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PHTH 545 > Scapular dyskinesia > Flashcards

Scapular dyskinesia Flashcards

1
Q

Typical starting position of the scapula: upward rotation?

A

2-18 deg

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2
Q

Typical starting position of the scapula: internal rotation?

A

33-35 deg

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3
Q

Typical starting position of the scapula: anterior tilt - posterior tilt?

A

8-10 deg

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4
Q

Typical starting position of the scapula: position inf angle?

A

T7

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5
Q

Typical starting position of the scapula: lateral shift of inf angle?

A

8.1 cm from T7 SP

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6
Q

What are the 4 contributors to scapular position?

A
  1. thoracic influence
  2. cervical influence
  3. habitual influences
  4. muscle imbalances
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7
Q

Static posture of the scapula is the best indicator of pathology (T/F)

A

FALSE - what the scapula does during motion is most important

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8
Q

In the scapula rehab algorithm, what are the two main categories that can be contributing to scapular dysfunction?

A
  1. lack of soft tissue flexibility

2. lack of muscle performance

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9
Q

In the scapular rehab program algorithm, lack of soft tissue flexibly can be broken down into what two categories? How would you treat this?

A
  1. scapular muscles
  2. GH muscle/capsule
    treatment - stretching and mob’s
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10
Q

In the scapular rehab program algorithm, lack of muscular performance can be broken down into what two categories? How would you treat this?

A
  1. muscular control; treat with neuromuscular coordination

2. muscular strength: treat with strength training

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11
Q

What 3 scapular muscles may impact soft tissue flexibility?

A
  1. pec minor
  2. levator scapulae
  3. rhomboids
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12
Q

What 3 GH muscles (and part(s) of capsule) may impact soft tissue flexibility?

A
  1. posterior capsule
  2. infraspinatus
  3. lat dorsi
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13
Q

Stage __ = conscious activation of scapular force couples, scapular orientation exercise, biofeedback

A

1

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14
Q

Stage __ = co-contraction in basic positions, activation with low load, exercises with high LFT/SA ratios

A

2

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15
Q

Stage ___ = general scapula strengthening, integration of kinetic chain

A

3

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16
Q

Stage ___ = advanced strengthening, sport specific, plyometric, kinetic chain integration

A

4

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17
Q

What does the scapular orientation exercise include?

A
  • 15-30 degrees forward of coronal plane

- upward rotation (lift acromion and glenoid)

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18
Q

In the scapular orientation exercise, the inferior angle moves ________.

A

laterally

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19
Q

In the scapular orientation exercise, place and hold pt in ideal position for __ reps of __ secs

A

10;10

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20
Q

What are 3 examples of exercises in stage 2 of scapular rehab?

A
  1. low row
  2. lawnmover
  3. robbery
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21
Q

We often see ______ LFT and SA with excessive use of ___

A

decreased; UFT

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22
Q

What are 2 exercises that target SA?

A
  1. dynamic hug

2. bilateral SA punch to 120 deg abduction

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23
Q

What are 3 exercise that target LFT?

A
  1. prone full can
  2. prone ER at 90 deg
  3. prone horizontal ABD at 90 deg with ER
24
Q

What are 3 exercises with the greatest LFT:UFT ratios?

A
  1. bilateral ER at 0 deg abd
  2. side lying ER
  3. prone horizontal ABD at 90 deg ABD and ER
25
Q

__________ shoulder flexion has highest amount of SA and LFT activity compared to free motion exercises

A

quadruped

26
Q

In a push up, extending ________ leg = increased SA activation

A

ipsilateral

27
Q

In a push up, extending _______ leg = increased LFT activation

A

contralateral

28
Q

In a low row pos’n, single leg stance on ________ leg = increased scapular muscle activity and improved ___:___

A

contralateral; UFT:LFT

29
Q

What are 4 examples of exercise to include in stage 4?

A
  1. plyos
  2. eccentrics
  3. oscillations
  4. rhythmic stabilization or perturbations
30
Q

If first three stages of the SSMP do not completely alleviate or reduce symptoms, then asses influence of manual therapy procedures throughout the _____, _______ and shoulder regions that may modulate shoulder symptoms

A

cervical; thoracic

31
Q

What are the 5 parts of the shoulder symptom modification procedure (SSMP)?

A
  1. thoracic kyphosis
  2. scapular position
  3. winging scapular
  4. humeral head procedure
  5. symptom modification
32
Q

What 3 ways does the scapula move during arm elevation?

A
  1. upward/downward rotation
  2. anterior/posterior tilt
  3. external/internal rotation
33
Q

Scapular motion about an axis ________ to the plane of the scapula is known as upward/downward rotation

A

perpendicular

34
Q

Upward rotation tilts the glenoid fossa superiorly during arm elevation and begins during the first ___ to ___ deg arm elevation

A

30-60

35
Q

From __ - __ deg the scapula should move very little

A

0-30

36
Q

From 30 deg - max elevation the ______ scapular border demonstrates smooth upward rotation, and the entire scapula ______

A

medial; entire

37
Q

Scapular motion around an axis roughly through the spine of the scapula is called ____

A

tilt (ant or post)

38
Q

During arm elevation the normal scapula moves into ______ tilting and lies flat against the thorax

A

posterior

39
Q

Scapular motion about a roughly vertical axis is known as ________

A

rotation

40
Q

The scapula normally externally rotates during arm elevation, particularly above ___ deg

A

90

41
Q

Generally expect < 1/2 inch protrusion of both the ____ border and ____ angle of the scapula off the thorax

A

medial; inferior

42
Q

______ _______ = an observable alteration in scapular motion and motion pattern relative to the thorax

A

scapular dyskinesis

43
Q

What are the two primary subtypes of scapular dyskinesia

A
  1. winging

2. dysthymia

44
Q

> or equal to ___ inch is considered abnormal winging

A

1

45
Q

_____ = lack of smooth scapulohumeral motion

A

dysrhythmia

46
Q

Most common dysrhythmia = early/excessive scapular elevation (____)

A

shrug

47
Q

Another common dysrhythmia = rapid downward rotation during lowering (____)

A

dump

48
Q

_____ angle should not pass it’s original resting position

A

inferior

49
Q

Dysrhythmia may present asL UR before ___ during elevation, excessive UR (____); or DR below 90 deg is _______ on descent

A

30; shrug; uncontrolled / rapid

50
Q

It is uncommon to have abnormal motion bilaterally, so focus on symmetry when testing (T/F).

A

FALSE

51
Q

The issue is not the scapular position as rest but what happens during motion (T/F).

A

TRUE

52
Q

What are the 3 rating descriptors for scapular dyskinesis?

A
  1. normal
  2. subtle
  3. obvious
53
Q

What are the components that the pt’s do in the scapular assessment system?

A
  1. 2 test motions (flexion and abduction)

2. 5 reps each

54
Q

Women hold ___ lbs and men hold __ lbs during scapular assessment.

A

3;5

55
Q

To mark as O or S in the scapular assessment system, you must observe abormalities in > or equal to ___/ 5 reps.

A

2

PHTH 545 (23 decks)

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