Manual Therapy Techniques to Address Stiffness at the Elbow
Presented by Ann Porretto-Loehrke
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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
Ann Porretto-Loehrke is a skilled clinician with a passion for teaching and clinical treatment of upper extremity disorders. She has been practicing for 30 years and teaching continuing education courses for the past 20. She is the Clinical Development Coordinator at the Hand to Shoulder Center in Appleton, Wisconsin. Ann is…
Chapters & learning objectives
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.
