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Hand/Wrist Mobs

Wrist & Hand Mobilization Techniques

QuestionAnswer
Radiocarpal/Ulnocarpal Joint OPP Neutral with slight ulnar deviation
Radiocarpal/Ulnocarpal Joint CPP Full extension
Radio/Ulnocarpal Joint Orientation Radius & Ulna- caudal, ventral, ulnar Carpals- cranial, dorsal, radial
Radio/Ulnocarpal Joint Articular Surfaces Radius/ulna: concave Carpals: convex
Radio/Ulnocarpal Joint Capsular Pattern Limitation = in all directions
What motion is radio/ulnocarpal joint distraction good for gaining? Non-specific overall hand ROM, articular nourishment
What motion is radio/ulnocarpal joint dorsal glide good for gaining? Non-specific overall ROM, slight emphasis on flexion, good for articular nourishment
What motion is radio/ulnocarpal joint ventral/palmar glide good for gaining? Good for non-specific overall ROM with slight emphasis on extension, good for articular nourishment
What motion is radio/ulnocarpal joint radial glide good for gaining? Ulnar Deviation, articular nourishment
What motion is radio/ulnocarpal joint ulnar glide good for gaining? Radial Deviation, articular nourishment
Specific Manipulations for Scaphoid, Lunate, & Triquetrium for Restricted Extension Manipulating hand grips proximal carpal with thumb on dorsal suface, index finger on volar surface & manipulate volarly. -Scaphoid on radius -Lunate on radius -Triquetrium on disc
Specific Manipulations for Scaphoid, Lunate, & Triquetrium for Restricted Flexion Manipulate given carpal dorsally -Scaphoid on radius -Lunate on radius -Triquetrium on disc *Could reduce volar positional fault of lunate, when lunate manipulated dorsally on ulna
Proximal Row Intercarpal Manipulations -Scaphoid on dorsal/volar lunate -Triquetrium on dorsal/ventral lunate -Pisiform medial/lateral on triquetrium
Mid-Carpal Joint OPP Neutral or slight flexion with slight ulnar deviation
Mid-Carpal Joint CPP Full extension
Mid-Carpal Joint Orientation Proximal row: Caudal Distal row: Cranial
Mid-Carpal Joint Articular Surfaces Scaphoid/trapezium & trapezoid: Sellar Scaphoid: Convex ventral to dorsal (flex/ext); Concave radial to ulnar (rad/uln dev) Trapezium & Trapezoid: concave ventral to dorsal; convex radial to ulnar Scaphoid, lunate, triquetrium/capitate, hamate: Ovoid
Mid-Carpal Joint Articular Surfaces Scaphoid, Lunate, Triquetrium: Concave Capitate, Hamate: Convex
Mid-Carpal Joint Capsular Pattern of Restriction Limitation = in all directions
What motion is mid-carpal distraction good for gaining? Non-specific overall ROM, articular nourishment
What motion is mid-carpal dorsal glide good for gaining? Wrist flexion, articular nourishment
What motion is mid-carpal ventral glide good for gaining? Wrist extension, articular nourishment
What motion is mid-carpal radial glide good for gaining? Ulnar glide? Ulnar deviation Radial deviation
Specific Manipulation for Restricted Extension Stabilizing hand holds prox carpal while manipulating hand glides trapezium/trapezoid dorsally on scaphoid, capitate volarly on scaphoid, capitate volarly on lunate, hamate volarly on triquetrium
Specific Manipulation for Restricted Flexion Stabilizing hand holds prox carpal in place, manipulating hand glides trapezium & trapezoid volarly on scaphoid, capitate dorsally on scaphoid, capitate dorsally on lunate, hamate dorsally on triquetrium
Distal Row Intercarpal Manipulations Trapezoid dorsally & volarly on capitate; Hamate dorsally & volarly on capitate; Used to increase joint play b/t distal carpal row & increase articular cartilage nutrition
Distal Radioulnar Joint OPP 10 deg supination
Distal Radioulnar Joint CPP 5 deg supination
Distal Radioulnar Joint Orientation Radius- Medial Ulna- Lateral
Distal Radioulnar Joint Articular Surface Radius- Concave Ulna- Convex
Distal Radioulnar Joint Capsular Pattern of Restriction Pronation = Supination
