Chapter 5: Shoulder Flashcards

1
Q

What does PEO stand for?

A

Person-Environment- Occupation Model

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2
Q

What bones supply the skeletal structure for movement of the shoulder complex?

A

Scapula, humerus, and clavicle

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3
Q

A flat triangular bone located on the back, overlying the second through 7th ribs is called?

A

Scapula

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4
Q

The thick inferolateral border of the scapula is the ….

A

lateral (axillary) border

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5
Q

What is the purpose of the Scapula?

A

elevation, protraction, depression, retraction, upward and downward rotation

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6
Q

What does the acronym SITS stand for?

A

Infraspinatus
teres minor
Subscapularis
Supraspinatus

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7
Q

What muscles are within the Rotator Cuff?

A

Infraspinatus
teres minor
Subscapularis
Supraspinatus

creates an anatomical cuff around the shoulder joint, enveloping the humeral head almost to it’s entirety

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8
Q

Rotator cuff - the supraspinatus does what?

A

abducts humerus

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9
Q

What are the types of joints within the shoulder?

A

scapulothoracic
glenohumeral
sternoclavicular
acromioclavicular

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10
Q

Rotator cuff - the scapularis does what?

A

internal rotation of humerus

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11
Q

What movements are responsible for the deltoid?

A

flexion
abduction
extension

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12
Q

What are the anterior fibers responsible for the deltoid?

A

flexion

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13
Q

What are the posterio fibers responsible for the deltoid?

A

extension

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14
Q

What is the purpose of the glenohumeral movements?

A

abduction
adduction
horizontal abduction and adduction
flexion and extension
external and internal rotation

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15
Q

weakness of serratus anterior, impairs scapular, and interrupts functional mvmt of the shoulder is ….

A

scapular winging

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16
Q

result of instability, weakness, or paralyzed, pull of gravity through humerus, painful strain of joint capsule is ….

A

subluxation

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17
Q

What is the maintain upright posture of trunk and scapula?

A

maintains balance
promotes purposeful mvmt of shoulder

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18
Q

What is the most common injury in the shoulder?

A

rotator cuff tear

19
Q

Can significantly limit function and require activity modification or adaptive equipment can be a factor of…

A

osteoarthritis

20
Q

True or False

The acromioclavicular joint and the sternoclavicular joint contribute to scapular motions.

A

True

21
Q

Which muscle originates from the spinous processes of C7–T5 and inserts on the vertebral border of the scapula between the inferior angle and the spine of the scapula?

Middle trapezius
Rhomboids
Teres major
Serratus anterior

A

Rhomboids

22
Q

Which muscle originates from the spinous processes of T4–T12 and inserts at the base of the scapular spine?

Serratus anterior
Upper trapezius
Lower trapezius
Infraspinatus

A

Lower Trapezius

23
Q

Which muscle originates on the nuchal ligament and occipital bone and inserts in the lateral third of the clavicle?

Serratus anterior
Rhomboids
Upper trapezius
Pectoralis major

A

upper trapezius

24
Q

Which muscle is responsible for scapular protraction?

Pectoralis major
Serratus anterior
Coracobrachialis
Middle trapezius

A

Serratus Anterior

25
Q

If shoulder girdle retraction is the desired motion, which two muscles are agonists in this motion?

Pectoralis minor and pectoralis major

Levator scapula and upper trapezius

Middle trapezius and rhomboids

Serratus anterior and latissimus dorsi

A

middle trapezius and rhomboids

26
Q

An example of a muscle group that forms a force couple is which of the following?

Upper trapezius, lower trapezius, levator scapula

Levator scapula, rhomboids, pectoralis minor

Rhomboids, upper trapezius, levator scapula

Serratus anterior and pectoralis minor

A

levator scapula, rhomboids, pectoralis minor

27
Q

The bony landmark of the scapula that exists where the vertebral and axillary borders meet is the

A

inferior angle

28
Q

The ligament that forms an arch over the head of the humerus is the..

coracoclavicular ligament.
costoclavicular ligament.
coracoacromial ligament.
interclavicular ligament.

A

coracoacromial ligament

29
Q

Weakness of the trapezius muscle could indicate trauma to which of the following nerves?

Cranial nerve XI
Dorsal scapular nerve
Long thoracic nerve
Medial pectoral nerve

A

Cranial n. XI

30
Q

Weakness of the pectoralis minor muscle could indicate trauma to which of the following nerves?

Cranial nerve XI
Dorsal scapular nerve
Long thoracic nerve
Medial pectoral nerve

A

medial pectoral nerve

31
Q

Weakness of the rhomboid muscles could indicate trauma to which of the following nerves?

Cranial nerve XI
Dorsal scapular nerve
Long thoracic nerve
Medial pectoral nerve

A

dorsal scapula nerve

32
Q

The winging of the scapula is caused by weakness. Which shoulder girdle muscle is it?

Pectoralis minor
Levator scapula
Serratus Anterior
Middle Trapezius

A

Serratus Anterior

33
Q

Weakness of the rhomboid muscles could indicate trauma to which of the following nerves?

Pectoralis minor
Levator scapula
Serratus anterior
Middle trapezius

A

Serratus anterior

34
Q

A person who lacks the free motion of upward rotation is limited in which of the following shoulder joint motions?

a - Flexion
b - Extension
c - Abduction
d - flexion and Abduction

A

a & c

35
Q

What motion would the upper trapezius do in a reversal of muscle action?

Scapular elevation
Scapular depression
Head and neck extension
Head and neck flexion

A

Head and neck extension

36
Q

An example of linear shoulder girdle motion is…

a - upward rotation.
b - scapular protraction.
c - scapular depression.
d - B and C

A

scapular protraction

37
Q

A client who needs scapular depressor strengthening would need attention to which of the following muscles?

  • Rhomboids and middle trapezius
  • Serratus anterior and pectoralis minor
  • Pectoralis minor and lower trapezius
  • Pectoralis minor and pectoralis major
A

Pectoralis minor and lower trapezius

38
Q

A client who needs a stretch to the middle trapezius and rhomboids must position the scapula in which of the following positions?

A

Scapular protraction

39
Q

The upper trapezius, serratus anterior, and lower trapezius have which of the following actions in common?

Retraction of the scapula
Protraction of the scapula
Downward rotation of the scapula
Upward rotation of the scapula

A

upward rotation of the scapula

40
Q

Which muscle is responsible for scapular protraction?

Pectoralis major
Serratus anterior
Coracobrachialis
Middle trapezius

A

Serratus Anterior

41
Q

The levator scapula and rhomboids have which of the following motions in common?

Elevation
Depression
Upward rotation
Depression

A

elevation

42
Q

The serratus anterior and the pectoralis minor have which of the following motions in common?

Shoulder medial rotation
Downward rotation
Upward rotation
Protraction

A

protraction

43
Q

A person experiencing pain on the superior lateral aspect of the scapula may have pathology involving which of the following structures?

Acromion process
Glenoid fossa
Coracoid process
Deltoid tubercle

A

acromion process