Shoulder complex is made up of which four jts
-GH
-SC
-AC
-ST (not real jt)
GH jt feats
RP:
CPP:
CP:
degrees of func.:
RP: 30-60 abd, 30 flex, slight IR
CPP: full abd and ext ROT (jt mob notes say 90 abd and full ER)
CP: ER>ABD>IR
degrees of func.: 3; flex/ext, IR/ER, abd/add
art surfaces and concave convex rule of GH
concave glenoid fossa and convex head of humerus so roll and glide in opposite directions
arthrokin at GH w/ mvmts:
-flex/ext:
-abd:
-IR:
-ER:
-hor. add:
-horizontal abd:
-flex/ext: spin
-abd: INF glide
-IR: post glide
-ER: ant glide
-hor. add: post glide
-horizontal abd: ant glide
how to perform axial traction of GH
-clt supine
-arm as close to RP as possible (30-60 abd, 30 flex, slight IR)
-stabilize scap. w/ my fist against LAT border of scap
-other hand grasping their DIST radius and ulna
-may need towel tucked into my waistband for safe barrier
outcome of axial traction of GH
-increase overall ROM
-improve jt health
perform GH LAT distraction
-clt supine
-clt arm in RP
-grasp PROX humerus (basically in armpit), rest forearm against their ribcage for more strength and stability
-other hand grasps DIST/middle humerus w/ clt forearm/wrist squeezed against your hip/body w/ towel
GH LAT distraction accomplishes what
increase overall ROM
stretch capsule
improve jt health
perform GH POST glide
-clt supine
-folded towel under scap to create space for head of humerus to move posteriorly
-hold PROX humerus and mobilize HD posteriorly
-strength from center of palm going into center of humeral shaft
goal of POST glide of GH
increase IR and FLEX
perform POST glide @ 90 FLEX (axial POST glide)
-clt supine
-folded towel under scap creating room for head of humerus to move posteriorly
-clt arm flexed to 90, slightly IR and elbow flexed
-wrap palm around elbow, reinforce w/ other hand and chest (bodyweight)
how to increase IR, POST gliding when humerus nears 90 FLEX, and horizontal adduction
axial posterior glide
perform INF glide of the GH
-clt supine
-therapist at side of clt
-stabilize LAT border of scap w/ towel or hand
-grab DIST humerus at epicondyles (or DIST forearm) and mobilize INF
whats the most unstable/weak part of the GH capsule
INF aspect
goal of INF glide of GH
increase ABD (useful incases of impingement)
perform INF glide in 90 GH FLEX
-clt supine
-arm flexed 90 w/ elbow flexed
-therapist at head of clt
-hold DIST humerus w/ one hand
-use heel or web of other hand to grasp PROX humerus and mobilize INF
goal of INF glide in 90 GH flex
increase FLEX and ABD (useful in cases of impingement)
perform ANT glide
-clt prone w/ arm off side of table
-rolled towel to stabilize coracoid/clavicle
-hold elbow w/ one hand and palm of other on PROX POST humerus
-mobilize ANT
goal of ANT glide of humerus
increase ER
