Upper Extremity Treatment Protocols Flashcards

During ART treatment of the subscapularis, the practitioner applies tension while the patient moves the shoulder from internal rotation to which position?

Answer: External rotation

Subscapularis ART protocol moves the arm from internal rotation to external rotation, lengthening the muscle against the applied tension.

Which structure is targeted when treating Guyon's canal syndrome using ART at the wrist?

Answer: Ulnar nerve

Guyon's canal syndrome involves compression of the ulnar nerve as it passes through the canal at the wrist.

In ART, the 'pin and stretch' technique for the infraspinatus involves contacting the muscle belly and moving the arm from external rotation into which motion?

Answer: Internal rotation

Infraspinatus ART uses internal rotation to lengthen the muscle as the practitioner pins the tissue, releasing adhesions.

When treating thoracic outlet syndrome with ART, which scalene muscle is typically addressed when symptoms follow the C8-T1 distribution?

Answer: Anterior scalene

The anterior scalene compresses the lower brachial plexus trunk (C8-T1) and subclavian vein, making it the primary ART target for lower TOS.

Which position best isolates the flexor digitorum superficialis for ART treatment of finger flexor adhesions?

Answer: Wrist extended, MCP flexed, PIP passively extended

Extending the wrist while flexing the MCP and extending the PIP isolates the FDS by differentiating it from the FDP.

ART treatment of the pectoralis minor for shoulder impingement syndrome primarily addresses which secondary effect of the shortened muscle?

Answer: Anterior tilting and downward rotation of the scapula

A shortened pectoralis minor anteriorly tilts and downwardly rotates the scapula, reducing subacromial space and contributing to impingement.

Which ART protocol is specifically indicated for intersection syndrome, a condition affecting rowers and paddlers at the dorsal forearm?

Answer: Treating the APL and EPB at their crossing with ECRL and ECRB

Intersection syndrome occurs where the APL/EPB cross over the ECRL/ECRB, creating friction and adhesions treatable with ART.