what is the primary vector (VEC)?

Long-axis distraction Signup and view all the answers

What stabilization hand (IH) action is performed in the 'Calcaneal/proximal ulna, forearm stabilization; medial-to-lateral glide' technique?

Stabilize the forearm against the doctor's body Signup and view all the answers

In the 'Calcaneal/proximal radius, forearm stabilization; lateral-to-medial glide' technique, what is the contact point (CP)?

Calcaneal contact over the radial head and lateral aspect of the forearm Signup and view all the answers

What vector (VEC) is used in the 'Thumb/radius push, distal forearm grasp; posterior-to-anterior glide in pronation' technique?

P-A Signup and view all the answers

What is the purpose of the 'Web/distal humerus, forearm grasp pull; long-axis distraction' technique?

To apply long-axis distraction of the forearm Signup and view all the answers

In the 'Reinforced hypothenar/proximal radius pull; anterior-to-posterior glide' technique, what instruction is given to the patient?

Sit up straight to activate the core Signup and view all the answers

What is the stabilization hand (IH) contact in the 'Calcaneal/proximal radius, forearm stabilization; lateral-to-medial glide' technique?

Contact on the medial aspect of the forearm Signup and view all the answers

What is the vector (VEC) in the 'Thumb/radius push, distal forearm grasp; posterior-to-anterior glide in pronation' technique?

P-A Signup and view all the answers

In the 'Calcaneal/proximal ulna, forearm stabilization; medial-to-lateral glide' technique, what is the doctor position (DP)?

Standing facing the patient on the medial side Signup and view all the answers

What is the patient position (PP) in the 'Reinforced hypothenar/proximal radius pull; anterior-to-posterior glide' technique?

Sitting on the palmar aspect of the hand on the affected side Signup and view all the answers

What stabilization hand (IH) contact is used in the 'Thumb/radius push, distal forearm grasp; posterior-to-anterior glide in pronation' technique?

Distal forearm with digital contact of all fingers on the posterior aspect of the radius Signup and view all the answers

In the 'Calcaneal/proximal ulna, forearm stabilization; medial-to-lateral glide' technique, what is the primary stabilization point (SCP)?

Proximal forearm/ulna Signup and view all the answers

What is the primary vector (VEC) in the 'Reinforced hypothenar/proximal radius pull; anterior-to-posterior glide' technique?

A-P Signup and view all the answers

What is the contact point (CP) in the 'Thumb/radius push, distal forearm grasp; posterior-to-anterior glide in pronation' technique?

Thumb contact on the posterior aspect of the radial head Signup and view all the answers

In the 'Web/distal humerus, forearm grasp pull; long-axis distraction' technique, what is the primary contact point (CP)?

Distal forearm Signup and view all the answers

What is the doctor position (DP) in the 'Reinforced hypothenar/proximal radius pull; anterior-to-posterior glide' technique?

Straddling the table at an angle facing the patient’s affected side Signup and view all the answers

What is the vector (VEC) applied in the 'Calcaneal/proximal ulna, forearm stabilization; medial-to-lateral glide' technique?

M-L Signup and view all the answers

What is the primary stabilization point (SCP) in the 'Thumb/radius push, distal forearm grasp; posterior-to-anterior glide in pronation' technique?

Posterior aspect of the radial head Signup and view all the answers

In the 'Web/distal humerus, forearm grasp pull; long-axis distraction' technique, what is the primary vector (VEC)?

Long-axis distraction Signup and view all the answers

What is the doctor position (DP) in the "Mid-hypothenar (knife-edge)/proximal ulna, elbow flexion; anterior-to-posterior glide" technique?

Standing facing the patient Signup and view all the answers

In the "Hypothenar/radius push, ulnar stabilization; posterior-to-anterior glide in supination" technique, what is the patient position (PP)?

Sitting on the palmar aspect of the hand on the affected side Signup and view all the answers

What contact point (CP) is used in the "Thumb index/olecranon; posterior-to-anterior glide in full extension" technique?

Thumb and index finger contact on the olecranon process Signup and view all the answers

What vector (VEC) is applied in the "Bimanual grasp/distal humerus with knee extension; long-axis distraction" technique?

