Arm Counterstrain

 Short Head of Biceps

o Primary Flexor of the Arm and Primary Supinator
o Flex – Adduct – Internal Rotation
 Radial Head (Lateral)
o Supinator Muscle
 Secondary Flexor of the Arm
o Extend – Supinated – Valgus (Elbow is Stuck in)
 Medial Epicondyle
o Pronator Muscle
o Flex – Pronated – Adduct
 Dorsal Wrist (Radial)
o Extensor Carpi Radialis
o Extend – Radially Deviate (Abduct)
 Dorsal Wrist (Ulnar)
o Extensor Carpi Ulnaris
o Extend – Ulnar Deviation (Adduct)
 Palmar Wrist (Radial)
o Flexor Carpi Radialis
o Flex – Radially Deviate (Abduct)
 Palmar Wrist (Ulnar)
o Flexor Carpi Ulnaris
o Flex – Ulnar Deviation (Adduct)

HVLA
 Always take into the barrier and apply a
High Velocity Low Amplitude

Muscle Energy (PIR)

  Take into the Barrier and Patient Pushes into their ease
o Abduction
o Adduction
o Flexion
o Extension
o You get the point

Facts about the Wrist

 Flexion – 85 Degrees
 Extension – 45 Degrees
 Abduction – 15 Degrees
 Adduction – 45 Degrees
Elbow Facts
 All Extensors Origin Attached to Lateral Epicondyle
o Tennis Elbow
 All Flexors Origin  Attached to Medial Epicondyle
o Golfer’s Elbow

Bones of the Wrist

 Some Lovers Try Positions That They Can’t Handle
o Trapezium Trapezoid Capitate Hamate
o Scaphoid Lunate Triquetrum Pisiform
 Scaphoid  Most Commonly Fractures
 Lunate  Most Commonly Dislocated

Anatomical Snuffbox Boundaries

 Scaphoid (Floor)
 Extensor Pollicis Brevis
 Extensor Policis Lingus
 Abductor Policis Longus
Tunnel of Guyon
 Depression between the Pisiform and the Hook of Hamate
 Houses the Ulnar Nerve and the Ulnar Artery

True Elbow Joint

 The Ulnahumeral Joint