Proximal Radio-Ulnar Joint Mobilizations
This articulation is a pivot joint. This allows this articulation to do the movements of pronation and supination. This articulation also follows the convex rule (see homepage)​. ​
Resting Position: 35º supination & 70º of elbow flexion.
Blocking Position: maximal pronation or maximal supination.
Capsular Pattern: limitation of pronation or supination in flexion and extension.
Zero Position: arm parallel to the body, 90º of elbow flexion, hand in saggital plane.
Venetral Gliding​​​
​Patient: sitting. Ulnar side of the arm resting in the bench, slightly flexed.
PT (Physical Therapist): standing up homolateral to the pacient.​
Fixation: one hand fixates the proximal part of the ulna while the thumb palpates the joint line.
Mobilizing hand: this hand takes the proximal part of the radius.
Movement: ventral gliding of the proximal part of the radius.
Objectives: increase supination and elbow flexion.
​
Dorsal Gliding​
Patient: sitting. Ulnar side of the arm resting in the bench, slighty flexed.
PT: standing up homolateral to the pacient.
Fixation: one hand fixates the proximal part of the ulna while the thumb palpates the joint line.
Mobilizing hand: this hand takes the proximal part of the radius.
Movement: dorsal gliding of the proximal part of the radius.
Objectives: increase pronation and elbow extension.
Distal Gliding​
Patient: decubitus supine (facing up). Posterior side of the arm resting in the bench, slightly flexed.
PT: standing up homolateral to the pacient and facing away from the bench.
Fixation: one hand fixates the proximal part of the ulna on its medial epicondyle.
Mobilizing hand: this hand takes the distal part of the radius.
Movement: distal traction, perpendicular to the treatment plane.
Objectives: increase abduction, flexion and extension, valgus, and pronation and supination.
Proximal Gliding​​​
Patient: decubitus supine. Posterior side of the arm resting on the bench, slightly flexed.
PT: standing up homolateral to the pacient.​
Fixation: one hand fixates the humerus to the bench while the thumb palpates the joint space.
Mobilizing hand: it does a grip of the radius on its anterior side. Almost like a handshake.
Movement: compresion, perpendicular to the treatment plane.
​
Objectives: increase aduction, flexion and extension, varus, and pronation and supination.
