By Susan L. Edmond, P.T., D.Sc., O.C.S. (Auth.)
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Additional info for Joint Mobilization/Manipulation. Extremity and Spinal Techniques
The glenohumeral joint is placed in the resting position if conservative techniques are indicated or approximating restricted range of motion if more aggressive techniques are indicated. 3. The clinician can use a belt to hold the patient’s scapula against the trunk, especially in the presence of scapulothoracic hypermobility or an increase in movement at the scapulothoracic joint with shoulder elevation. 4. The clinician is at the patient’s side facing the glenohumeral joint. 5. The clinician can support the patient’s forearm and hand by positioning them between the clinician’s upper arm and trunk.
A pillow should separate the patient’s chest from the clinician. Both hands are positioned with the fingertips over the vertebral border of the scapula. Procedure 1. Both hands glide the scapula in a lateral direction (see Fig. 3-10). Particulars 1. This is not a grade V manipulation technique. 2. The clinician should use caution in performing this technique because this motion might be hypermobile, especially among patients with posture impairments involving the shoulder. 3. This technique might be especially effective for increasing range of motion into scapulothoracic joint protraction, elevation, and lateral rotation.
Maitland GD: Vertebral Manipulation, 5th ed. London, Butterworth, 1986. 15. Matyas TA, Bach TM: The reliability of selected techniques in clinical arthrometrics. Aust J Physiother 1985;31:175-199. 16. Mootz RD, et al: Intra- and interobserver reliability of passive motion palpation of the lumbar spine. J Manip Physiol Therap 1989;12:440-445. 17. Binkley J, Stratford PW, Gill C: Interrater reliability of lumbar accessory motion mobility testing. Phys Ther 1995;75:786-795. 18. Keating J, et al: The effect of training on physical therapists’ ability to apply specified forces of palpation.
Joint Mobilization/Manipulation. Extremity and Spinal Techniques by Susan L. Edmond, P.T., D.Sc., O.C.S. (Auth.)