Upper Extremity Treatment Protocols Flashcards

In ART, when treating the teres minor, the arm motion used to lengthen the muscle is:

Answer: External rotation to internal rotation

The teres minor externally rotates the shoulder, so ART moves from external to internal rotation to lengthen it against the applied tension.

During ART treatment of carpal tunnel syndrome, the practitioner contacts the flexor retinaculum and the patient moves the wrist and fingers from flexion to which position?

Answer: Full extension

Full extension of the wrist and fingers maximally lengthens the flexor tendons through the carpal tunnel, releasing adhesions under ART tension.

Which upper extremity nerve entrapment presents with weakness of the first dorsal interosseous and ART targets the adductor pollicis as a secondary muscle?

Answer: Cubital tunnel syndrome

Cubital tunnel syndrome (ulnar nerve) causes weakness of the first dorsal interosseous and adductor pollicis, both innervated by the ulnar nerve.

When performing ART on the deltoid for shoulder stiffness, the posterior deltoid fibers are lengthened by moving the arm into:

Answer: Horizontal adduction and internal rotation

Horizontal adduction with internal rotation lengthens the posterior deltoid fibers against the ART contact point.

In ART protocol for swimmer's shoulder, which structure is treated to address internal impingement at 90° abduction and maximal external rotation?

Answer: Infraspinatus and posterior superior labrum contact zone

Internal impingement in overhead athletes involves the infraspinatus undersurface and posterior superior labrum impinging on the greater tuberosity.

ART treatment of the brachioradialis for radial tunnel syndrome applies pressure to the muscle while the patient moves the forearm from supination to pronation with the elbow in which position?

Answer: 90° flexion

With the elbow at 90° flexion, brachioradialis is best isolated for ART as pronation combined with elbow extension would lengthen it optimally.

Which ART technique addresses the coracobrachialis for medial shoulder pain and coracoid impingement?

Answer: Shoulder extension with elbow extension

Shoulder extension with elbow extension lengthens the coracobrachialis from its coracoid origin to its mid-humeral insertion.