568 - Unintentional ASMR - Assessment / Exam / Head to Toe

追加: 2026-06-02

[00:00:00]Hi, my name is Corina Yedra, I'm a student physical therapist student here at Franklin Pierce University. Today we're going to be going over the precautions and contraindications for joint mobilization with our reference being our orthopedic manual therapy and evidence-based approach by Cook, which is going to be referenced in the description.

[00:00:20]Okay, let's get started. Hi, my name is Corina Yedra, I'm a student physical therapist student here at Franklin Pierce University. I'm going to be asking you some questions just for precaution contraindication for joint mobilization just to make sure that we can continue with our manual and joint mobilization. Is that okay if I ask you some questions?

[00:00:38]>> Yes.

[00:00:38]>> Okay.

[00:00:39]Um, do you have any history of DVT or any blood clotting disorder?

[00:00:43]>> No.

[00:00:43]>> Okay. Do you have any fractures, dislocations, or surgeries within the last 8 to 12 weeks?

[00:00:48]>> No.

[00:00:49]>> Okay.

[00:00:49]Do you have any history of cancer?

[00:00:51]>> No.

[00:00:51]>> Okay.

[00:00:52]Do you have any bone disease such as osteoporosis or osteopenia?

[00:00:56]>> No.

[00:00:56]>> Okay.

[00:00:57]And do you have any pain like infections such as worsening pain, swelling, inflammation?

[00:01:03]>> No.

[00:01:04]>> Do you have any concussion that may affect your cognition or neurological disorders such as numbness, tingling?

[00:01:10]>> No.

[00:01:11]>> Okay.

[00:01:12]Have you been diagnosed with hypermobility?

[00:01:14]>> No.

[00:01:14]>> Okay.

[00:01:15]Do you have any systemic connective tissue such as just rheumatoid arthritis?

[00:01:20]>> No.

[00:01:20]>> Okay.

[00:01:21]And do you use any steroids right now such as cortisone shots for the pain?

[00:01:25]>> No.

[00:01:26]>> Okay.

[00:01:27]So now that we have done that, we are good to continue with our joint mobilization. Our patient here is Melinda, we're going to be measuring her gastrocnemius length.

[00:01:35]So in order to do that, I am going to have Melinda face [clears throat] the wall.

[00:01:39]And since we're going to be measuring her left dorsiflexion gastrocnemius, we her right foot is going to go forward and she's going to hold on to the wall.

[00:01:47]Okay.

[00:01:49]Now we're going to make sure that her foot is in the sagittal plane and she's going to move forward until we see any heel lifting or knee flexion. So, you can go.

[00:02:00]Okay, and that seems about good right there.

[00:02:03]So, then we're going to get our goniometer and we're going to measure our the angle of the dorsiflexion on our left side. So, our axis point is going to be our lateral malleolus and our stationary arm is going to be parallel to our foot and the floor. And our moving arm is going to be um aligned with our head of the fibula.

[00:02:28]Okay.

[00:02:31]So, her angle of dorsiflexion is 30°.

[00:02:43]Now that we have his mid-arm right here, we're going to do our joint mobilization. And as you can recall, um we can align we can find our spinous process by our different landmarks like our inferior angle or superior angle of the scapula, 12th rib, and iliac crest.

[00:02:59]So, we're going to find her her T7.

[00:03:02]It's going to be by her inferior angle.

[00:03:05]Right here.

[00:03:06]So, with our hypothenar eminence, we're going to place our hand right there on the spinous process and then just rest your hand.

[00:03:14]And then forming a C, we're going to we're going to feel her joint mobilization.

[00:03:20]Doing a posterior-anterior glide on that joint.

[00:03:23]Okay, so grade one.

[00:03:26]Grade two.

[00:03:28]Grade three.

[00:03:29]Grade four.

[00:03:31]Okay.

[00:03:33]And going down, we can do her lumbar.

[00:03:40]So, T12.

[00:03:43]T11 or one.

[00:03:46]So, with our hypothenar eminence, facing down.

[00:03:53]Okay.

[00:03:57]And then two, three, three, and four.

[00:04:05]Okay.

[00:04:07]Okay.