18 Questions
In the Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension technique, what is the position of the patient?
Prone
What is the direction of the thrust in the Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension technique?
Posterior to anterior
What is the purpose of the knees in the Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension technique?
To provide slight distraction
What is the indication for the Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension technique?
Loss of P-A accessory movements
In the Bimanual Thumb Thenar Grasp/Proximal Humerus; Mobilization with Distraction technique, what type of motion is used?
Circumduction
What is the direction of the distraction in the Bimanual Thumb Thenar Grasp/Proximal Humerus; Mobilization with Distraction technique?
Long axis of the humerus
In the Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension technique, the clinician stands at the foot of the table.
False
The Bimanual Thumb Thenar Grasp/Proximal Humerus; Mobilization with Distraction technique is used to treat intercapsular adhesions.
True
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.
False
The patient lies in the supine position during the Bimanual Thumb Thenar Grasp/Proximal Humerus; Mobilization with Distraction technique.
False
The Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension technique involves a circumduction motion.
False
The Bimanual Thumb Thenar Grasp/Proximal Humerus; Mobilization with Distraction technique is used to treat loss of P-A accessory movements.
False
What is the primary focus of the clinician's grasp in the Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension technique?
The proximal humerus
What is the purpose of the clinician's knees in the Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension technique?
To hold the patient's arm in place
In which direction is the impulse thrust applied in the Bimanual Thumb Thenar Grasp/Proximal Humerus with Knee Extension technique?
Posterior to anterior
What is the indication for the Bimanual Thumb Thenar Grasp/Proximal Humerus; Mobilization with Distraction technique?
Intercapsular adhesions
How does the clinician move the humerus in the Bimanual Thumb Thenar Grasp/Proximal Humerus; Mobilization with Distraction technique?
In a figure-8 motion
What is the position of the patient's arm during the Bimanual Thumb Thenar Grasp/Proximal Humerus; Mobilization with Distraction technique?
Hanging down and off the side of the table
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
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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