Lab. Practical 1 Flashcards
Shoulder flexion ROM
165-180
firm
GH. flexion ROM
97-106
firm
shoulder extension ROM
50-60
firm
GH extension ROM
20 degrees
firm
shoulder abduction ROM
180 degrees
firm
GH abduction ROM
90-130 degrees
firm
shoulder ER ROM
90-100 degrees
firm
GH ER ROM
95-110 degrees
firm
shoulder IR ROM
70-90 degrees
firm
GH IR ROM
50-60 degrees
firm
GH joint mob distraction set up
supine, arm ABD 55, horizontal adducted 30, scapular plane
belt to fixate scapula
hand in armpit and on humerus and move hand in axilla laterally
GH caudal glide set up
supine, loose pack
belt to fixate scapula
grade 1 distraction with 2nd hand distal to acromion process and glide humerus inferiorly
when to do GH distraction
initial treatment
pain control
general mobility
when to do GH. caudal glide
increase abduction
reposition head if it is superiorly
when to do GH posterior glide
increase flexion or IR
GH posterior glide set up
supine, open pack
fixate scapula. with belt
stand with back. to pt. in between arm and torso
hold onto distal humerus and do grade 1 distraction
other hand goes distal to shoulder and glide humeral head posteriorly
when to do GH anterior glide
increase extension and ER
GH anterior glide set up
prone in lose pack and arm supported on thigh
stabilize acromion with padding
arm on distal humerus to do grade 1. distraction
other hand just distal to posterior angle of acromion process and glide anteriorly and slightly medially
Yergason’s test is for
torn biceps
Speed’s test is for
biceps tendonitis
Drop arm test is for
rotator cuff tear
painful arc test is for
impingement or RCT
infraspinatus test is for
infraspinatus strain (RCT)
neer impingement test is for
impingement or subacromial bursitis
Hawkin’s Kennedy test is for
impingement
anterior apprehension test is for
anterior shoulder instability
sulcus test is for
inferior shoulder instability
posterior apprehension test is for
posterior shoulder instability
O’Brein’s compression test is for
SLAP
Labral crank test is for
labral tears
Adson’s manuever is for
TOS at inter scalene triangle
Wright’s test is for
TOS at coracoid rib and pec minor
Costoclavicular maneuver is for
TOS at 1st rib and clavicle
what is the primary muscle for shoulder flexion
anterior deltoid
what is the primary muscle for shoulder abduction
supraspinatus
middle deltoid
what is the primary muscle for shoulder horizontal abduction
posterior deltoid
what is the primary muscle for shoulder horizontal adduction
pec major
lats
what is the primary muscle for shoulder external rotation
infraspinatus
teres minor
what is the primary muscle for shoulder internal rotation
pec major
subscapularis
teres major
lats
what is the primary muscle for scapular adduction
rhomboids
teres major
what is the primary muscle for scapular elevation
levator scapulae
rhomboids
upper trap
what is the primary muscle for scapular depression and adduction
lower trap
what is the primary muscle for scapular adduction and downward rotation
rhomboids
levator scapulae
pec minor
what is the primary muscle for scapular abduction and upward rotation
serratus anterior
upper trap
lower trap
shoulder and GH flexion and extension set up
fulcrum: lateral aspect of greater tubercle
proximal arm: parallel to midaxillary line of thorax
distal arm: lateral midline of humerus
shoulder and GH abduction Goni set up
fulcrum: anterior aspect of acromial process
proximal arm: parallel to midline of anterior aspect of sternum
distal arm: anterior midline of humerus
shoulder and GH ER and IR Goni set up
fulcrum: olecranon process
proximal arm: parallel or perpendicular to floor
distal arm: ulna
what motion does posterior glide of clavicle on acromion help with
protraction
what motion does anterior glide of clavicle on acromion help with
retraction
when to do an inferior SC joint mob
increase elevation
clavicle is convex so want to go in direction of glide
when to do a superior SC joint mob
increase depression
clavicle is convex so want to go in direction of glide
when to do an anterior SC joint mob
increase protraction
clavicle is concave so want to go in direction of glide (+roll)
when to do a posterior SC joint mob
increase retraction
clavicle is concave so want to go in direction of glide (+roll)