Glenohumeral Lab 2.pdf

Bimanual thumb thenar grasp/proximal humerus with knee extension; posterior-to-anterior glide (Figure 6-55) PP: Prone affected arm in slight abduc on (thumb points anteriorly) guarding breast ssue. DP: Straddling the affected arm CP: Bilateral thumbs and thenar SCP: Proximal Humerus- stay off humeral h...

Bimanual thumb thenar grasp/proximal humerus with knee extension; posterior-to-anterior glide (Figure 6-55) PP: Prone affected arm in slight abduc on (thumb points anteriorly) guarding breast ssue. DP: Straddling the affected arm CP: Bilateral thumbs and thenar SCP: Proximal Humerus- stay off humeral head Vec/LOD: P-A P: Provide distrac on with your knees while applying a anterior impulse with both hands. Bimanual thumb thenar grasp/proximal humerus; mobiliza on with distrac on (Figure 6-56) PP: Prone with affected arm in abduc on (less than 90 degrees)and hanging off the side of the table guarding breast ssue. DP: Standing straddling affected arm at SOT CP: Bilateral thumbs and thenar SCP: Proximal Humerus- stay off humeral head Vec/LOD: Circumduc on P: Provide distrac on with your knees while moving the humerus away from you, cephald and caudal, in a figure 8 mo on Interlaced digital/proximal humerus; superior-to-inferior glide in flexion (Figure 6-57) PP: Standing with affected arm flexed to 90 degrees (not like the pic in B & P that doc is jamming the shoulder) with pa ent’s humerus parallel to the ground and elbow fully flexed. Ask the pa ent to guard breast ssue. If the pa ent is too tall, have the pa ent widen their stance or go into a fencer’s stance (If the pa ent is taller than the doc). If the doc is too tall, they may widen their stance so that they are at the same level as the pa ent. On the prac cal exam do not have the pa ent seated for full credit. DP: In front of the pa ent on the affected side with pa ent’s elbow on your inside shoulder. CP: Interlaced fingers SCP: Proximal Humerus- stay off humeral head Vec/LOD: S-I P: Back away from the pa ent top distract the joint while applying a downward pressure with hands to remove ar cular slck. Thrust with an impulse S-I. Interlaced digital proximal humerus; superior-to-inferior glide in abduc on (Figure 6-58) PP: Standing with affected arm abducted to almost 90 degrees or less (definitely less than 90 degrees) and the elbow fully flexed. Ask the pa ent to guard breast ssue. If the pa ent is too tall, have the pa ent widen their stance or go into a fencer’s stance (If the pa ent is taller than the doc). If the doc is too tall, they may widen their stance so that they are at the same level as the pa ent. On the prac cal exam do not have the pa ent seated for full credit. DP: At side of pa ent on the affected side with pa ent’s elbow on your shoulder ( the shoulder closest to the front of the pa ent) CP: Interlaced fingers SCP: Proximal humerus Vec/LOD: S-I P: Back away from the pa ent top distract the joint while applying a downward pressure with hands to remove ar cular slack. Thrust with an impulse S-I. Reinforced palmar/olecranon; anterior-to-posterior glide (Figure 6-59) PP: Pa ent seated with arm flexed 90 degrees (NO Abduc on) guarding breast ssue (just in case your contact slips). DP: Stand behind the pa ent with your sternum blocking the pa ent’s scapula on the involved side. CP: Olecranon process SCP: Interlaced fingers cupping the pa ent’s olecranon Vec/LOD: A-P P: Using both hands, remove ar cular slack and give a very quick and SHALLOW thrust primarily along the axis of the humerus.