Regional Interdependence In Treatment Of The Elbow: Difference between revisions
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== <br> I.Treatment techniques == | == <br> I.Treatment techniques == | ||
*Lateral epicondylitis | *[[Lateral_Epicondylitis|Lateral epicondylitis]] | ||
Cervical (link to spot within this page) (Patients - Treatments - Video - References) | Cervical (link to spot within this page) (Patients - Treatments - Video - References) | ||
Line 17: | Line 17: | ||
Wrist (Patients - Treatments - Video - References) | Wrist (Patients - Treatments - Video - References) | ||
*Cubital tunnel | *[[Cubital_Tunnel_Syndrome|Cubital tunnel]] | ||
Carpal Mobilization (Patients - Treatments - Video - References) | Carpal Mobilization (Patients - Treatments - Video - References) | ||
*Radial Nerve entrapment | *[[Nerve_entrapment|Radial Nerve entrapment]] | ||
Median and Radial Nerve mobilization (Patients - Treatments - Video - References) | Median and Radial Nerve mobilization (Patients - Treatments - Video - References) |
Revision as of 04:51, 12 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]
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)
Carpal Mobilization (Patients - Treatments - Video - References)
Median and Radial Nerve mobilization (Patients - Treatments - Video - References)
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 for lateral epicondylagia[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
Cervico-Thoracic Manipulation Technique for lateral epicondylagia[edit | edit source]
- Non-thrust grade III and IV PPIVM and PAVM directed at impaired segment
Done in combination the following:
- Stretching wrist extensors strengthening wrist and forearm and mobilizations of elbow/wrist
CT Manip Video
Thoracic Manipulation for lateral epicondylagia
[edit | edit source]
- Fill me in!
Wrist Manipulation for lateral epicondylagia
[edit | edit source]
Carpal Mobilization for Cubital Tunnel Syndrome[edit | edit source]
- Patient seated
- Physical Therapist stabilizes patient's hamate palmarly
- Dorsally Physical therapist palpates triquetral bone with thumbs stacked on one another
- Patient instructed to lean back to provide traction on carpals
- Wrist flexion maintained and HVLA thrust to triquetral palmarly
Nerve Mobilization for Radial or Medial Nerve Entrapment[edit | edit source]
- Patient supine, placed in ULTT positions for radial or median nerve
- Flex/Extend patients elbow while in test positions
- Extend elbow about 2 seconds into range
- Tension felt/ no pain
- Flex elbow to point of no tension
- Repeat 6-7 times