abnormal patterns of UE control

Question 1

loss of postural control:

Answer 1

UE:

• falls into IR, forearm pronation
• scapula downwardly rotated
• falls into gravity
• inferior GH subluxation
• carpals map-aligned
• loss of palmar arches
• flat hand, long finger flexor tightness

Question 2

imbalance of motor return:

Answer 2

scapular elevated, downwardly rotated

UE hyperextension

• IR
• elbow flexion
• forearm pronation– eventual increase in tone, humeral forearm supination

anterior subluxation

wrist and finger flexor tightness

Question 3

inappropriate firing patterns:

Answer 3

Movement characterized by:

• initiation of movement at shoulder with humeral and, IR
• lack of disassociation
• excessive distal firing “drives” movement

UE:

• humeral abd, IR
• scapula elevated, downwardly rotated
• superior subluxation of GH joint
• finger flexor tightness, thumb abd

Question 4

shoulder pain

Answer 4

muscle
tendonitis
impingement
bursitis
altered sensitivity
shoulder hand syndrome
edema

Question 5

treatment of shoulder pain:

Answer 5

prevention:

• cause vs. symptom
• protection
• pt. ed

alignment:
- supportive devices

stability:
- active motor control

function

slings:
- hand splints
- realignment, muscle imbalance, inappropriate firing

shoulder supports

positional devices: lap trays, arm boards