IJABAHTHERAPEUTIC COURSE
ZONE 1 · REGION 05

Upper Arm, Elbow
& Forearm

Region ini memindahkan force antara shoulder dan hand. Assessment perlu melihat elbow movement, forearm rotation, grip-related load dan task sebenar — bukan terus menyalahkan satu tendon atau muscle.

REGIONAL OUTCOMESOrient arm & elbow anatomyAssess flexion/extension & rotationUnderstand load-related findingsProgress function safely
ELBOWHUMERUS · RADIUS · ULNA
A · ANATOMY

A link between shoulder force and hand function.

HUMERUS

Upper-arm bone forming the proximal side of the elbow complex.

RADIUS & ULNA

Forearm bones contributing to elbow movement and forearm rotation.

MUSCLE GROUPS

Elbow flexors/extensors and forearm muscle groups contribute to lifting, pushing, pulling and grip tasks.

TENDON REGIONS

Load-sensitive tendon attachments may become symptomatic, but location alone does not establish a specific diagnosis.

B–D · FUNCTION, MOVEMENT & COMPLAINT

Four motions, many daily tasks.

⌃
FLEXION

Bending elbow for eating, lifting and reaching toward body.

⌄
EXTENSION

Straightening elbow for pushing and reaching.

↻
SUPINATION

Turning palm upward.

↺
PRONATION

Turning palm downward.

Common complaints may be local discomfort, stiffness, load sensitivity, weakness or difficulty gripping/lifting. Symptom location is a clue — not a diagnosis.

E · ASSESSMENT

Match assessment to the provoking task.

INTERVIEWonset · trauma · repetitive/load change · neuro symptoms
→
ACTIVE ROMflex · extend · pronate · supinate
→
LOADsimple relevant task if appropriate
→
COMPAREside · quality · symptom response
→
FUNCTIONgrip · lift · push · pull
LOAD IS INFORMATION

Jika symptom hanya muncul semasa lifting/grip, assessment perlu capture task itu pada safe starting dose. Jangan repeatedly provoke strong pain semata-mata untuk “confirm” tissue.

F–J · OBJECTIVE & TREATMENT

Example objective: improve comfortable grip-and-lift tolerance.

PREPARE

Comfortable elbow/forearm movement and supported positioning.

MOBILITY

Relevant active elbow or forearm motion within tolerated range.

SOFT TISSUE

Appropriate trained input when it supports comfort/movement; avoid aggressive work over acute injury.

LOAD

Progress relevant muscle/tendon capacity from manageable resistance toward the real task.

ISOMETRIC / LOW DEMAND→CONTROLLED REPS→MORE LOAD→TASK-SPECIFIC
K–L · REASSESS & HOME

Retest the task, not just local tenderness.

BASELINEGrip / lift / rotation

Record tolerable load, movement quality and symptom response.

→
RETESTSame task & comparable dose

Better, same or worse? Adjust load and plan from the response.

MOVE

Maintain comfortable relevant motion.

LOAD

Use manageable resistance with clear dose.

RECOVER

Allow appropriate recovery from unfamiliar or increased workload.

PROGRESS

Build toward actual work/sport/daily demand.

M · ARM / ELBOW / FOREARM RED FLAGS

Seek appropriate assessment for significant trauma or deformity, suspected fracture/dislocation, rapidly increasing swelling, inability to use the limb after injury, new major weakness or sensory loss, concerning colour/temperature/circulation change, severe unexplained symptoms, infection/systemic illness signs, or chest/cardiac-type symptoms extending into the arm. Emergency-pattern symptoms require urgent medical help.

APPLYREGIONAL CASE

Client develops gradual outer-elbow discomfort after a sudden increase in repetitive gripping at work. No trauma or red flags. Grip-and-lift reproduces familiar symptoms at higher load.

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