Lab 6- Shoulder

Question 1

palpate coracoid process

Answer 1

1. Horizontally adduct the patient’s arm
2. Use 2 fingers and palpate inferior to the distal end
   of the clavicle
3. Apply deep pressure to locate the coracoid
   process

Question 2

palpate deltoid tuberosity

Answer 2

1.Have the patient sit with their arm at their side,
elbow at 90 degrees
2. Instruct the patient to abduct their arm against
your pressure
3. Trace the deltoid muscle distally down the lateral
portion of the humerus
4. Where you feel the muscle end is where the
deltoid tuberosity is located

Question 3

lower trap palpation

Answer 3

Instruct patient to clasp hands overhead
Resist pulling apart or extend arms
overhead/hyperflex

Question 4

levator scap palpation

Answer 4

Instruct patient to place hand on small of back
Instruct patient to shrug shoulders upwards
against mild resistance

Question 5

rhomboids palpation

Answer 5

• instruct patient to place hand on small of back
• “Lift hand off of back” against mild resistance
  to scapular retraction and downward rotatio

Question 6

to palpate the deltoid, the patient should abduct arm to ___ degrees

Answer 6

60

Question 7

palpation of pec major patient position

Answer 7

supine with arm in 60 degrees of scaption

Question 8

for pec major clavicular head, pt will perform _______
for pec major sternal head, pt will perform ________

Answer 8

pt will perform horizontal adduction and arm flexion
pt will perform horizontal adduction and extend arm (thumbs down!)

Question 9

when palpating the latissimus dorsi, what motion does the pt perform?

Answer 9

adduction and extension

Question 10

when palpating the trees major, what motion does the pt perform?

Answer 10

adduction and extension

Question 11

the teres minor muscle belly is at the ________ of the lateral border of the scapular

Answer 11

midpoint

Question 12

to palpate supraspinatus, the pt performs what motion?

Answer 12

abduction

Question 13

to palpate the supraspinatus tendon, what does the pt do?
where do you palpate?

Answer 13

pt has arm being back sitting
palpate on superior surface of greater tubercle

Question 14

what motion does the pt perform for subscap palpation?

Answer 14

internal rotation (you resist this)

Question 15

to palpate the subscapularis, you should have the patient in __ degrees of abduction with arm _______

Answer 15

60 degrees of abduction with arm flexed

Question 16

shoulder flexion goni landmarks

Answer 16

Stationary arm: Mid-axillary line
Axis of rotation: Greater tubercle of humerus
Movement arm: Lateral epicondyle

Question 17

shoulder extension goni landmarks

Answer 17

Stationary arm: Mid-axillary line
Axis of rotation: Greater tubercle of humerus
Movement arm: Lateral epicondyle of humerus

Question 18

shoulder abduction goni landmarks

Answer 18

Stationary arm :Parallel to sternum
Axis of rotation: Anterior acromion
Movement arm: Bisecting the condyles of humerus

Question 19

shoulder IR goni landmarks

Answer 19

Stationary arm : perpendicular to floor
Axis of rotation: olecranon process
Movement arm: ulnar styloid process

Question 20

shoulder ER and IR patient position (normal gravity)

Answer 20

supine with elbow flexion

Question 21

shoulder flexion and extension MMT gravity reduced position

Answer 21

side lying

Question 22

shoulder abduction MMT gravity reduced position (middle Delt, supraspinatus)

Answer 22

prone

Question 23

scaption is __ degrees of flexion with __ degrees of horizontal adduction

Answer 23

90 degrees flexion with 30 degree of horizontal adduction

Question 24

what main muscle is palpated in scaption?

Answer 24

supraspinatus

Question 25

horizontal ad/abduction gravity reduced position

Answer 25

pt seated with humerus resting on table, 90 degree abduction 90 degrees elbow flexion

Question 26

horizontal abduction (normal gravity) patient position (posterior deltoid)

Answer 26

prone, head turned to contralateral side

Question 27

IR and ER gravity reduced position (IR: subscap, ER: Infraspinatus, teres minor)

Answer 27

prone, arm hanging off the edge, elbow extended to 0

Question 28

normal shoulder IR and ER MMT pt position

Answer 28

prone, head turned contra laterally
shoulder abducted to 90, humerus supported on table

Question 29

scapular elevation/depression gravity reduced position

Answer 29

prone, arms at side

Question 30

scapular elevation normal pt position (upper trap, levator)

Answer 30

seated, head turned contralaterally

Question 31

scapular ad/abduction gravity reduced position

Answer 31

sitting, shoulder adducted with ER

Question 32

scapular adduction normal pt position (middle trap)

Answer 32

prone, head turns to contralateral side

Question 33

lower trap MMT is

Answer 33

scapular adduction - depression

Question 34

gravity reduced lower trap MMT pt position

Answer 34

prone, shoulder abducted to 130

Question 35

normal MMT for lower trap pt position

Answer 35

prone, head turned to contralateral side, abduction to 130
(same as gravity reduced, just with head turn)

Question 36

scapular adduction/downward rotation gravity reduced pt position (rhomboids)

Answer 36

sitting with hand resting on lumbar spine
pone with arm off edge of table, shoulder in neutral

Question 37

pt position for normal scapular adduction MMT (rhomboids)

Answer 37

prone with dorm of hand on ipsilateral glutes
head turned contralaterally
or chicken arm

Question 38

scapular abduction-upward rotation gravity reduced (serrates anterior)

Answer 38

patient seated
125-130 degrees shoulder flexion

Question 39

what is the outcome measure/performance test for the shoulder?

Answer 39

closed kinetic chain upper extremity stability test

Question 40

closed kinetic chain UE stability test:
two strips of tape __ inches apart
pt in ________ position
pt reaches across side to side

Answer 40

36 inches
pt in push up position

Question 41

what is the cut off for the closed kinetic chain UE test?

Answer 41

less than 21= risk for injury

Question 42

normal gravity pt position for serrates anterior MMT

Answer 42

pt seated, shoulder flexion to 125 degrees, apply resistance

Question 43

apley scratch test
one arm into _____, ______ and ______ behind head
other arm in _____,______ and ______
then compare levels

Answer 43

abduction, flexion, ER
IR, extension, adduction