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horizontal
plane
Indications
Patient Position
Glenohumeral
Distraction
Glenohumeral Caudal
Glide in Resting
Position
To increase abduction
(sustained grade III); to
reposition the
humeral head if
superiorly positioned.
Glenohumeral Caudal
Glide (Long Axis
Traction)
Glenohumeral Caudal
Glide
To increase abduction.
Supine
Glenohumeral
Elevation Progression
(Fig. 5.17)
To increase elevation
beyond 90 of
abduction.
sitting,
Supine or sitting, with
the arm abducted and
externally
Resting position.
shoulder abducted 55o
horizontally
adducted 30o
rotated
Therapist
Treatment plane.
glenoid fossa
and moves with the
scapula as it rotates.
stabilization.
scapula with a
belt or have an
assistant help
Hand Placement
Mobilizing
Force
move the
humerus la ally
G:distal to
the acromion
process.
caudal glide
hand around the
arm, pulling
caudally as you
shift your body
weight inferiorly.
G: proximal
humerus inferior
direction
proximal
humerus, glide
the humerus
in a progressively
anterior direction
distraction
force.
Glenohumeral
Anterior Glide,
Resting Position
To increase extension; to
increase external
rotation.
against the
inferior
folds of the
capsule in the
axilla.
G: humeral head
in an anterior
and slightly
medial direction.
To increase external
rotation.
Distraction
progression: shoulder
in resting
position; externally
rotate the humerus
(D:gr3)
Elevation progression
incorporates
end-range external
rotation.
Acromioclavicular
Joint
Anterior Glide of
Clavicle on Acromion
Indication.
To increase mobility of
the joint.
Stabilization.
Fixate the scapula
with your more lateral
hand around the
acromion process.
Sitting
prone.
Sternoclavicular Joint
Sternoclavicular
Posterior Glide and
Superior
Glide
Sternoclavicular
Anterior Glide and
Caudal
(Inferior)
Scapulothoracic SoftTissue
Mobilization
Joint surfaces.
Treatment plane.
proximal articulating
surface of the
clavicle is convex
superiorly/inferiorly and
concave anteriorly/
posteriorly with an
articular disk between it
and the manubrium
of the sternum.
Posterior glide: increase
retraction
superior glide: increase
depression of the
clavicle
For
protraction/retraction,
the treatment
plane : clavicle.
elevation/depression,t
reatment
plane:manubrium
thumb on the anterior
surface of the proximal
end of the clavicle.
Flex your index finger
and place the middle
phalanx along
the caudal surface of
the clavicle to support
the thumb.
Anterior glide to
increase protraction;
caudal glide to increase
elevation of the clavicle.
patient
prone and progress to
side-lying
therapist
patient
facing you.
S: weight of the
patients arm by draping
it over your inferior arm
and allowing it to hang
H: across the
acromion process
h:, scoop under the
medial
border and under the
inferior angle of the
scapula
Posterior glide:
Push with your
thumb in a
posterior
direction.
Superior glide:
Push with your
index finger in a
superior
direction
Anterior glide: lift
the clavicle
anteriorly with
your fingers
and thumb.
Caudal glide:
press the clavicle
inferiorly with
your fingers.
Move the scapula
in the desired
direction
by lifting from
the inferior angle
or by pushing on
the
acromion
process.
Humeroulnar
Articulation
Humeroulnar
Distraction and
Progression
convex trochlea
articulates with the
concave olecranon
fossa
indications
Testing; initial treatment
(sustained grade II); pain
control
(grade I or II oscillation);
Resting position.
Elbow is flexed 70,
and forearm is
supinated 10.
Patient Position
Supine, with the
elbow over the edge
of the treatment table
or supported with
padding just proximal
to the olecranon
process
Rest the patients
wrist against your
shoulde
Humeroulnar Distal
Glide
To increase flexion.
Humeroulnar Radial
Glide
To increase varus
Humeroulnar Ulnar
Glide
To increase valgus
Treatment plane.
olecranon
fossa, angled
approximately 45 from
the long axis of the ulna
Hand Placement
end-range
flexion,:fingers of your
medial hand over the
proximal ulna on the
volar surface
endrange
extension: place the
base of your proximal
hand over the proximal
portion of the ulna and
support the
distal forearm with your
other hand.
H: fingers of your
medial hand over the
proximal ulna on the
volar surface;
reinforce it with your
other hand.
Stabilization.
humerus against the
treatment
table with a belt or use
an assistant to hold it.
Mobilizing Force
Apply force against the
proximal ulna at a 45
angle to the
shaft of the bone.
Humeroradial
Articulation
convex capitulum
articulates with the
concave radial
head (
stabilization).
Resting position.
Elbow is extended,
and forearm is
supinated to the end
of the available range.
indication
To increase mobility of
the humeroradial joint;
to manipulate
a pushed elbow
(proximal displacement
of the radius).
Dorsal glide head of the
radius to increase elbow
extension;
volar glide to increase
flexion.
patient
Supine or sitting, with
the arm resting on the
treatment
table.
Humeroradial
Compression
Sitting or supine.
Proximal Radioulnar
Joint
Humeroradial
Distraction
Humeroradial
Dorsal/Volar Glides
Proximal Radioulnar
indication
Dorsal glide to increase
Treatment plane.
The treatment plane is
in the concave
radial head
perpendicular to the
long axis of the radius.
therapist
ulnar side of the
patients forearm
so you are between the
patients hip and upper
extremity.
Resting position.
The elbow is flexed
70 and the forearm
supinated 35
patient
Treatment plane.
The treatment plane is
in the radial notch
of the ulna, parallel to
the long axis of the
ulna.
therapist
Stabilization.
Fixate the humerus with
one of your hands.
radial head
extend the
patients wrist,
push against the
thenar eminence,
and compress
the long axis of
the radius
while supinating
the forearm
Dorsal/Volar Glides
Distal Radioulnar
Joint
Distal Radioulnar
Dorsal/Volar
GlidesDistal
Radioulnar
Dorsal/Volar Glides
Radiocarpal Joint
Radiocarpal
Distraction
Radiocarpal Joint:
General Glides
and Progression
To increase flexion; to
volarly or
dorsally by
pushing with
your palm or
pulling with your
fingers
To increase extension; to
increase external
rotation.
Tibiofemoral
Articulations
Tibiofemoral
Posterior Glide
to increase flexion
Tibiofemoral
Posterior Glide:
Alternate
Positions and
Progression
Tibiofemoral Anterior
Glide
To increase extension.
Talocrural Dorsal
(Posterior) Glide
To increase dorsiflexion
Talocrural Ventral
(Anterior) Glide
To increase
plantarflexion.
patient is side-lying or
prone, with the leg
supported on
the table or with a
towel roll.
Extend your
elbow and lean
your body weight
onto the
tibia, gliding it
posteriorly.
Intertarsal and
Tarsometatarsal
Plantar Glide
increase plantarflexion
accessory motions
(necessary for
supination).
laterally to cause a
medial glide.
Wrap the fingers
around the plantar
surface.
Place
the proximal hand on
the dorsum of the foot
with the fingers
pointing medially, so the
index finger can be
wrapped
around and placed
under the bone to be
stabilized
Place
the proximal hand on
the dorsum of the foot
with the fingers
pointing medially, so the
index finger can be
wrapped
around and placed
under the bone to be
stabilized
side of the
calcaneus
parallel to the
plantar surface
of the heel
Push the distal
bone in a plantar
direction from
the dorsum
of the foot.