Long-axis Signup and view all the answers

In the "Web/proximal ulna push with knee extension; medial-to-lateral glide" technique, what is the secondary contact point (SCP)?

Medial aspect of the proximal ulna Signup and view all the answers

What is the patient position (PP) in the "Web/proximal radius push with knee extension; lateral-to-medial glide" technique?

Supine with the arm abducted Signup and view all the answers

In the "Mid-hypothenar (knife-edge)/proximal ulna, elbow flexion; anterior-to-posterior glide" technique, what is the primary vector (VEC)?

A-P Signup and view all the answers

What is the stabilization contact point (SCP) in the "Hypothenar/radius push, ulnar stabilization; posterior-to-anterior glide in supination" technique?

Posterior aspect of the radial head Signup and view all the answers

What is the vector (VEC) used in the "Thumb index/olecranon; posterior-to-anterior glide in full extension" technique?

P-A Signup and view all the answers

In the "Bimanual grasp/distal humerus with knee extension; long-axis distraction" technique, what is the primary stabilization point (SCP)?

Distal humerus Signup and view all the answers

What vector (VEC) is used in the "Web/proximal ulna push with knee extension; medial-to-lateral glide" technique?

M-L Signup and view all the answers

What is the contact point (CP) in the "Web/proximal radius push with knee extension; lateral-to-medial glide" technique?

Web contact on the lateral aspect of the proximal radius Signup and view all the answers

In the "Mid-hypothenar (knife-edge)/proximal ulna, elbow flexion; anterior-to-posterior glide" technique, what is the secondary contact point (SCP)?

Proximal forearm Signup and view all the answers

What is the doctor position (DP) in the "Hypothenar/radius push, ulnar stabilization; posterior-to-anterior glide in supination" technique?

Straddling the table at an angle facing the patient Signup and view all the answers

What is the patient position (PP) in the "Thumb index/olecranon; posterior-to-anterior glide in full extension" technique?

Sitting with the affected arm extended Signup and view all the answers

In the "Bimanual grasp/distal humerus with knee extension; long-axis distraction" technique, what vector (VEC) is used?

Long-axis Signup and view all the answers

What is the contact point (CP) in the "Web/proximal ulna push with knee extension; medial-to-lateral glide" technique?

Web contact on the medial aspect of the proximal ulna Signup and view all the answers

What vector (VEC) is applied in the "Web/proximal radius push with knee extension; lateral-to-medial glide" technique?

L-M Signup and view all the answers

What is the stabilization hand (IH) contact in the "Hypothenar/radius push, ulnar stabilization; posterior-to-anterior glide in supination" technique?

Medial aspect of the proximal ulna Signup and view all the answers

In the "Mid-hypothenar (knife-edge)/proximal ulna, elbow flexion; anterior-to-posterior glide" technique, what is the doctor position (DP)?

Standing facing the patient Signup and view all the answers

What is the primary vector (VEC) in the "Hypothenar/radius push, ulnar stabilization; posterior-to-anterior glide in supination" technique?

P-A Signup and view all the answers

What is the primary stabilization point (SCP) in the "Thumb index/olecranon; posterior-to-anterior glide in full extension" technique?

Olecranon process Signup and view all the answers

In the "Bimanual grasp/distal humerus with knee extension; long-axis distraction" technique, what is the doctor position (DP)?

Straddling the patient’s forearm Signup and view all the answers

What vector (VEC) is used in the "Web/proximal ulna push with knee extension; medial-to-lateral glide" technique?

M-L Signup and view all the answers

What is the primary contact point (CP) in the "Web/proximal radius push with knee extension; lateral-to-medial glide" technique?

Lateral aspect of the proximal radius Signup and view all the answers

What is the secondary contact point (SCP) in the "Hypothenar/radius push, ulnar stabilization; posterior-to-anterior glide in supination" technique?

Anterior aspect of the radial head Signup and view all the answers

In the "Mid-hypothenar (knife-edge)/proximal ulna, elbow flexion; anterior-to-posterior glide" technique, what is the primary stabilization point (SCP)?

