Bundle 5.3 Anterior Apprehension with Jobe Relocation

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5 Terms

1
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pt position

supine with scap on table with humeral head off table

2
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at position

at pt side

near hand under elbow

opposite hand on forearm

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procedure

  1. passively flex pt elbow 90 and abducts shoulder 90, observe for gaurding or facial apprehension and ask about instability

  2. place gentle ER force on shoulder, observing for the same

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Jobe relocation

when apprehension point is reached

apply posterior force to anterior humeral head with near hand

observes for apprehension s/s to diminish

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observe

shoulder guarding

facial apprehension

instability sensation