Clinical Flashcards
What screening tool can help discriminate nociceptive from neuropathic shoulder pain?
Modified painDETECT for the shoulder
What screening tool can be used to determine a patient’s prognosis and help select treatment pathway?
Keele STarT MSK Tool
Allocates patients into low, medium, high risk
When is it safe to start to wean from a sling for primary anterior shoulder dislocations?
7 to 10 days
Whar’s the best evidence-based rehab program following a traumatic anterior dislocation to restore short term function at 12 weeks?
SINEX strength, coordination, balance, proprioception, and closed chain exercises
What’s the most appropriate tool to evaluate physical performance for a patient’s return to sport progression for the shoulder?
Closed Kinetic Chain Upper Extremity Stability Test (CKCUEST)
What is the Timed Functional Arm and Shoulder Test (TFAST) appropriate for?
For lower-level upper extremity functional demands
What is the Watson rehab program appropriate for?
For atraumatic instability
Emphasis on scapular neuromuscular control and upwardly rotated scapular position with ROM and rototar cuff strengthening exercises
What cluster of objective findings would confirm a full-thickness rotator cuff tear?
Drop arm test, painful arc, weakness in infraspinatus muscle test
What other pathology is most commonly seen along with a SLAP lesion?
Partial-thickness supraspinatus tear
Pain at end of range of motion is consistent with what level of irriatability for adhesive capsulitis?
Moderate intensity
What is in the diagnostic cluster for shoulder impingement?
Hawkins-Kennedy test, painful arc, weakness in infraspinatus muscle test
What diagnosis is likely to be present along with a chondral lesion?
Shoulder instability
Which 2 conditions are risk factors for ankylosing spondylitis?
IBS
Crohn’s disease