Lateral aspect of the proximal ulna Signup and view all the answers

What is the doctor position (DP) in the "Web/proximal ulna push with knee extension; medial-to-lateral glide" technique?

Standing facing cephalad Signup and view all the answers

What is the primary vector (VEC) in the "Bimanual grasp/distal humerus with knee extension; long-axis distraction" technique?

Long-axis Signup and view all the answers

In the "Hypothenar/radius push, ulnar stabilization; posterior-to-anterior glide in supination" technique, what is the stabilization hand (IH) action?

Stabilizes the ulna and applies a P-A force Signup and view all the answers

What is the patient position (PP) for the 'Bimanual thumbs digits/metacarpals; anterior-to-posterior or posterior-to-anterior glide' technique?

Sitting with the arm in forward flexion and the elbow flexed Signup and view all the answers

In the 'Thumb index grasp/metacarpophalangeal (or interphalangeal) with hand stabilization; long-axis distraction' technique, what is the doctor position (DP)?

Standing on the side of the patient on the affected side Signup and view all the answers

What contact point (CP) is used in the 'Bimanual thumbs digits/metacarpals; anterior-to-posterior or posterior-to-anterior glide' technique?

Thumb contact on the palmar aspect of a metacarpal bone Signup and view all the answers

What vector (VEC) is applied in the 'Thumb index grasp/metacarpophalangeal (or interphalangeal) with hand stabilization; long-axis distraction' technique?

A-P and P-A Signup and view all the answers

In the 'Bimanual thumbs digits/metacarpals; anterior-to-posterior or posterior-to-anterior glide' technique, what is the secondary contact point (SCP)?

Dorsal surface of the hand Signup and view all the answers

What is the doctor position (DP) in the 'Thumb index grasp/metacarpophalangeal (or interphalangeal) with hand stabilization; long-axis distraction' technique?

Standing on the side of the patient Signup and view all the answers

In the 'Bimanual thumbs digits/metacarpals; anterior-to-posterior or posterior-to-anterior glide' technique, what vector (VEC) is used?

A-P and P-A Signup and view all the answers

What is the primary contact point (CP) in the 'Thumb index grasp/metacarpophalangeal (or interphalangeal) with hand stabilization; long-axis distraction' technique?

Thumb and index grasp on the distal member of the joint Signup and view all the answers

What is the patient position (PP) for the 'Bimanual thumbs digits/metacarpals; anterior-to-posterior or posterior-to-anterior glide' technique?

Sitting with the arm in forward flexion and the elbow flexed Signup and view all the answers

In the 'Thumb index grasp/metacarpophalangeal (or interphalangeal) with hand stabilization; long-axis distraction' technique, what is the doctor position (DP)?

Standing on the side of the patient on the affected side Signup and view all the answers

What contact point (CP) is used in the 'Bimanual thumbs digits/metacarpals; anterior-to-posterior or posterior-to-anterior glide' technique?

Thumb contact on the palmar aspect of a metacarpal bone Signup and view all the answers

What vector (VEC) is applied in the 'Thumb index grasp/metacarpophalangeal (or interphalangeal) with hand stabilization; long-axis distraction' technique?

A-P and P-A Signup and view all the answers

In the 'Bimanual thumbs digits/metacarpals; anterior-to-posterior or posterior-to-anterior glide' technique, what is the secondary contact point (SCP)?

Dorsal surface of the hand Signup and view all the answers

What is the doctor position (DP) in the 'Thumb index grasp/metacarpophalangeal (or interphalangeal) with hand stabilization; long-axis distraction' technique?

Standing on the side of the patient Signup and view all the answers

In the 'Bimanual thumbs digits/metacarpals; anterior-to-posterior or posterior-to-anterior glide' technique, what vector (VEC) is used?

A-P and P-A Signup and view all the answers

What is the primary contact point (CP) in the 'Thumb index grasp/metacarpophalangeal (or interphalangeal) with hand stabilization; long-axis distraction' technique?

Thumb and index grasp on the distal member of the joint Signup and view all the answers

What is the patient position (PP) for the 'Bimanual thumbs digits/metacarpals; anterior-to-posterior or posterior-to-anterior glide' technique?

