Chapter 5: Shoulder

Question 1

What does PEO stand for?

Answer 1

Person-Environment- Occupation Model

Question 2

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

Answer 2

Scapula, humerus, and clavicle

Question 3

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

Answer 3

Scapula

Question 4

The thick inferolateral border of the scapula is the ….

Answer 4

lateral (axillary) border

Question 5

What is the purpose of the Scapula?

Answer 5

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

Question 6

What does the acronym SITS stand for?

Answer 6

Infraspinatus
teres minor
Subscapularis
Supraspinatus

Question 7

What muscles are within the Rotator Cuff?

Answer 7

Infraspinatus
teres minor
Subscapularis
Supraspinatus

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

Question 8

Rotator cuff - the supraspinatus does what?

Answer 8

abducts humerus

Question 9

What are the types of joints within the shoulder?

Answer 9

scapulothoracic
glenohumeral
sternoclavicular
acromioclavicular

Question 10

Rotator cuff - the scapularis does what?

Answer 10

internal rotation of humerus

Question 11

What movements are responsible for the deltoid?

Answer 11

flexion
abduction
extension

Question 12

What are the anterior fibers responsible for the deltoid?

Answer 12

flexion

Question 13

What are the posterio fibers responsible for the deltoid?

Answer 13

extension

Question 14

What is the purpose of the glenohumeral movements?

Answer 14

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

Question 15

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

Answer 15

scapular winging

Question 16

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

Answer 16

subluxation

Question 17

What is the maintain upright posture of trunk and scapula?

Answer 17

maintains balance
promotes purposeful mvmt of shoulder

Question 18

What is the most common injury in the shoulder?

Answer 18

rotator cuff tear

Question 19

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

Answer 19

osteoarthritis

Question 20

True or False

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

Answer 20

True

Question 21

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

Answer 21

Rhomboids

Question 22

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

Answer 22

Lower Trapezius

Question 23

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

Answer 23

upper trapezius

Question 24

Which muscle is responsible for scapular protraction?

Pectoralis major
Serratus anterior
Coracobrachialis
Middle trapezius

Answer 24

Serratus Anterior

Question 25

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

Answer 25

middle trapezius and rhomboids

Question 26

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

Answer 26

levator scapula, rhomboids, pectoralis minor

Question 27

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

Answer 27

inferior angle

Question 28

The ligament that forms an arch over the head of the humerus is the.. coracoclavicular ligament. costoclavicular ligament. coracoacromial ligament. interclavicular ligament.

Answer 28

coracoacromial ligament

Question 29

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

Answer 29

Cranial n. XI

Question 30

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

Answer 30

medial pectoral nerve

Question 31

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

Answer 31

dorsal scapula nerve

Question 32

The winging of the scapula is caused by weakness. Which shoulder girdle muscle is it? Pectoralis minor Levator scapula Serratus Anterior Middle Trapezius

Answer 32

Serratus Anterior

Question 33

Weakness of the rhomboid muscles could indicate trauma to which of the following nerves? Pectoralis minor Levator scapula Serratus anterior Middle trapezius

Answer 33

Serratus anterior

Question 34

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

Answer 34

a & c

Question 35

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

Answer 35

Head and neck extension

Question 36

An example of linear shoulder girdle motion is... a - upward rotation. b - scapular protraction. c - scapular depression. d - B and C

Answer 36

scapular protraction

Question 37

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

Answer 37

Pectoralis minor and lower trapezius

Question 38

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

Answer 38

Scapular protraction

Question 39

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

Answer 39

upward rotation of the scapula

Question 40

Which muscle is responsible for scapular protraction? Pectoralis major Serratus anterior Coracobrachialis Middle trapezius

Answer 40

Serratus Anterior

Question 41

The levator scapula and rhomboids have which of the following motions in common? Elevation Depression Upward rotation Depression

Answer 41

elevation

Question 42

The serratus anterior and the pectoralis minor have which of the following motions in common? Shoulder medial rotation Downward rotation Upward rotation Protraction

Answer 42

protraction

Question 43

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

Answer 43

acromion process