Shoulder

Question 1

Based on the classification system, what are the two classification for primary movement impairments

Answer 1

Scapulothoracic
Humeral

Question 2

What are the 4 movement impairments to look for in scapulothoracic region?

Answer 2

1. Insufficient upward rotation
2. Insufficient scapular posterior tilt
3. Excessive scapula internal rotation
4. Excessive clavicular elevation

Question 3

What are the two movement impairments to assess for in the glenohumeral region

Answer 3

Hyper and hypo mobility

Question 4

What are the two possible movement system contributors for insufficient upwards cap rotation?

Answer 4

1. Lower serratus
2. Lower traps

Question 5

What are the two possible movement system contributors for insufficient scap posterior tilt

Answer 5

1. Posterior capsule tightness
2. Insufficient lower serratus activation

Question 6

What are the two possible movement system contributors for excessive scapula internal rotation?

Answer 6

1. Pec minor tightness
2. Insufficient lower/mid trap force/activation

Question 7

Pain reaching for a seatbelt might indicate what pathologies ? (3)

Answer 7

1. Anterior instability
2. Stiffness in RC interval
3. Subscap dysfunction

Question 8

Pain pulling off a jumper might indicate what pathologies (3)

Answer 8

1. Posterior instability
2. Adhesive capsulitis
3. Posterior capsule tightness

Question 9

Shoulder night pain might indicate what pathologies (3)

Answer 9

Inflammatory:
1. C spine
2. Acute RC
3. Adhesive capsulitis

Question 10

What paper demonstrates that scap dyskinesis is not an isolated risk factor for shoulder pain ?

Answer 10

Hogan, 2020 systematic review

Question 11

RC pathology is a diagnosis of……

Answer 11

Exclusion

Question 12

What should be excluded before considered RC pathology ? (4)

Answer 12

1. Cervical referral
2. AC joint
3. Instability: atraumatic and traumatic
4. GH jt: Frozen shoulder or OA

Question 13

What is involved in Beightons testing

And a score of what indicates hypermobility?

Answer 13

1. Passive extension of the 5th MCP beyond 90
2. Thumb to forearm
3. Elbow hyperextension
4. Hyperextension of the knee
5. Palms to floor

Score of 4-9 is hyper mobile, 0-2 for each of the first 4 (B/L)

Question 14

Some important static postural positions to consider ? (3)

Answer 14

1. Scap downward orientation
2. Scap depression

3.gh jt orientation

Question 15

How do you activate the RC for a scap assistance test and what mechanism causes this

Answer 15

Making a grip

Feed forward mechanism - brain anticipates lifting so activates RC in prep.

Question 16

Pushing or flexion, what cuff is more active?

Answer 16

Posterior cuff

Question 17

With extension and pulling, what cuff is more active ?

According to who?

Answer 17

Mostly anterior - Subscap

Karen Ginn, EMG studies

Question 18

Abduction or scaption plane, what area of cuff most active

Answer 18

Whole cuff

Question 19

List 5 ways you can do a scapula assistance test into flexion ?

Answer 19

1. Short lever
2. Stand up tall
3. Add ER through range

4.step and flex

5. Upward rot

Question 20

If someone improves with tactile upward rot, what’s an exercise to use?

Answer 20

Band around blades, reaching and pressing to roof

Question 21

Why would a step help someone’s shoulder?

Answer 21

It activates contralateral glute, which reflexively increases cuff activation

Question 22

How do you test for a bankart lesion (with an indicative history)

Answer 22

Apprehension relocation