Sitting with the arm in forward flexion and the elbow flexed Signup and view all the answers

In the 'Thumb index grasp/metacarpophalangeal (or interphalangeal) with hand stabilization; long-axis distraction' technique, what is the doctor position (DP)?

Standing on the side of the patient on the affected side Signup and view all the answers

What contact point (CP) is used in the 'Bimanual thumbs digits/metacarpals; anterior-to-posterior or posterior-to-anterior glide' technique?

Thumb contact on the palmar aspect of a metacarpal bone Signup and view all the answers

What vector (VEC) is applied in the 'Thumb index grasp/metacarpophalangeal (or interphalangeal) with hand stabilization; long-axis distraction' technique?

A-P and P-A Signup and view all the answers

In the 'Bimanual thumbs digits/metacarpals; anterior-to-posterior or posterior-to-anterior glide' technique, what is the secondary contact point (SCP)?

Dorsal surface of the hand Signup and view all the answers

What is the doctor position (DP) in the 'Thumb index grasp/metacarpophalangeal (or interphalangeal) with hand stabilization; long-axis distraction' technique?

Standing on the side of the patient Signup and view all the answers

In the 'Bimanual thumbs digits/metacarpals; anterior-to-posterior or posterior-to-anterior glide' technique, what vector (VEC) is used?

A-P and P-A Signup and view all the answers

What is the primary contact point (CP) in the 'Thumb index grasp/metacarpophalangeal (or interphalangeal) with hand stabilization; long-axis distraction' technique?

Thumb and index grasp on the distal member of the joint Signup and view all the answers

What is the patient position (PP) in the 'Bimanual grasp/proximal carpals; anterior-to-posterior glide' technique?

Sitting with the arm flexed at the elbow Signup and view all the answers

In the 'Thumb index grasp/carpal; anterior-to-posterior glide' technique, what is the doctor position (DP)?

Standing facing the patient Signup and view all the answers

What contact point (CP) is used in the 'Bimanual grasp/metacarpals; anteroposterior compression' technique?

Thenar and hypothenar contact on the palmar aspect of the metacarpals Signup and view all the answers

What vector (VEC) is applied in the 'Thumb index grasp/distal radius and ulna; distraction' technique?

Long-axis distraction Signup and view all the answers

In the 'Bimanual palmar grasp/hand; anteroposterior rotation' technique, what is the primary stabilization point (SCP)?

Distal radius and ulna Signup and view all the answers

What is the doctor position (DP) in the 'Bimanual grasp/proximal carpals; anterior-to-posterior glide' technique?

Standing facing the patient Signup and view all the answers

In the 'Thumb index grasp/carpal; anterior-to-posterior glide' technique, what is the contact point (CP)?

Thumb contact on the dorsal aspect of a carpal bone Signup and view all the answers

What vector (VEC) is used in the 'Bimanual grasp/metacarpals; anteroposterior compression' technique?

Long-axis Signup and view all the answers

What is the primary stabilization point (SCP) in the 'Thumb index grasp/distal radius and ulna; distraction' technique?

Distal radius and ulna Signup and view all the answers

What is the patient position (PP) for the 'Bimanual palmar grasp/hand; anteroposterior rotation' technique?

Sitting with the arm flexed at the elbow Signup and view all the answers

What is the contact point (CP) in the 'Bimanual grasp/proximal carpals; anterior-to-posterior glide' technique?

Thenar contact on the dorsal aspect of the proximal carpals Signup and view all the answers

What vector (VEC) is applied in the 'Thumb index grasp/carpal; anterior-to-posterior glide' technique?

A-P Signup and view all the answers

In the 'Bimanual grasp/metacarpals; anteroposterior compression' technique, what is the primary vector (VEC)?

Long-axis Signup and view all the answers

What is the patient position (PP) in the 'Thumb index grasp/distal radius and ulna; distraction' technique?

Sitting with the arm flexed at the elbow Signup and view all the answers

In the 'Bimanual palmar grasp/hand; anteroposterior rotation' technique, what is the doctor position (DP)?

