Elbow有三個關節:

  • Humeroulnar Joint (最大): Major
  • Humeroradial Joint
  • Proximal Ulnoradial Joint

 ElbowAnatomy1  

Elbow的Arthrokinematics:  簡單的說
1. Humeroulnar Joint:
Elbow flexion時:ulna anterior glide; 同時會有accessory movement是ulna lateral glide產生Adduction
Elbow extension時:ulna posterior glide; 同時會有accessory movement是ulna medial glide產生Abduction.
2. Humeroradial Joint 和Proximal Ulnoradial Joint:
Elbow flexion時, radius 會anterior glide而產生 supination
Elbow extension時, radius 會posterior glide而產生 pronation
 
徒手手法示範
1. Elbow(Humeroulnar) Distraction:作Elbow鬆動手法前必做此手法
    
2.增加Elbow Flexion手法:
(1) Humeroulnar Joint: ulna anterior glide (Scoop),最常用
  

(2)Humeroulnar Joint: ulna lateral glide (少用),一般在end-range時還有點不舒服用
    
 
(3)Humeroradial & Proximal Ulnoradial Joint: radius anterior glide
   
3.增加Elbow Extension手法:
(1) Humeroulnar Joint: ulna posterior glide,用intermittent push不要產生疼痛ㄡ
  
 
(2)Humeroulnar Joint: ulna medial glide (少用)
   
 
(3)Humeroradial & Proximal Ulnoradial Joint: radius posterior glide
    
 
 
4. 病人自己做self-mobilization
(1) 增加Elbow Flexion
   
(2) 增加Elbow Extension
  
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