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Therapeutic Exercise > Mod 4: Shoulder > Flashcards

Mod 4: Shoulder Flashcards

1
Q

shoulder joint (socket/plane/saddle) that’s responsible for elev/dep, prot/retract & rotation

A

sternoclavicular jt

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2
Q

shoulder joint responsible elev/dep, prot/retract, up/down rotation, wing, tip

A

scapulothoracic jt (pseudo)

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3
Q

synovial plane jt that rotates to accomodate humerus & scap

A

acromioclavicular joint (AC jt)

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4
Q

ball & socket jt that’s responsible for flex/ext, abd/add, ER/IR, horizontal abd/add

A

glenohumeral joint (GH jt)

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5
Q

upward rotation force couple mm (3)

A

serratus anterior, upper trap, lower trap

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6
Q

downward rotation force couple mm (3)

A

levator scapula, rhomboids, pec minor

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7
Q

which ligament if damaged causes separated shoulder?

A

coracoclavicular ligament

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8
Q

which ligament creates an arch?

A

coracoacromial ligament

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9
Q

location of 4 shoulder bursae

A

subacromial, subdeltoid, subscapular, subcoracoid

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10
Q

capsular pattern of GH jt

A

ER, aBd, IR, flex

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11
Q

effect of forward head/shoulder on scapular position
what is required for GH flexion?

A

elevation/protraction/med border tilts
thoracic extension

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12
Q

Rotator Cuff/Impingement Special Tests (6)

A

Drop Arm Test (RTC tear)
Hawkins Kennedy Impingement Test (imp or RTC)
Infraspinatus Test (Imp or Infra tear)
Neer Impingement Test (imp or RTC)
Supraspinatus Test/Empty Can test
Painful Arc (in 60-100* aBd)
Internal/External Rotation Lag Sign

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13
Q

Instability Special Tests (4)

A

Apprehension Test (ant. shoulder instability)
Relocation Test (post . force)
Load & Shift
O’Brien Test (for labral tear)
Sulcus Sign (dip between acromion & humeral head)- for inferior instability

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14
Q

Biceps Special Tests (2)

A

Speed’s Test
Yergason’s Test
-long head of biceps for both

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15
Q

AC Jt Special Tests (2)

A

Spring Sign (inf. force on clavicle)
Shear Test

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16
Q

Gen. Shoulder Rehab: Phase 1/2

A

control inflamm/pain w/ modalities, activity mod.
improve postural awareness
up/down chain: cervical & elbow
pain free ROM w/ joint mobs, PROM to AAROM to AROM

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17
Q

Gen. Shoulder Rehab Phase 3/4

A

strengthen: scapulohumeral rhythm & RTC (iso to conc to ecc, ADLs, transverse, speed, plyo)
proprioception: CKC
posture, ergonomics

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18
Q

which glide for flexion & abduction

A

inferior

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19
Q

which glide to improve ER

A

anterior

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20
Q

which glide to improve flexion & IR
& ER** why?

A

posterior
ER: recenters humerus in glenoid fossa

21
Q

Normal shoulder ROM:
flex
ext
IR
ER
abd
horiz abd
horiz add

A

flex: 180
ext: 60
IR: 70
ER: 90
abd: 180
add: NA
horiz abd: 45
horiz add:135

22
Q

alteration in normal position OR motion of scapula during shoulder movement
types

A

scapular dyskinesis
prominent inferior medial border (tilt)
prominent whole medial border (winging)
prominent superior medial border

23
Q

which space with which structures is responsible for shoulder impingement?

A

subacromial space
w/ humeral head, LH biceps tendon, superior jt capsule, supraspinatus
(& some subscap, infraspinatus & subacromial bursa)

24
Q

painful arc degrees of impingement

A

60-100* abduction

25
Q

mechanical compression of RTC tendon between acromion & coracoid process which causes degeneration (bone spurs)
-or: dec. subacromial space d/t GH instability (movement based)

A

shoulder impingement

26
Q

Tx for shoulder impingement

A

address posture- upper X syndrome
scap stability
upper thoracic mobility
address capsular restrictions
RTC strength

27
Q

surgery: removal of a portion of acromion/CA ligament
-can combo RTC repair or distal clavicular excision

A

subacromial decompression

28
Q

causes of acute vs chronic RTC tear

A

acute: injury, trauma, fall, quick heavy lifting
chronic: partial/degenerative tear d/t improver biomechanics

29
Q

frequent locations of shoulder tendinopathy

A

bicipital
RTC

30
Q

abnormal symptomatic motion of GH jt that effects normal joint kinematics & causes pain/sublux/dislocation

A

Glenohumeral instability

31
Q

Bankart lesion: location of damage, structure damages, caused by

A

avulsion of anterior glenoid rim: labral damage from 3-6 oclock”
d/t traumatic anterior dislocation

32
Q

compression fx of post/post-lat humeral head where humeral head impacted the inferior glenoid rim

A

Hill Sachs Lesion

33
Q

s/s: loud clunk as shoulder moved from forward flex position to abd/ER position
- pain w/ flex/add position

A

Posterior GH Instability

34
Q

shoulder subluxation d/t RTC weakness/paralysis (ex: CVA)

A

Inferior GH Instability

35
Q

SLAP lesion meaning & location
-often d/t

A

test in superior labrum from ant to post
11-1oclock”
d/t FOOSH, ecc biceps contract, “Peel back”

36
Q

SLAP/GH instability rehab:
limit activity of which mm?
contraindicated?
precaution:
tx emphasis:

A

limit early biceps activity
C: no extension
P: abduction & ER
emphasis: dynamic stability

37
Q

s/s: pain in ___ jt, painful arch w/ shoulder elevation, pain w/ horiz abd/add, hyp/hyper mob
-d/t FOOSH, MVA, sports

A

sternoclavicular joint sprain

38
Q

avoid 2 motions when AC joint sprain?

A

shoulder depression
humeral traction

39
Q

s/s: point tenderness over AC jt, pain & ROM loss w/ EROM, piano sign of clavicle

A

AC joint separation/separated shoulder

40
Q

proximal humerus fx: displaced
location of fx? (2)

A

greater & lesser tuberosity
anatomical & surgical neck fx

41
Q

synovial inflammation w/ subsequent reactive capsular fibrosis
-stiff capsule that’s painful w/ loss of both PROM & AROM

A

adhesive capsulitis/frozen shoulder

42
Q

frozen shoulder capsular pattern

A

ER, ABd, flex (most to least restricted)

43
Q

3 phases of frozen shoulder

A

freezing/early painful
frozen/stiffening- dec pain but dec ROM/fxn
thawing/recovery- gradual inc ROM

44
Q

frozen shoulder Tx
conservative vs. medical

A

C: joint mob, PROM, A/AROm without compensation, return to fxn
medical: manipulation, pain management, aggressive PT PROM/jt mob often

45
Q

TSA motion precaution

A

no aggressive IR/ER stretching b/c subscap is detached/reattached

46
Q

Reverse TSA motion precaution

A

don’t force IR/Add
-ROM expectations decreased

47
Q

pediatric shoulder injury: overuse w/ epiphysiology of prox humerus
-throwing injury

A

Little Leaguer’s Shoulder

48
Q
A

Therapeutic Exercise (10 decks)

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