Shoulder Flashcards
In what direction is the head positioned to stretch levator scapulae?
side bend and rotate away, use some flexion
Axial extension, side bending the head away, and rotating the head toward the affected side will stretch what muscles?
scalenes
How do you stretch SCM?
cervical extension, side bend away, rotate toward
T/F: Upper trap can be stretched by side-bending away and rotating toward the tight side.
true
For which shoulder area muscle do you need to stabilize the pelvis when stretching?
lats
The standing V stretch stretches what part of the pecs?
sternal
How do you stretch infraspinatus?
supine, move into IR
How do you stretch serratus anterior?
child’s pose
What motions does an anterior glide mobilization facilitate?
extension, ER
To improve GH abduction, what kind of glide do you want to do with your mobilization?
inferior
What motions does a posterior glide mobilization help?
IR, flexion
The self-mob of holding a table and leaning away from it facilitates what kind of glide?
inferior
What is the self-mob for an anterior glide?
laying back on arms with shoulders almost shrugged-looking
What is the self-mob for a posterior glide?
the sleeper stretch into IR (a posterior glide assists with IR)
What shoulder muscles are likely to get tight? Which ones are likely to become weak?
tight: levator scap, upper trap, SCM, scalenes, pecs, upper cervical extensors, subscap, teres maj/minor, lats
weak: rhomboids, serratus, middle/lower trap, supraspinatus, infraspinatus, deep cervical flexors
How do you perform the lateral scapular slide test?
measure the distance between the inf. angle and SP, and compare that to the other scapula. Do this at 0,45, and 90 degrees
Describe the stages of adhesive capsulitis.
1: 0-3 months where it’s beginning to lose ROM
2: freezing, 3-9 months where we’ll start seeing pts
3: frozen, 9-15 months
4: thawing, 15-24 months
can present as deep joint pain or referred pain, but you’ll see a hypomobile joint
What is your typical course of treatment for adhesive capsulitis?
mobilize the joint, work on stabilizing and strengthening shoulder muscles to reach thawing period faster
What’s the most common GH instability? How does it present?
anterior instability is most common, with humerus elevated, hor abducted, and ER
T/F: Deltoid often gets impinged with a shoulder instability.
false, supraspinatus does
What is a Bankart lesion?
inferior and anterior labrum is damaged
What motions do you limit for an anterior GH repair?
horizontal abduction
extension
elevation
limit these motions for 6 weeks
avoid vigorous stretching for 8-12 wks
What muscle can sometimes be incised with an anterior GH repair? What precautions must you take it if it is?
subscapularis: limit ER to 5-10 degrees
What can lead to posterior instability of the GH joint?
FOOSH
