Quiz 9: 2 Flashcards
What exercises allow the pt to focus on scapular control and established movement patterns without creating excessive loads on the shoulder?
scapular clock
What stretch can you teach a pt to help with posterior shoulder flexibility?
- sleeper stretch
- crossover stretch
What is the loose packed position of the shoulder?
- slight abduction
- flexion
- neutral rotation
Name 3 types of RTC impingements
- primary
- secondary
- internal
Name 3 different categories of proximal biceps tendon injuries
- tendinopathy
- instability
- rupture
Describe: biceps tendinopathy
tendinitis, tenosynovitis, tendinosis
Describe: Instability (biceps injury)
- tendon dislocation and subluxation
- transverse humeral ligament
Describe: biceps rupture (where most common)
most common in bicipital groove
Causes: biceps tendinopathy
- overuse injuries
- impingement syndromes
- GH instability
Causes: biceps instability
- tear in tendinoligamentous sling
- tear in transverse humeral ligament
- shallow bicipital groove
Causes: biceps rupture
- traumatic events
- excessive eccentric load
What is the newest trend for pts with UCL-R scars?
getting sweet tats to accentuate their battle scars
What does GIRD/ERG stand for?
Glenohumeral IR deficit, ER Gain
What population is GIRD/ERG commonly seen?
- throwing athletes who start throwing sports early
- due to anatomical change in humerus/GH capsule
What is the total arc of motion of shoulder IR/ER?
160
What should the total arc of motion consist of?
- 70 from IR (45 isolated, 70 composite GH/scap motion)
- 90 from ER
What makes GIRD the appropriate dx?
- GIRD » ERG = deranged kinematics
- decrease in IR is usually greater than a 25˚ difference compared to non-throwing shoulder
Name 2 special tests that can be done to check for RTC impingements
- Hawkins-Kennedy
- Neer
- Coracoid impingement
- crossover
Name one thing that indicates a positive test impingement test?
- pain
- painful arc
- grating/crepitus
- weakness
- pain inhibition
What % of shoulder dx are impingements?
55%
Briefly describe internal impingement
- inside joint
- can be hyper/hypomobile
Briefly describe secondary impingement
- subacromial space
- hypermobile
Briefly describe primary impingement
- subacromial space
- hypomobile
What are the arthrokinematics of the shoulder in OKC?
Convex on concave
What mob would you do if the pt had decreased horizontal adduction?
Lateral distraction
What are 3 glides you can do at the ST jt?
- elevation glide
- depression glide
- protraction glide
- retraction glide
- UR
- DR
- circumduction glide
Name the mob you would do at the AC jt
AP glide
