By S. Giammatteo, et al.,
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Additional resources for Integrative Manual Therapy for the Upper and Lower Extremeties
Treatment of Type II Shoulder Joint Dysfunction 1. Palpate the muscle barrier at the greater tuberosity in prone or supine, for Extended Type II shoulder dysfunctions found in flex ion. Palpate the muscle barrier at the greater tuberosity in ptone or supine, for Flexed Type II shoulder dysfunctions found in extension. 2. Move the shoulder and arm passively to the interbarrier zone on all 3 planes to a 3-planar interbarrier zone. 3. For Flexed dysfunctions found in extension: Resist any movement of the shoulder.
Relax. Progress to next interbarrier zone. Repeat 3 repetitions. Re-assess. nd the wrisl. Palpat. rol gt,d. 01 the dislal 'Olpal row. RHisi any wrist mavemenl. nl 01 R"ed, Radial Devialed: "lend the wrist. Palpal. medial glide 01 the ,lSIal 'Olpal row. RHisi any wrist mavemenl. nl 01 Exlended, UlnOl Deviated: II" the wrisl. Palpate laleral glide 01 Ihe distal carpal row. Resist any wrist movement. Trealmenl 01 Exlended, Radial Devialed: II" Ihe wrisl. Palpal. medial glide 01 Ihe distal (arpel row.
When the cubital angle appears with lateral glide of the proximal radial head, the posi tional diagnosis is: Extended, Pronated. Trealmenl of ",nded, pronoled humeroulnor joinl. In neulrol foreorm, flex Ihe elbow. The (ubilol angle will appeor wilh a 10lerol glide of Ihe proximal rodial head. • • When the cubital angle appears with medial glide of the proximal radial head, the posi tional diagnosis is: Extended, Supinated. Resist: Elbow flexion or extension. 6 sec onds resistance, isometric, 5 grams force.