Shoulder Flashcards
Based on the classification system, what are the two classification for primary movement impairments
Scapulothoracic
Humeral
What are the 4 movement impairments to look for in scapulothoracic region?
- Insufficient upward rotation
- Insufficient scapular posterior tilt
- Excessive scapula internal rotation
- Excessive clavicular elevation
What are the two movement impairments to assess for in the glenohumeral region
Hyper and hypo mobility
What are the two possible movement system contributors for insufficient upwards cap rotation?
- Lower serratus
- Lower traps
What are the two possible movement system contributors for insufficient scap posterior tilt
- Posterior capsule tightness
- Insufficient lower serratus activation
What are the two possible movement system contributors for excessive scapula internal rotation?
- Pec minor tightness
- Insufficient lower/mid trap force/activation
Pain reaching for a seatbelt might indicate what pathologies ? (3)
- Anterior instability
- Stiffness in RC interval
- Subscap dysfunction
Pain pulling off a jumper might indicate what pathologies (3)
- Posterior instability
- Adhesive capsulitis
- Posterior capsule tightness
Shoulder night pain might indicate what pathologies (3)
Inflammatory:
1. C spine
2. Acute RC
3. Adhesive capsulitis
What paper demonstrates that scap dyskinesis is not an isolated risk factor for shoulder pain ?
Hogan, 2020 systematic review
RC pathology is a diagnosis of……
Exclusion
What should be excluded before considered RC pathology ? (4)
- Cervical referral
- AC joint
- Instability: atraumatic and traumatic
- GH jt: Frozen shoulder or OA
What is involved in Beightons testing
And a score of what indicates hypermobility?
- Passive extension of the 5th MCP beyond 90
- Thumb to forearm
- Elbow hyperextension
- Hyperextension of the knee
- Palms to floor
Score of 4-9 is hyper mobile, 0-2 for each of the first 4 (B/L)
Some important static postural positions to consider ? (3)
- Scap downward orientation
- Scap depression
3.gh jt orientation
How do you activate the RC for a scap assistance test and what mechanism causes this
Making a grip
Feed forward mechanism - brain anticipates lifting so activates RC in prep.
Pushing or flexion, what cuff is more active?
Posterior cuff
With extension and pulling, what cuff is more active ?
According to who?
Mostly anterior - Subscap
Karen Ginn, EMG studies
Abduction or scaption plane, what area of cuff most active
Whole cuff
List 5 ways you can do a scapula assistance test into flexion ?
- Short lever
- Stand up tall
- Add ER through range
4.step and flex
- Upward rot
If someone improves with tactile upward rot, what’s an exercise to use?
Band around blades, reaching and pressing to roof
Why would a step help someone’s shoulder?
It activates contralateral glute, which reflexively increases cuff activation
How do you test for a bankart lesion (with an indicative history)
Apprehension relocation
