Shoulder

Question 1

Broadly, what are the 4 steps to consider in an algorithm for shoulder patients

Answer 1

1. Scapula - abnormal movement, does correct help
2. Humeral head - abnormal movement, does correction help ?
3. Are there pathological restrictions to consider ? Scans etc. that may limit or change management
4. What are their functional requirements ?

Question 2

What degree of change in scapula upward rotation would be considered an assymetry ?

Answer 2

More than 5 degrees

Question 3

What does it mean if a scap correction makes someone worse ?

Answer 3

This was a compensatory strategy - should not follow this in rehab but gives good insight into what they’re compensating for

Or

They have a reactive cuff and then should trial correction later on

Question 4

What presentation often demonstrate winging?

Answer 4

Posterior instability

Question 5

What two open chain movements should you be cautious with in a posterior instability

Answer 5

Flexion and horizontal flexion

Question 6

What % of RC tears progress over a 2 year period ?

Answer 6

50%

Question 7

What % of degenerative tears progress over a 2 year period

Answer 7

30%

Question 8

What % of traumatic tears progress over a 2 year period

Answer 8

%70

Question 9

For MDI, what is the most evidence based treatment regime

Answer 9

The WIP program