Mobilization Techniques for Radiocarpal and Ulnocarpal Joints

22 Questions

What is the primary goal of mobilization in the humeroulnar joint?

Increase humeroulnar joint play

In which position is the patient placed for humeroulnar joint mobilization?

Supine with the arm at 70-degree flexion

What is the contraindication for mobilization in the GH joint?

History of anterior GH joint dislocation

What is the action of the mobilizing hand in humeroulnar joint mobilization?

Distracts ulna caudally away from humerus

What is the purpose of using a towel roll in self-mobilization of the humeroulnar joint?

To distract the ulna from the humerus

Which joints can be mobilized using dorsal and ventral glides?

Humeroradial and superior radioulnar joints

What is the purpose of the humeroradial mobilization?

To increase elbow extension

In the superior radioulnar mobilization, which direction does the mobilizing hand glide the radius?

Dorsally and ventrally

What is the purpose of the distal radioulnar joint mobilization?

To increase forearm pronation and supination

In the distal radioulnar joint mobilization, which bone is mobilized?

Ulna

What is the purpose of the ulomeniscotriquetral joint mobilization?

To produce small gains into pronation and supination

In the ulomeniscotriquetral joint mobilization, which bone is mobilized?

Triquetrum

What is the position of the patient during the distal radioulnar joint mobilization?

Supine or seated

What is the direction of the mobilizing hand in the superior radioulnar mobilization to increase supination?

Ventral

What is the primary purpose of the radiocarpal joint distraction technique?

To increase joint play at the radiocarpal joint

In what position should the wrist joint be placed during the radiocarpal joint distraction technique?

Slight flexion

How does the therapist hold the distal forearm during the radiocarpal joint distraction technique?

From the dorsal side

What is the purpose of the ulnocarpal joint mobilization technique?

To increase range of forearm pronation and supination

How does the therapist hold the proximal row of carpal bones during the radiocarpal joint dorsal/palmar glide technique?

With the thumb and index finger from the dorsal side

What is the effect of the radiocarpal joint dorsal glide technique on wrist motion?

It increases wrist extension

What is the direction of the mobilizing hand during the radiocarpal joint radial/ulnar glide technique?

Radially or ulnarly

What is the primary hand responsible for during the radiocarpal joint distraction technique?

Holding the distal forearm

Study Notes

Radiocarpal Joint Mobilization

Uses: increase joint play at radiocarpal joint, and overall ROM at wrist joint
Patient position: supine, standing or seated, forearm pronated, wrist joint in resting position (slight flexion)
Therapist position: stabilizing hand grasps distal forearm, mobilizing hand grasps proximal row of carpal bones
Mobilization: stabilizing hand holds distal forearm, mobilizing hand tractions proximal carpal bones distally away from forearm

Radiocarpal Joint Dorsal/Palmar Glides

Uses: increase joint play at radiocarpal joint, increase wrist flexion with dorsal glide, wrist extension with palmar glide
Patient position: supine, standing or seated, forearm pronated, wrist joint in resting position (slight flexion)
Therapist position: stabilizing hand grasps distal forearm, mobilizing hand grasps proximal row of carpal bones
Mobilization: stabilizing hand holds distal forearm, mobilizing hand tractions joint open GR. 1, mobilizing hand then glides proximal carpal row dorsally or ventrally

Radiocarpal Joint Radial/Ulnar Glides

Uses: increase joint play at radiocarpal joint
Patient position: supine, standing, or seated, forearm pronated, wrist joint in resting position (slight flexion)
Therapist position: stabilizing hand grasps distal forearm, mobilizing hand grasps proximal row of carpal bones
Mobilization: stabilizing hand holds distal forearm, mobilizing hand tractions joint opens Gr 1, mobilizing hand then glides proximal carpal row radially or ulnarly

Humeroradial Joint Mobilization

Uses: dorsal glide of radius on humerus increases elbow extension, ventral glide of radius on humerus increases elbow flexion
Patient position: supine, standing, or seated
Therapist position: standing at side of table, facing head of table, stabilizing hand positioned over front of elbow region to hold distal humerus and proximal ulna, mobilizing hand grasps proximal radius
Mobilization: stabilizing hand holds humerus and ulna in position, mobilizing hand glides proximal radius dorsally and ventrally

Superior Radioulnar Joint Mobilization

Uses: dorsal glide of radius on ulna increases pronation, ventral glide on radius on ulna increases supination
Patient position: supine or seated
Therapist position: at patient’s side, facing the joint, stabilizing hand grasps distal radius, mobilizing hand grasps proximal ulna
Mobilization: stabilizing hand holds distal radius in position, mobilizing hand glides proximal ulna dorsally or ventrally

Distal Radioulnar Joint Mobilization

Uses: increase joint play at distal radioulnar joint, increase range of forearm pronation and supination
Patient position: supine or seated, joint in resting position (10 degrees supination)
Therapist position: at patient’s side, facing the joint, stabilizing hand grasps distal radius, mobilizing hand grasps distal ulna
Mobilization: stabilizing hand holds distal radius in position, mobilizing hand glides distal ulna ventrally to increase supination, or dorsally to increase pronation

Ulnomeniscotriquetral Joint Mobilization

Uses: increase joint play at ulnocarpal joint, increase range of forearm pronation and supination
Patient position: supine or seated
Therapist position: stabilizing hand grasps distal ulna, mobilizing hand grasps triquetrum
Mobilization: stabilizing hand holds distal ulna in position, mobilizing hand glides triquetrum ventrally to increase supination, or dorsally to increase pronation

Humeroulnar Joint Mobilization

Uses: increase humeroulnar joint play
Patient position: supine, humeroulnar in resting position (70 degree flexion)
Therapist position: at patient’s side, facing head of table, stabilizing hand supports dorsum of distal forearm, mobilizing hand grasps proximal ulna
Mobilization: mobilizing hand distracts ulna caudally away from humerus

Learn about the mobilization techniques used to increase joint play at the ulnocarpal joint and range of forearm pronation/supination, as well as distraction at the radiocarpal joint. Understand the patient and therapist positions required for these techniques.

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