Regional Interdependence In Treatment Of The Elbow: Difference between revisions
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== | == Cervical Thrust manipulation technique == | ||
*Patient supine with neck in nuetral | |||
*Physical therapist positions neck into rotation and contralateral flexion | |||
*High velocity low amplitude (HVLA) thrust manipulation directed superior and medial towards contralateral eye | |||
Cervical Thrust Manip Video | |||
== C. Treating Lateral Epicondylitis with Cervical Manipulation<br>1. Intervention Strategy <br>a.This cervical manipulation is directed at the C5-C6 vertebral level. The patient is in supine position with neck in a neutral position. The therapist applies contact over the posterolateral aspect of the zygapophyseal joint of C5 with their index finger. The therapist then moves the patient’s neck into ipsilateral flexion and contralateral rotation to the targeted segment. A high-velocity low-amplitude thrust manipulation is directed upward and medial in the direction of the subject’s contralateral eye. If an audible popping sound is not heard, the subject is repositioned and the procedure is repeated for a second time. <br> <br> 2. Outcomes of Cervical Manipulation <br>1. Manipulation at cervical spine created immediate increase in pressure pain thresholds in lateral epicondylitis.<br>2. Manipulation at cervical spine increased pain-free grip strength on affected side with lateral epicondylitis.<br>3. Cervical spine thrust manipulations have been shown to be superior to thoracic spine thrust manipulations in increasing pressure pain threshold and pain-free grip in those with lateral epicondylitis. 1 == | == C. Treating Lateral Epicondylitis with Cervical Manipulation<br>1. Intervention Strategy <br>a.This cervical manipulation is directed at the C5-C6 vertebral level. The patient is in supine position with neck in a neutral position. The therapist applies contact over the posterolateral aspect of the zygapophyseal joint of C5 with their index finger. The therapist then moves the patient’s neck into ipsilateral flexion and contralateral rotation to the targeted segment. A high-velocity low-amplitude thrust manipulation is directed upward and medial in the direction of the subject’s contralateral eye. If an audible popping sound is not heard, the subject is repositioned and the procedure is repeated for a second time. <br> <br> 2. Outcomes of Cervical Manipulation <br>1. Manipulation at cervical spine created immediate increase in pressure pain thresholds in lateral epicondylitis.<br>2. Manipulation at cervical spine increased pain-free grip strength on affected side with lateral epicondylitis.<br>3. Cervical spine thrust manipulations have been shown to be superior to thoracic spine thrust manipulations in increasing pressure pain threshold and pain-free grip in those with lateral epicondylitis. 1 == |
Revision as of 21:44, 2 November 2012
Regional Interdependence of manipulation on elbow pain[edit | edit source]
Definition: Treatment directed at one area of the body to ellicit changes in another[edit | edit source]
-in addition to treatment directed at the elbow, patients with elbow pain may benefit from treatment directed at the cervical or thoracic spine, elbow, and/or wrist.[edit | edit source]
I.Treatment techniques[edit | edit source]
- Lateral epicondylitis
Cervical (link to spot within this page) (Patients - Treatments - Video - References)
CT (Patients - Treaments - Video - References)
Thoracic (Patients - Treatments - Video - References)
Wrist (Patients - Treatments - Video - References)
- Cubital tunnel
Carpal Mobilization (Patients - Treatments - Video - References)
- Radial Nerve entrapment
Median and Radial Nerve mobilization (Patients - Treatments - Video - References)
II. Outcomes
[edit | edit source]
Pain |
Pain free Grip strength |
Pressure pain threshold | Disability | Perception of change | Global improvement | Max grip force | Carpal mobility | Elbow flexion test | |
Cervical | X | X | |||||||
CT | X | X | X | X | |||||
Throacic | X | ||||||||
Wrist |
X | X | X | X | X | ||||
Carpal mobilization | X | X | X | ||||||
Medain/Radial Nerve Mob | X | X |
Cervical Thrust manipulation technique[edit | edit source]
- Patient supine with neck in nuetral
- Physical therapist positions neck into rotation and contralateral flexion
- High velocity low amplitude (HVLA) thrust manipulation directed superior and medial towards contralateral eye
Cervical Thrust Manip Video