Sitting on the affected side Signup and view all the answers

What is the primary contact point (CP) in the 'Bimanual grasp/proximal carpals; anterior-to-posterior glide' technique?

Proximal carpals Signup and view all the answers

In the 'Thumb index grasp/carpal; anterior-to-posterior glide' technique, what is the patient position (PP)?

Sitting with the arm extended Signup and view all the answers

What is the doctor position (DP) in the 'Bimanual grasp/metacarpals; anteroposterior compression' technique?

Standing beside the patient Signup and view all the answers

What is the primary vector (VEC) in the 'Thumb index grasp/distal radius and ulna; distraction' technique?

Long-axis Signup and view all the answers

In the 'Bimanual palmar grasp/hand; anteroposterior rotation' technique, what is the primary vector (VEC)?

Rotational Signup and view all the answers

What is the primary contact point (CP) in the 'Bimanual grasp/proximal carpals; anterior-to-posterior glide' technique?

Proximal carpals Signup and view all the answers

In the 'Thumb index grasp/carpal; anterior-to-posterior glide' technique, what is the primary vector (VEC)?

A-P Signup and view all the answers

What is the primary stabilization point (SCP) in the 'Bimanual grasp/metacarpals; anteroposterior compression' technique?

Metacarpals Signup and view all the answers

In the 'Thumb index grasp/distal radius and ulna; distraction' technique, what is the doctor position (DP)?

Standing beside the patient Signup and view all the answers

What vector (VEC) is used in the 'Bimanual palmar grasp/hand; anteroposterior rotation' technique?

Rotational Signup and view all the answers

What is the primary indication for using the 'Thumb Web/Axilla with Knee Extension: Long-Axis Distraction' technique?

Superior misalignment of the humerus Signup and view all the answers

Which contact point is used in the 'Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension; Anterior-to-Posterior Glide' technique?

Proximal humerus Signup and view all the answers

The 'Interlaced Digital/Proximal Humerus; Superior-to-Inferior Glide in Flexion' technique is indicated for which condition?

Superior misalignment of the humerus Signup and view all the answers

In the 'Index/Proximal Humerus; Superior-to-Inferior Glide in Abduction' technique, what is the patient position (PP)?

Supine with the arm abducted to 90 degrees Signup and view all the answers

What vector of force is applied in the 'Reinforced Palmar/Olecranon; Anterior-to-Posterior Glide' technique?

A-P Signup and view all the answers

Which skeletal dysplasia is characterized by 'champagne glass pelvis'?

Achondroplasia Signup and view all the answers

What is the primary indication for 'Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension; Internal Rotation'?

External rotation misalignment of the humerus Signup and view all the answers

The 'Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension; External Rotation' technique primarily corrects which condition?

External rotation misalignment of the humerus Signup and view all the answers

In the 'Bimanual Thumb Thenar Grasp/Proximal Humerus Grasp; Mobilization with Distraction' technique, what is the doctor position (DP)?

Standing in a lunge position on the affected side Signup and view all the answers

The 'Bimanual Grasp/Hand; Pendular Abduction Mobilization' technique is indicated for which condition?

Intracapsular adhesions in the glenohumeral joint Signup and view all the answers

What is the patient position (PP) in the 'Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension; Posterior-to-Anterior Glide' technique?

Prone with the arm hanging off the table Signup and view all the answers

Which technique involves circumduction and distraction of the shoulder joint?

Bimanual Thumb Thenar Grasp/Proximal Humerus; Mobilization with Distraction Signup and view all the answers

What vector is applied in the 'Interlaced Digital/Proximal Humerus; Superior-to-Inferior Glide in Abduction' technique?

S-I Signup and view all the answers

The 'Index/Distal Clavicle; Superior-to-Inferior Glide' technique primarily addresses which condition?

Superior misalignment of the distal clavicle Signup and view all the answers

In the 'Covered Thumb/Distal Clavicle; Inferior-to-Superior Glide' technique, what is the patient position?

Supine with the arm straight and slightly abducted Signup and view all the answers

What is the primary indication for the 'Hypothenar/Distal Clavicle with Distraction; Anterior-to-Posterior Glide' technique?

