Elbow有三個關節：
- Humeroulnar Joint (最大）: Major
- Humeroradial Joint
- Proximal Ulnoradial Joint
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
全站熱搜
留言列表
