OT323L elbow/forearm IMT/goni/PM

elbow flex PM

• biceps

• brachialis

• bracioradialis

elbow ext PM

• triceps

• anconeus

forearm supination PM

• biceps

• supinator

forearm pronation PM

• pronator teres

• pronator quadratus

elbow flex goni

0-135

• client sitting

• arm to side ext forearm in neutral

• open the goni all the way

• fulcrum at lat epi of ulna

• stable arm at midline of lat surface of hum

• moveable arm moves with arm as it goes into flex

elbow ext goni

135-0

• client sitting

• arm is in flex and forearm supinated

• fulcrum on lat epi of hum

• stable arm midline of hum

• moving arm midline of radius

• extend arm and move goni with it

forearm supination goni

0-90

• client sitting

• arm at side 90 degrees and forearm in neutral

• hold goni fully opened aka 0 degrees

• client moves into supination and goni follows

forearm pronation goni

0-90

• client sitting

• arm at side 90 degrees and forearm in neutral

• hold goni fully opened aka 0 degrees

• client moves into pronation and goni follows

biceps IMT

AGAINST GRAV

• client sitting with arm in 90 degrees to side with palm up

• stabilize humerus

• client goes into flex

• resist at forearm push down

GRAV ELIMINATED

• client sitting with arm in 90 degrees to side with palm up

• stabilize humerus

• hold arm

• move into flex

• go again and palpate bicep

brachialis IMT

AGAINST GRAV

• client sitting up with arm in 90 degrees to side with palm down

• stabilize humerus

• client moves to flex

• resist at forearm push down

GRAV ELIMINATED

• client sitting up with arm in 90 degrees to side with palm down

• stabilize humerus

• hold arm

• client moves to flex

• go again and palpate medial side

brachioradialis IMT

AGAINST GRAV

• client sitting with arm in 90 degrees to side with forearm in neutral

• stabilize at humerus

• client moves into flex

• resist at forearm push down

GRAV ELIMINATED

• client sitting with arm in 90 degrees to side with forearm in neutral

• stabilize at humerus

• hold arm

• client moves into flex

• go again and feel lateral side

triceps/anconeous IMT

AGAINST GRAV

• client on back

• arm in flex hand touching shoulder (forearm in supination)

• stabilize at humerus

• client moves into ext

• push forearm down

GRAV ELIMINATED

• client sitting

• arm flex neutral forearm

• stabilize and hold arm at humerus

• move into ext

• go again and palpate

supinator IMT

AGAINST GRAVITY

• client sitting arm in 90 degree to side forearm pronation

• stabilize at humerus

• client moves into supination

• resist towards pronation

GRAV ELIMINATED

• client sitting arm in 90 degrees to side forearm pronation

• stabilize humerus

• hold arm

• move into supination

• go again palpate

pronator teres IMT

AGAINST GRAVITY

• client sitting arm out to side and flexed forearm supinated

• stabilize humerus

• client moves into pronation

• resist toward supination

GRAV ELIMINATED

• client sitting arm out to side and flexed forearm supinated

• stabilize at humerus

• hold arm move into pronation

• do again palpate

pronator quadratus IMT

AGAINST GRAV

• client sitting arm to side elbow flexed forearm supinated

• stabilize humerus

• client goes into pronation

• resist towards supination

GRAV ELIMINATED

• client sitting arm out to side and flexed forearm supinated

• stabilize at humerus

• hold arm move into pronation

• TOO DEEP TO PALPATE