Lab- Approach to Shoulder Complaint

Question 1

What is the normal flexion ROM of the shoulder?

Answer 1

180 degrees

Question 2

what is the normal ROM of extension of the shoulder?

Answer 2

60

Question 3

rom of abduction of the shoulder?

Answer 3

180 degrees

Question 4

horizontal abduction of the shoulder?

Answer 4

40-55

Question 5

horizontal adduction of the shoulder?

Answer 5

130-140 degrees

Question 6

internal and external rom of the shoulder?

Answer 6

90 degrees

Question 7

what is the specialty test for GH instability?

Answer 7

apprehension test

Question 8

what two tests are used for rotator cuff pathology specifically?

Answer 8

empty can test and drop arm test

Question 9

what is the patient set up of the empty can test?

Answer 9

flex shoulders to 90 degrees and abduct to 45. internally rotate arms so thumbs are down

Question 10

what does a positive drop arm test indicate?

Answer 10

supraspinatus pathology

Question 11

what tests are used for impingements?

Answer 11

painful arc test, neer impingement, and hawkins test

Question 12

what is a positive painful arc test?

Answer 12

pain between 60 and 120 degrees of abduction

Question 13

what is the patient set up of the neer impingement test?

Answer 13

pronate the forearm and passively flex the shoulder into full flexion

Question 14

what is the set up of the hawkin’s test?

Answer 14

flex shoulder to 90 degrees and elbow to 90 degrees and then passively internally rotate the shoulder

Question 15

what is a positive cross arm test indicative of?

Answer 15

AC joint pathology

Question 16

how can you treat the glenohumeral joint?

Answer 16

shoulder myofascial release or spencer’s technique

Question 17

what are the various ways you could perform spencer’s technique?

Answer 17

extension, flexion, compression with circumduction, traction circumduction, abduction with external rotation, adduction, internal rotation, traction with inferior glide

Question 18

How is the patient laying with spencer’s technique?

Answer 18

laying lateral recumbent with the involved shoulder up

Question 19

where should the patient’s hand be placed when performing internal rotation spencer’s technique?

Answer 19

on their back

Question 20

what is the motion of the traction with inferior glide of spencer’s technique?

Answer 20

you scoop the humeral head in caudal motion creating translatory force toward the inferior glenoid

Question 21

if my shoulder is abducting, what kind of glide do I have at the AC joint?

Answer 21

superior glide at the AC joint

Question 22

if my shoulder is adducting, what kind of glide do I have at the AC joint?

Answer 22

inferior glide

Question 23

If my distal clavicle is resistant to springing inferiorly, what can be said about my clavicle?

Answer 23

superior clavicle (step off)

Question 24

if there is presence of springing in my distal clavicle, what can be said about my clavicle?

Answer 24

there is an inferior clavicle (step on)

Question 25

How would you treat a superior clavicle?

Answer 25

apply an anterior/inferior pressure with your thumb on the AC/lateral clavicle while flexing the patient’s elbow and extending and adducting the patient’s humerus. You then move the shoulder into a circulatory sweep

Question 26

how would you treated an internally rotated AC SD?

Answer 26

muscle energy (direct barrier being external rotation)

Question 27

how would you treat an externally rotated SD of the AC joint?

Answer 27

MET with internal rotation being the restrictive barrier

Question 28

if you have shoulder abduction, what happens to the SC joint?

Answer 28

inferior glide

Question 29

if you have a preference of inferior glide of the SC joint, what is the somatic dysfunction?

Answer 29

SC Abduction

Question 30

if you adduction of the shoulder, what happens to the SC joint?

Answer 30

superior glide

Question 31

if you have preference of superior glide of the SC joint, what is the somatic dysfunction?

Answer 31

SC adduction

Question 32

how can you test for inferior glide of the SC joint?

Answer 32

ask the patient to shrug (aka abduct) their shoulders while lying down

Question 33

how can you test for superior glide of the SC joint?

Answer 33

ask the patient to lower their shoulders downward

Question 34

What happens to the SC joint when the shoulder flexes?

Answer 34

posterior glide at the SC joint

Question 35

if the SC joint prefers to live in posterior glide, what is the SD?

Answer 35

SC flexion somatic dysfunction

Question 36

if the shoulder extends, what happens to the SC joint?

Answer 36

anterior glide

Question 37

if the SC joint likes to live in anterior glide, what is the SD?

Answer 37

SC extension somatic dysfunction

Question 38

how can you treat an SC adducted SD with articulation?

Answer 38

the patient will be lying supine with their neck fully flexed by the physician. The doc will place their thumb over the sternal end of the clavicle exerting a downward pressure. Patient takes a deep breath and during exhalation the physician springs the clavicle inferiorly

Question 39

How can you treated an SC adducted SD with muscle energy?

Answer 39

pt lies supine and doc places arm into extension and internal rotation. Patient is asked to raise arm to ceiling against physician’s force

Question 40

how can you treated an SC extended SD with MET?

Answer 40

doc monitors at clavicular head and places other hand behind the scapula. Pt. holds physician’s shoulder. Physician then pulls the scapula anteriorly. Posterior force is simultaneous applied to proximal clavicle

Question 41

how do you treated an SC extension SD with articulation?

Answer 41

pt adducts the ipsilateral arm and articulatory springing is applied laterally, posteriorly, and inferiorly over the SC