CPA #2 - Shoulder Tx

Question 1

Dx: Scapulothoracic Dysfunction

Tx: Scapulothoracic SD MFR

Answer 1

Patient - lateral recumbent, involved should up

Physician - faces the patient’s front contacting scapula posteriorly with both hands (superior hand stabilizes anterior & posterior aspect of scapula)

Question 2

Dx: Glenohumeral Joint Dysfunction

Tx: Spencer’s Technique

Answer 2

Patient - lateral recumbent

Question 3

List the 7 Stages of Spencer’s Technique

Answer 3

1) Extension
2) Flexion
3) Compression Circumduction
4) Traction Circumduction
5A) Adduction & ER
5B) Abduction
6) Internal Rotation
7) Traction with Inferior Glide

Question 4

Dx: Flexed Glenohumeral Joint

Tx: GH Extension SD Muscle Energy

Answer 4

patient is seated

Question 5

Dx: Extended Glenohumeral Joint

Tx: GH Flexion SD Muscle Energy

Answer 5

patient is seated

Question 6

Dx: Abducted, Adducted, IR, & ER Glenohumeral Joint

Tx: GH Muscle Energy

Answer 6

patient is seated

Question 7

Perform following Treatment:

Elevated/Adducted SC Joint SD Articulatory Tx

Answer 7

pt lying supine with neck fully flexed resting against physician’s chest, examiner seated at head of table

> physician places thumb over sternal end exerting downward/caudal pressure on clavicle

> pt instructed to inhale & exhale fully. during exhalation physician springs clavicle inferiorly to release restriction

Question 8

Perform following Treatment:

Elevated/Adducted SC Joint SD Muscle Energy

Answer 8

pt lying supine, examine on side of affected shoulder

Question 9

Perform following treatment:

Horizontal Extension SC Joint SD Muscle Energy

Answer 9

pt lying supine, examiner on side of affected shoulder

Question 10

Dx: Clavicle Anterior & Superior Glide

Tx: SC Joint Articulatory Technique

Answer 10

doctor on contralateral side to SD