Restricted A-P accessory movement of the distal clavicle Signup and view all the answers

The 'Digital/Distal Clavicle with Distraction; Posterior-to-Anterior Glide' technique addresses which specific misalignment?

Posterior misalignment of the distal clavicle Signup and view all the answers

In the 'Web/Distal Clavicle; Superior-to-Inferior Glide' technique, what is the doctor position (DP)?

Behind the patient and to the side Signup and view all the answers

Which technique is indicated for a 'loss of A-P accessory movement of the proximal clavicle'?

Hypothenar/Proximal Clavicle with Distraction; Anterior-to-Posterior Glide Signup and view all the answers

What is the correct contact point (CP) for the 'Covered Thumb/Proximal Clavicle; Superior-to-Inferior Glide' technique?

Proximal clavicle Signup and view all the answers

In the 'Covered Thumb/Proximal Clavicle with Knee Extension; Inferior-to-Superior Glide' technique, what is the patient position?

Supine with the arm abducted Signup and view all the answers

What vector is applied in the 'Digital/Proximal Clavicle with Distraction; Posterior-to-Anterior Glide' technique?

P-A Signup and view all the answers

The 'Thenar/Distal Clavicle, Thenar/Manubrium; Long-Axis Distraction' technique is primarily used for what purpose?

Displacement of the intraarticular meniscus in the sternoclavicular joint Signup and view all the answers

In the 'Reinforced Thenar/Proximal Clavicle; Inferior-to-Superior Glide' technique, which is the primary stabilization point?

The torso against the back of the chair or body Signup and view all the answers

What is the doctor position (DP) in the 'Digital Proximal/Clavicle, Thenar/Manubrium; Long-Axis Distraction' technique?

Behind the patient and slightly to the side of involvement Signup and view all the answers

The 'Bilateral Thumb Thenar/Lateral Scapula; Lateral-to-Medial Glide' technique addresses which condition?

Dysfunctional scapulohumeral rhythm Signup and view all the answers

In the 'Crossed Bilateral Mid-Hypothenar (Knife-Edge)/Medial Scapula; Medial-to-Lateral Glide' technique, what is the contact point (CP)?

Medial (vertebral) border of the scapula Signup and view all the answers

What is the vector (VEC) used in the 'Bimanual Digital Thenar Grasp/Scapula; Rotation—Inferior Angle Lateral to Medial' technique?

Rotational Signup and view all the answers

Which patient position (PP) is correct for the 'Bimanual Digital Thenar Grasp/Scapula; Rotation—Inferior Angle Medial to Lateral' technique?

Side-lying with the affected arm abducted and the hand behind the head Signup and view all the answers

The 'Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension; Posterior-to-Anterior Glide' technique applies which vector (VEC)?

P-A Signup and view all the answers

In the 'Thumb Web/Axilla with Knee Extension: Long-Axis Distraction' technique, what is the contact point (CP)?

The patient's axilla Signup and view all the answers

The 'Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension; Anterior-to-Posterior Glide' technique is indicated for which condition?

Loss of A-P accessory movement Signup and view all the answers

What is the doctor position (DP) in the 'Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension; Internal Rotation' technique?

Standing on the involved side, facing cephalad Signup and view all the answers

The 'Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension; External Rotation' technique primarily corrects which condition?

External rotation misalignment of the humerus Signup and view all the answers

What is the primary indication for the 'Bimanual Thumb Thenar Grasp/Proximal Humerus Grasp; Mobilization with Distraction' technique?

Intracapsular adhesions in the glenohumeral joint Signup and view all the answers

In the 'Bimanual Grasp/Hand; Pendular Abduction Mobilization' technique, what is the patient position (PP)?

Supine with the arm slightly abducted Signup and view all the answers

What vector (VEC) is applied in the 'Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension; Posterior-to-Anterior Glide' technique?

A-P Signup and view all the answers

The 'Bimanual Thumb Thenar Grasp/Proximal Humerus; Mobilization with Distraction' technique is used to address which issue?

Loss of long-axis accessory movement Signup and view all the answers

In the 'Interlaced Digital/Proximal Humerus; Superior-to-Inferior Glide in Flexion' technique, what is the patient position (PP)?

