The Elbow

Loose Body in Adulthood
Manipulation in supination

  1. First the supination movements are trained: (combination of 3 and 2)
    Rotate the forearm three to four times quickly from neutral position
    into full supination (endfeel !) and back.
    During these rotations, the arm is moved gradually from flexion to nearly
    full extension.

  2. Then the extension under traction is trained (combination of 2 and 1).
    Bring your body weight on the contralateral foot (vertically under
    the patients's elbow). Lean backwards and use your body weight to
    exert traction. Pivot around the foot as you move the elbow from
    flexion towards extension.
    Stop the extension movement before you reach the degree of limitation .

  3. Combine movements 1 and 2 and perform a full manipulation: Performance

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