Joint Mobilization: Elbow and Proximal Radioulnar Joint

Introduction

This course describes joint mobilizations for the elbow joint (a.k.a. humeroulnar joint) and proximal radioulnar joint (a.k.a. RU joint or ulnoradial joint). Several terms and definitions have been used to describe the "mobilizations" (e.g. mobilisations) that are taught in this course. The Brookbush Institute uses a conventional definition of "mobilization" that includes low amplitude, low-velocity, oscillatory techniques intended to reduce the stiffness of joints exhibiting a decrease in passive accessory range of motion (a.k.a. arthrokinematic motion and specifically glide or slide). Note that "manipulation" is reserved for high-velocity techniques taught in a separate set of courses.

This course includes mobilization techniques that intend to improve excessive stiffness of the elbow and proximal RU joints, improve flexion, extension, pronation, and supination range of motion, and reduce forearm, elbow, and upper extremity dysfunction. For example, wrist and forearm dysfunction has been correlated with scapular dyskinesis (altered shoulder blade motion), and a reduction in upper extremity function (e.g. negative impact on activities of daily living and sport). These techniques may also be used in an integrated approach for cervicothoracic dysfunction and upper body dysfunction (UBD) including radiculopathy, double crush syndrome, upper thoracic pain, acromioclavicular (AC) joint pain, frozen shoulder (post-acute phase), lateral epicondylitis (tennis elbow), and postural dysfunctions including rounded shoulder posture and excessive forearm pronation. Several studies even demonstrate that treating elbow dysfunction (e.g. lateral epicondylalgia) with conventional treatment (ultrasound, stretching, and strengthening exercises) and the addition of these mobilizations, resulted in significantly larger improvements in grip strength, function, and/or pain when compared to conventional therapy alone.

The techniques in this course are recommended for all clinical human movement professionals (physical therapists, physical therapy assistants, athletic trainers, massage therapists, chiropractors, occupational therapists, etc.) to develop an evidence-based, systematic, integrated, patient-centered, and outcome-driven approach.

Techniques Covered in this Course:

• Elbow Joint Mobilization
• Radioulnar Joint Mobilization

Sample Intervention (Lateral Epicondylagia)

• Manual Release
  • Vibration Release
• Mobilization or Manipulation
  • Elbow Joint Mobilization
  • Radioulnar Joint Mobilization
• Instrument Assisted Soft Tissue Mobilization (IASTM)
  • Brachial and Forearm Fascia IASTM
• Activation
  • Flexor Carpi Radialis Activation
  • Flexor Activation
  • Supinator Activation
• Integration
  • Wrist and Elbow Integration
• Support
  • Wrist Extensor Inhibition Taping

Related Courses

Additional Joint Mobilization Courses

• Joint Mobilizations: Ankle and Tibiofibular Joints
• Joint Mobilizations: Knee and Hip Joints
• Joint Mobilizations: Lumbar Spine and Sacroiliac Joints
• Joint Mobilizations: Cervical and Thoracic Spine
• Joint Mobilizations: Shoulder, Sternoclavicular, and Acromioclavicular Joints
• Joint Mobilizations: Elbow and Proximal Radioulnar Joints

For an introduction to joint mobilizations and manipulations:

• Joint Mobilization and Manipulation: Introduction
• Joint Mobilization and Manipulation: Reliability
• Joint Mobilizations and Manipulations: Effects
• Joint Mobilization and Manipulation: Risk of Adverse Effects
• Joint Mobilizations and Manipulations: Evidence-based Teaching and Learning