Supine with the involved arm raised to 90 degrees flexion Signup and view all the answers

Which technique involves using the thumb web and applying downward pressure to the shoulder girdle?

Thumb Web/Axilla with Knee Extension: Long-Axis Distraction Signup and view all the answers

The 'Reinforced Palmar/Olecranon; Anterior-to-Posterior Glide' technique is primarily used to correct which condition?

Anterior misalignment of the humerus Signup and view all the answers

In the 'Index/Distal Clavicle; Superior-to-Inferior Glide' technique, what is the vector (VEC)?

S-I Signup and view all the answers

The 'Covered Thumb/Distal Clavicle; Inferior-to-Superior Glide' technique addresses which specific misalignment?

Inferior misalignment of the distal clavicle Signup and view all the answers

In the 'Hypothenar/Distal Clavicle with Distraction; Anterior-to-Posterior Glide' technique, what is the doctor position (DP)?

Standing opposite the involved side Signup and view all the answers

What is the primary stabilization point in the 'Digital/Distal Clavicle with Distraction; Posterior-to-Anterior Glide' technique?

The patient's manubrium Signup and view all the answers

The 'Web/Distal Clavicle; Superior-to-Inferior Glide' technique primarily corrects which condition?

Superior misalignment of the distal clavicle Signup and view all the answers

In the 'Hypothenar/Proximal Clavicle with Distraction; Anterior-to-Posterior Glide' technique, what is the contact point (CP)?

Anterior aspect of the proximal clavicle Signup and view all the answers

What vector (VEC) is applied in the 'Covered Thumb/Proximal Clavicle; Superior-to-Inferior Glide' technique?

S-I Signup and view all the answers

The 'Covered Thumb/Proximal Clavicle with Knee Extension; Inferior-to-Superior Glide' technique is primarily used to correct which condition?

Inferior misalignment of the proximal clavicle Signup and view all the answers

In the 'Digital/Proximal Clavicle with Distraction; Posterior-to-Anterior Glide' technique, what is the patient position (PP)?

Supine Signup and view all the answers

Which muscle is responsible for flexion in supination of the elbow?

Biceps Signup and view all the answers

What muscle is involved in rapid flexion or flexion with loads?

Brachioradialis Signup and view all the answers

Which muscles are responsible for pronation of the forearm?

Pronator quadratus and pronator teres Signup and view all the answers

What provides medial stability and some extension to the elbow?

Wrist flexors Signup and view all the answers

Which muscle is the primary extensor of the elbow?

Triceps Signup and view all the answers

Which muscles are responsible for wrist flexion?

Flexor carpi radialis, abductor pollicis longus, and palmaris longus Signup and view all the answers

What muscles perform wrist adduction (ulnar deviation)?

Flexor carpi ulnaris and extensor carpi ulnaris Signup and view all the answers

Which muscles are involved in finger extension?

Extensor digitorum, extensor digiti minimi, and extensor indicis Signup and view all the answers

Which muscles are responsible for finger abduction?

Interosseous muscles Signup and view all the answers

What muscles perform wrist abduction (radial deviation)?

Extensor carpi radialis, abductor pollicis longus, and extensor pollicis longus and brevis Signup and view all the answers

What is the closed-packed position for the wrist?

Full dorsiflexion Signup and view all the answers

What is the loose-packed position for the wrist?

Palmar flexion with slight ulnar deviation Signup and view all the answers

What is the closed-packed position for the hand?

Full extension Signup and view all the answers

What is the loose-packed position for the hand?

Flexion with slight ulnar deviation Signup and view all the answers

Which muscle is responsible for flexion in supination of the elbow?

Biceps Signup and view all the answers

What muscle is involved in rapid flexion or flexion with loads?

Brachioradialis Signup and view all the answers

Which muscles are responsible for pronation of the forearm?

Pronator quadratus and pronator teres Signup and view all the answers

What provides medial stability and some extension to the elbow?

Wrist flexors Signup and view all the answers

Which muscle is the primary extensor of the elbow?

Triceps Signup and view all the answers

Which muscles are responsible for wrist flexion?

