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Manual Therapy Techniques to Address Stiffness at the Elbow

presented by Ann Porretto-Loehrke, PT, DPT, CHT, COMT, CMTPT

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Disclosure Statement:

Financial— Ann Porretto-Loehrke receives compensation from MedBridge for the production of this course. There are no other relevant financial relationships. Nonfinancial— No relevant nonfinancial relationship exists.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Have you ever been frustrated with a stiff elbow that doesn't seem to move no matter how much you try? Because of the close articular congruency of the elbow, loss of motion can sometimes occur even with a small trauma. This course covers the anatomy and arthrokinematics of the elbow, including the humeroulnar joint (HUJ), humeroradial joint (HRJ), and proximal radioulnar joint (PRUJ), which provides a foundation for joint mobilization. The manual therapy techniques presented in this course address limitations for elbow flexion and extension as well as forearm rotation. These techniques can be invaluable for a patient with either large and small limitations of motion, as implementation can lead to immediate improvements.

Meet Your Instructor

Ann Porretto-Loehrke, PT, DPT, CHT, COMT, CMTPT

Ann Porretto-Loehrke is a skilled clinician and dynamic instructor. She is the therapy manager of a large department at the Hand to Shoulder Center. Ann is a Certified Hand Therapist (CHT) and a Certified Orthopedic Manual Therapist (COMT) for treatment of the upper quadrant through the International Academy of Orthopedic Medicine (IAOM). She has extensive…

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Chapters & Learning Objectives

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1. Bony Anatomy of the Elbow

This chapter covers the specific bony and ligamentous anatomy of the elbow to provide a foundation for understanding the arthrokinematics of the HUJ and PRUJ. This is critically important to understand when initiating joint-specific treatment for the elbow complex.

2. Bony Surface Anatomy of the Elbow

Knowing exactly where to place your hands when performing manual therapy techniques for the elbow is critical. This chapter covers the bony surface anatomy of the elbow to gain an appreciation of where these structures lie below the skin.

3. Manual Therapy Techniques for the Humeroulnar Joint

Through lecture and demonstration, this chapter covers specific joint mobilization techniques in a step-by-step fashion to address limitations with elbow flexion and extension. This information is critical to know when faced with a patient with a significant limitation at the HUJ.

4. Manual Therapy Techniques for the Proximal Radioulnar Joint

Through lecture and demonstration, this chapter covers specific joint mobilization techniques to address limitations with forearm pronation and supination. These techniques are so valuable when addressing a patient with limitations at the PRUJ.

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