GHJ PRONE
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Questions and Answers

In the Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension technique, what is the position of the patient?

  • Lateral decubitus
  • Prone (correct)
  • Supine
  • Sitting
  • What is the direction of the thrust in the Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension technique?

  • Caudal
  • Anterior to posterior
  • Posterior to anterior (correct)
  • Cephalad
  • What is the purpose of the knees in the Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension technique?

  • To position the patient's shoulder
  • To hold the patient's arm
  • To provide slight distraction (correct)
  • To apply the thrust
  • What is the indication for the Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension technique?

    <p>Loss of P-A accessory movements</p> Signup and view all the answers

    In the Bimanual Thumb Thenar Grasp/Proximal Humerus; Mobilization with Distraction technique, what type of motion is used?

    <p>Circumduction</p> Signup and view all the answers

    What is the direction of the distraction in the Bimanual Thumb Thenar Grasp/Proximal Humerus; Mobilization with Distraction technique?

    <p>Long axis of the humerus</p> Signup and view all the answers

    In the Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension technique, the clinician stands at the foot of the table.

    <p>False</p> Signup and view all the answers

    The Bimanual Thumb Thenar Grasp/Proximal Humerus; Mobilization with Distraction technique is used to treat intercapsular adhesions.

    <p>True</p> Signup and view all the answers

    In the Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension technique, the clinician's thumbs are placed on the anterior aspect of the humerus.

    <p>False</p> Signup and view all the answers

    The patient lies in the supine position during the Bimanual Thumb Thenar Grasp/Proximal Humerus; Mobilization with Distraction technique.

    <p>False</p> Signup and view all the answers

    The Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension technique involves a circumduction motion.

    <p>False</p> Signup and view all the answers

    The Bimanual Thumb Thenar Grasp/Proximal Humerus; Mobilization with Distraction technique is used to treat loss of P-A accessory movements.

    <p>False</p> Signup and view all the answers

    What is the primary focus of the clinician's grasp in the Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension technique?

    <p>The proximal humerus</p> Signup and view all the answers

    What is the purpose of the clinician's knees in the Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension technique?

    <p>To hold the patient's arm in place</p> Signup and view all the answers

    In which direction is the impulse thrust applied in the Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension technique?

    <p>Posterior to anterior</p> Signup and view all the answers

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

    <p>Intercapsular adhesions</p> Signup and view all the answers

    How does the clinician move the humerus in the Bimanual Thumb Thenar Grasp/Proximal Humerus; Mobilization with Distraction technique?

    <p>In a figure-8 motion</p> Signup and view all the answers

    What is the position of the patient's arm during the Bimanual Thumb Thenar Grasp/Proximal Humerus; Mobilization with Distraction technique?

    <p>Hanging down and off the side of the table</p> Signup and view all the answers

    Study Notes

    Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension; Posterior-to-Anterior Glide

    • Indication: Loss of posterior-to-anterior (P-A) accessory movements or posterior misalignment of the humerus
    • Patient position: Prone, with involved arm in slight abduction and glenohumeral joint off the edge of the table
    • Therapist position: Stand at the side of the table, straddling the patient's affected arm, with epicondyles held between knees
    • Sternum or contact point: Proximal humerus
    • Hand positioning: Thumbs together in the midline, grasping the proximal humerus
    • Vector: Posterior-to-anterior (P-A)
    • Procedure: Provide slight distraction with knees, apply an impulse thrust posteriorly to anteriorly with both hands

    Bimanual Thumb Thenar Grasp/Proximal Humerus; Mobilization with Distraction

    • Indication: Intercapsular adhesions and mobilization of the shoulder
    • Patient position: Prone, with affected arm hanging down and off the side of the table
    • Therapist position: Kneel at the side of the table, facing the patient
    • Sternum or contact point: Proximal humerus
    • Hand positioning: Thumbs together on the posterior aspect of the humerus, fingers wrap around and into the axilla on the underside of the humerus
    • Vector: Circumduction
    • Procedure: Distract the glenohumeral joint in the long axis of the humerus, then move the humerus in a figure-8 motion, cephalad and caudal

    Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension; Posterior-to-Anterior Glide

    • Indication: Loss of posterior-to-anterior (P-A) accessory movements or posterior misalignment of the humerus
    • Patient position: Prone, with involved arm in slight abduction and glenohumeral joint off the edge of the table
    • Therapist position: Stand at the side of the table, straddling the patient's affected arm, with epicondyles held between knees
    • Sternum or contact point: Proximal humerus
    • Hand positioning: Thumbs together in the midline, grasping the proximal humerus
    • Vector: Posterior-to-anterior (P-A)
    • Procedure: Provide slight distraction with knees, apply an impulse thrust posteriorly to anteriorly with both hands

    Bimanual Thumb Thenar Grasp/Proximal Humerus; Mobilization with Distraction

    • Indication: Intercapsular adhesions and mobilization of the shoulder
    • Patient position: Prone, with affected arm hanging down and off the side of the table
    • Therapist position: Kneel at the side of the table, facing the patient
    • Sternum or contact point: Proximal humerus
    • Hand positioning: Thumbs together on the posterior aspect of the humerus, fingers wrap around and into the axilla on the underside of the humerus
    • Vector: Circumduction
    • Procedure: Distract the glenohumeral joint in the long axis of the humerus, then move the humerus in a figure-8 motion, cephalad and caudal

    Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension; Posterior-to-Anterior Glide

    • Indication: Loss of posterior-to-anterior (P-A) accessory movements or posterior misalignment of the humerus
    • Patient position: Prone, with involved arm in slight abduction and glenohumeral joint off the edge of the table
    • Therapist position: Stand at the side of the table, straddling the patient's affected arm, with epicondyles held between knees
    • Sternum or contact point: Proximal humerus
    • Hand positioning: Thumbs together in the midline, grasping the proximal humerus
    • Vector: Posterior-to-anterior (P-A)
    • Procedure: Provide slight distraction with knees, apply an impulse thrust posteriorly to anteriorly with both hands

    Bimanual Thumb Thenar Grasp/Proximal Humerus; Mobilization with Distraction

    • Indication: Intercapsular adhesions and mobilization of the shoulder
    • Patient position: Prone, with affected arm hanging down and off the side of the table
    • Therapist position: Kneel at the side of the table, facing the patient
    • Sternum or contact point: Proximal humerus
    • Hand positioning: Thumbs together on the posterior aspect of the humerus, fingers wrap around and into the axilla on the underside of the humerus
    • Vector: Circumduction
    • Procedure: Distract the glenohumeral joint in the long axis of the humerus, then move the humerus in a figure-8 motion, cephalad and caudal

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    Description

    This quiz assesses your understanding of the bimanual thumb thenar grasp and proximal humerus mobilization technique in physical therapy. Learn about the indications, contraindications, and proper execution of this technique.

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