Flexor carpi radialis, abductor pollicis longus, and palmaris longus Signup and view all the answers

What muscles perform wrist adduction (ulnar deviation)?

Flexor carpi ulnaris and extensor carpi ulnaris Signup and view all the answers

Which muscles are involved in finger extension?

Extensor digitorum, extensor digiti minimi, and extensor indicis Signup and view all the answers

Which muscles are responsible for finger abduction?

Interosseous muscles Signup and view all the answers

What muscles perform wrist abduction (radial deviation)?

Extensor carpi radialis, abductor pollicis longus, and extensor pollicis longus and brevis Signup and view all the answers

What is the closed-packed position for the wrist?

Full dorsiflexion Signup and view all the answers

What is the loose-packed position for the wrist?

Palmar flexion with slight ulnar deviation Signup and view all the answers

What is the closed-packed position for the hand?

Full extension Signup and view all the answers

What is the loose-packed position for the hand?

Flexion with slight ulnar deviation Signup and view all the answers

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

The "Thumb Web/Axilla with Knee Extension: Long-Axis Distraction" technique primarily addresses superior misalignment of the humerus.
The "Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension; Anterior-to-Posterior Glide" technique utilizes the proximal humerus as the contact point.
The "Interlaced Digital/Proximal Humerus; Superior-to-Inferior Glide in Flexion" technique is indicated for superior misalignment of the humerus.
Patient position for the "Index/Proximal Humerus; Superior-to-Inferior Glide in Abduction" technique requires supine with the arm abducted to 90 degrees.
In the "Reinforced Palmar/Olecranon; Anterior-to-Posterior Glide" technique, an anterior-to-posterior force vector is applied.
Achondroplasia is characterized by a "champagne glass pelvis."
The "Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension; Internal Rotation" technique corrects external rotation misalignment of the humerus.
The "Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension; External Rotation" technique is indicated for external rotation misalignment of the humerus.
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.
The "Bimanual Grasp/Hand; Pendular Abduction Mobilization" technique addresses intracapsular adhesions in the glenohumeral joint.
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.
The "Bimanual Thumb Thenar Grasp/Proximal Humerus; Mobilization with Distraction" technique is used to address loss of long-axis accessory movement.

Alignments and Techniques

The "Digital/Distal Clavicle with Distraction; Posterior-to-Anterior Glide" technique addresses posterior misalignment of the distal clavicle.
The "Thenar/Distal Clavicle, Thenar/Manubrium; Long-Axis Distraction" technique is primarily for correcting displacement of the intraarticular meniscus in the sternoclavicular joint.
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.
The "Bilateral Thumb Thenar/Lateral Scapula; Lateral-to-Medial Glide" technique addresses dysfunctional scapulohumeral rhythm.
The vector applied in the "Bimanual Digital Thenar Grasp/Scapula; Rotation—Inferior Angle Lateral to Medial" technique is rotational.

Specific Techniques and Patient Positions

The "Thumb Web/Axilla with Knee Extension: Long-Axis Distraction" technique uses the patient’s axilla as the contact point.
The "Hypothenar/Distal Clavicle with Distraction; Anterior-to-Posterior Glide" technique utilizes the anterior aspect of the proximal clavicle as the contact point.
The "Covered Thumb/Proximal Clavicle; Superior-to-Inferior Glide" technique applies a superior-to-inferior vector to correct superior misalignment of the distal clavicle.
In the "Covered Thumb/Proximal Clavicle with Knee Extension; Inferior-to-Superior Glide" technique, the patient is positioned supine with the arm abducted.
The "Digital/Proximal Clavicle with Distraction; Posterior-to-Anterior Glide" technique requires the patient to be supine.

Summary of Correctives

The primary stabilization point for the "Digital/Distal Clavicle with Distraction; Posterior-to-Anterior Glide" technique is the patient’s manubrium.
The "Web/Distal Clavicle; Superior-to-Inferior Glide" technique corrects superior misalignment of the distal clavicle.
The "Digital/Proximal Clavicle with Distraction; Posterior-to-Anterior Glide" technique applies a posterior-to-anterior vector to address cranially directed misalignment.
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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Description

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.