Elbow Manual Treatment Techniques

what does distraction of the ulna on the humerus improve?

flexion/extension

what does general radius distraction improve?

improves radial head mobility and reduces pain.

what do anterior glides of the radius on the ulna improve?

supination

what do posterior glides of the radius on the ulna improve?

pronation

what is lateral elbow mobilization with movement/mulligan mobilization?

technique consists of applying and sustaining a lateral humeroulnar accessory glide while the patient performs adn relaxes their painful action (ie gripping). if significant improvement in pain free grip is observed, repeat the technique for a total of 6 to 10 repetitions- a belt may be used to assist with the glide (placed just distal to the joint line)

what movement of the ulna (slight) occurs with extension?

pronates slightly

what movement of the ulna (slight) occurs with flexion?

supinates slightly

what is teh screw home mechanism that occurs with flexion/extension of the elbow?

conjunt rotation of the ulna occurs with flexion/extension. the ulnar externally rotates/supinates during elbow flexion and internally rotates (pronated) during elbow extension

what motions would be restricted with limitations in the proximal radioulnar joint?

supination = pronation

what motions would be limited with limtations in humeroulnar joint?

loss of flexion more so than extension

what motions may be limited with limitations in the humeroradial joint?

loss of flexion moreso than extension

what are the general techniques you can use for the elbow?

• stretching

• mobility

• isometrics

• eccentrics

• strengthening/muscle performance

• therapeutic activities and return to function

• cervical, shoulder, and wrist involvement

what are the general treatment guidelines for the elbow?

see image