Download Joint Mobilization/Manipulation. Extremity and Spinal by Susan L. Edmond, P.T., D.Sc., O.C.S. (Auth.) PDF

By Susan L. Edmond, P.T., D.Sc., O.C.S. (Auth.)

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5. The mobilizing/manipulating hand is positioned over the posterior surface of the proximal humerus. 6. The guiding hand supports the upper limb from the anterior side of the distal humerus. Procedure 1. The clinician applies a grade I traction to the joint. 2. The mobilizing/manipulating hand glides the humerus in an anterior direction. 3. The guiding hand controls the position of the humerus (see Fig. 3-5). Particulars 1. The clinician should use caution in performing this technique because this motion might be hypermobile.

The clinician should use caution in performing this technique because this motion might be hypermobile. qxd 3/30/06 8:59 AM Page 60 60 CHAPTER 3 FIG. 3-12. Inferior glide. INFERIOR GLIDE (Fig. 3-12) Purpose • • • • • To examine for sternoclavicular joint impairment To increase accessory motion into sternoclavicular inferior glide To increase range of motion at the shoulder complex To decrease pain To improve periarticular muscle performance Positioning 1. 2. 3. 4. The patient is supine with the arm resting at the side.

The mobilizing/manipulating hand is positioned with the thumb over the thumb of the guiding hand. The guiding hand is positioned with the thumb over the inferior surface of the clavicle about 3 cm lateral to the most medial surface. Procedure 1. The mobilizing/manipulating hand glides the clavicle in a superior direction. 2. The guiding hand controls the position of the mobilizing/manipulating hand (see Fig. 3-11). Particulars 1. The clinician should use caution in performing this technique because this motion might be hypermobile.

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