Wrist and elbow joint mobilizations 5 techniques

I shot a video, using a "healthy" non-patient, which demonstrates some of the techniques I use to increase specific ranges of motion at the wrist and elbow. Below is a brief explanation of each of the techniques:

1. To increase wrist flexion and radial deviation, a MWM is applied placing pressure dorsally and medially to the scaphoid by the PT's distal 2nd metacarpal as flexion and slight radial deviation are imparted.

2. To increase wrist flexion and ulnar deviation, a MWM is applied placing pressure dorsally and laterally to the lunate and triquetrum by the PT's digits as flexion and slight ulnar deviation are imparted.

3. To increase supination at the distal radioulnar joint, the patient's wrist is placed in supination end ROM. One hand then stabilizes the ulna using a lumbrical/thenar grip while the radius is dorsally glided by the other hand using a similar grip where the thenar eminences are in contact with the volar surface of the wrist.

4. To increase pronation at the distal radioular joint, the patient's wrist is placed in pronation end ROM. One hand then stabilizes the ulna using and lumbrical/thenar grip while the radius is glided in a volar direction by the other hand using a similar girp where the thenar eminences are in contact with the dorsal surface of the wrist.

5. To increase movement, presumably for supination and elbow flexion/extesion, at the proximal radioulnar and humeroradial joints, the patient's forearm is placed in supination and elbow flexion in or near loose packed position. The hand and forearm are placed such that they may rest passively and the elbow/humeroulnar joint is stabilized as shown cradling the olecranon process for comfort. A volar to dorsal force is then applied to the proximal radius using a lumbrical/thenar grip as shown.

Category:

Education

Tags:

• physical therapy
• joint mobilization
• manual therapy techniques

[slaskypt]

Sorry about the lack of audio, this project was not originally intended for this forum. I hope the written explanations of each technique are descriptive enough to follow.

[Procrastinater09]

@slaskypt I was wondering if anterior glide of humeroradial joint increases flexion or extension? Aparently my notes say flexion, but I think its wrong. The moving bone is the head of radius so I must do the opposite direction to increase what i want.

[hotxblua]

I'm massage therapist. I'd like to see more.