Distal Radioulnar Joint- Dorsal Glide of Radius good for gaining what? Supination
Distal Radioulnar Joint- Ventral Glide of Radius good for gaining what? Pronation
Trapeziometacarpal (CMC) Joint OPP Midway b/t flexion & extension, & b/t abduction & adduction
CMC Joint CPP Full opposition
CMC Joint Orientation Trapezium: caudal, ventral, lateral 1st MC: cranial, dorsal, medial
CMC Joint Articular Surface Trapezium: convex radial to ulnar (flex/ext); concave dorsal to ventral (abd/add, dev) 1st MC: concave radial to ulnar (flex/ext); convex dorsal to ventral (abd/add, dev)
CMC Joint Capsular Pattern of Restriction Abduction > Extension
CMC Joint Distraction good for what? Gaining joint play in CMC joint & increasing overall ROM; articular nourishment
CMC Joint Dorsal Glide good for what? Gaining abduction
CMC Joint Volar/Palmar Glide good for what? Gaining adduction
CMC Joint Radial Glide good for what? Gaining extension
CMC Joint Ulnar Glide good for what? Gaining flexion
CMC Joints 2-5 OPP Midway b/t flexion & extension, slight ulnar deviation
CMC Joints 2-5 CPP Not described
CMC Joints 2-5 Joint Orientation Carpals: Caudal MC's: Cranial
CMC Joints 2-5 Type of Joint? Synovial
CMC Joints 2-5 articular surface Carpals: Convex MC's: Concave
CMC Joints 2-5 capsular pattern of restriction = in all directions
CMC Joints 2-5 distraction good for what? Gaining joint play in digits 2-5; movements in these joints are minimal, esp, in stable column of rays 2 & 3
CMC Joints 2-5 dorsal glide good for what? Gaining joint play; gaining wrist/finger extension
CMC Joints 2-5 volar glide good for what? Gaining joint play; gaining wrist/finger flexion
InterMC Joints 2-5 OPP Not described
InterMC Joints 2-5 CPP None; not synovial joint
InterMC Joints 2-5 Joint Orientation Medial MC's: Lateral; Lateral MC's: Medial
InterMC Joints 2-5 type of joint Synarthrosis
InterMC Joints 2-5 Articular Surface MC's III, MC IV ulnar border: Convex; MC II ulnar border, MC IV & V radial border: Concave
InterMC Joints 2-5 Capsular pattern of restriction None; not synovial joint
InterMC Joints 2-5 Dorsal glide good for what? gaining joint play in MC articulations; increase ROM for arch of hand
InterMC joints 2-5 ventral glide good for what? gaining joint play in MC articulations; increase ROM for arch of hand
MCP 1-5 OPP 1st MCP: slight flexion MCP's 2-5: slight flexion with slight ulnar deviation
MCP 1-5 CPP 1st MCP: full extension MCP's 2-5: full flexion
MCP 1-5 joint orientation Medial MC's: Lateral Lateral MC's: Medial
MCP 1-5 type of joint Synovial
MCP 1-5 articular surface MCPs: Convex Phalanges: Concave
MCP 1-5 capsular pattern of restriction Flexion > Extension
MCP 1-5 distraction Good for gaining joint play in MC articulations; Increase ROM for arch of hand
MCP 1-5 dorsal glide good for what? gaining joint play; Increase ROM into MCP extension
MCP 1-5 ventral glide good for what? gaining joint play; Increase ROM for MCC flexion
MCP 1-5 radial glide good for what? gaining joint play; increase ROM for MCP abduction of digits 1 & 2, radial and of digit 3, and adduction of digits 4-5
MCP 1-5 ulnar glide good for what? gaining joint play; increase ROM for MCP adduction of digits 1 & 2, ulnar abduction of digit 3, & abduction of digits 4 & 5
IP Joints 1-5 OPP PIP: 10 deg flexion DIP: 30 deg flexion
IP Joints 1-5 CPP Full extension
IP Joints 1-5 joint orientation Proximal phalanx: caudal Distal phalanx: cranial
IP Joints 1-5 type of joint Synovial
IP Joints 1-5 articular surface Proximal phalanx: Convex Distal phalanx: Concave
IP Joints 1-5 Capsular Pattern of Restriction Flexion > Extension
IP Joints 1-5 Distraction Good for gaining joint play in IP joints
IP Joints 1-5 Dorsal glide good for what? gaining joint play; IP joint extension
IP Joints 1-5 Ventral glide good for what? gaining joint play; IP joint flexion
Created by: 1190550002