Vlog - Terapi Manual - Elbow - Dosen Afif - Physio Student

Summary

The transcript provides a detailed explanation of a physiotherapy technique for the forearm, focusing on flexion and extension movements. It describes how to use manual therapy to promote joint mobility, including flexion and extension from 0 to 90 degrees. Key anatomical landmarks like the ulna, radius, and olecranon are referenced to guide proper positioning and movement. The technique incorporates rolling and gliding motions alongside joint traction, with careful attention to the correct hand placements and directions for optimal results. This method is aimed at improving range of motion and relieving discomfort in the forearm joint.

Takeaways

• 😀 The movement involves both flexion and extension, requiring coordinated rolling and gliding of the bones, not just isolated motion.
• 😀 The ulna bone is concave, which is a key factor in understanding the joint movement and its range of motion.
• 😀 The first position is supine (lying down), which is used for achieving flexion beyond 90 degrees.
• 😀 The second position involves rolling and gliding in the direction of flexion and extension, respectively, ensuring proper joint congruence.
• 😀 When extending, the elbow should be moved from full flexion (90 degrees) to a neutral position with assistance if needed.
• 😀 The key to proper extension and flexion movements is using the olecranon (elbow's bony prominence) as a point of focus during motion.
• 😀 In flexion, rolling and gliding occur simultaneously, ensuring that the joint moves as a unit rather than independently.
• 😀 Fixation is necessary to prevent unwanted motion; stabilizing the distal arm while applying force in the desired direction is crucial.
• 😀 During the movement, be careful not to apply force to both bones (radius and ulna) simultaneously as this prevents effective traction.
• 😀 Proper palpation techniques, such as finding the ‘kapuradi’ (the distal radial head), are essential for guiding the movements effectively.

Q & A

What is the main focus of the mobilization technique discussed in the transcript?

The main focus is on the mobilization of the elbow joint, particularly involving the flexion and extension movements of the forearm, with emphasis on the ulna and radius bones during these movements.

Why is it important to perform both rolling and gliding motions during joint mobilization?

Both rolling and gliding motions are crucial because they help ensure smooth movement of the joint, promoting better mobility and range of motion. These motions work together to achieve a more effective and harmonious joint mobilization.

How does the hand placement play a role in the mobilization technique?

Hand placement is essential for controlling and guiding the movement. One hand stabilizes the forearm, usually around the ulna, while the other applies pressure to assist with the joint’s extension. Proper hand placement ensures that the movement is directed appropriately and prevents unnecessary strain on the bones.

What anatomical landmarks are mentioned as important during the mobilization process?

The key anatomical landmarks mentioned are the **olecranon** (the bony prominence at the elbow) and **caput radii** (the radial head). These landmarks help in guiding the hand placement and ensuring that the right parts of the joint are being manipulated.

What is the role of the ulna in the mobilization technique?

The ulna plays a primary role in the mobilization technique, especially during the flexion and extension motions. The movement is focused on the ulna to ensure that the joint mobilization is effective, and care is taken to avoid direct pressure on the radius.

Why is the patient positioned in a supine position for this technique?

The supine position allows the forearm to be positioned properly for effective manipulation of the elbow joint, enabling better control over the flexion and extension motions during the mobilization process.

How should the practitioner avoid improper traction during the technique?

To avoid improper traction, the practitioner should not grip both bones too tightly. Instead, they should focus on gently applying pressure to the soft tissue, ensuring that the movement is directed along the bone without unnecessary force that could cause discomfort or injury.

What is the significance of achieving full flexion and extension during the mobilization?

Achieving full flexion and extension is important for restoring or improving the joint's range of motion. This process helps the patient regain flexibility and mobility, which is especially crucial in rehabilitation settings where limited range of motion may be present.

How does the practitioner perform the mobilization with one hand while the other stabilizes the forearm?

The practitioner uses one hand to stabilize the forearm, typically around the ulna, while the other hand applies pressure to move the elbow joint into extension or flexion. The hand guiding the movement applies controlled force to direct the joint into the desired position.

What is the potential outcome if the hand placement or pressure is not correctly applied during this technique?

If the hand placement or pressure is incorrect, it can result in ineffective joint mobilization, discomfort, or even injury to the patient. Proper technique is crucial to ensuring that the joint moves smoothly and the bones are not subjected to unnecessary stress or strain.