Shoulder Flashcards
Scapulothoracic SD MFR
Patient lateral recumbent facing you, superior hand stabilize anterior and posterior sides of scapula, othher hand at bottom of scapula, evaluate for up/down rotation, protratction/retraction (abduction adduction), elevation and depression, backward and forward tilt. Then do MFR
Spencer Technique for Glenohumeral ART(can also do MET)
Elephants fart constantly to annoy anger inteligent people
Extension
They Lateral recumbant facing you, their elbow flexed, one hand stabilize shoulder other hand push their elbow away from you, at barrier push forward for 2 seconds then pull back then repeat rythmically
Flexion
Lateral Recumbant facing you, their arm extended, grab their shoulder with one hand and hand with other, push their arm into shoulder flexion to barrier for 2 secs, then rythmically repeat
Compression Circumduction
Arm flexed, elbow toward sky, one hand on their shoulder, other compress the elbow and do circles increasing size for 30 seconds then change direction
Traction Circumduction
Extend their arm towards the sky, one hand on their shoulder, other hand grab wrist and make cricles in sky 15-30 secs then reverse
Adduction and external rotation
Your hand on their shoulder, their arm flexed, they put their bent hand on your arm, then with your other hand you push down on their elbow, 1-2 seconds, then move back then rythmically repeat
Abduction
Your hand on their shoulder, their elbow to sky but arm bent and resting on your arm, then with other hand you push at their elbow towards their head
Internal rotation
Their elbow to sky with arm flexed and hand behind their back, you put one hand on their shoulder and with other pull elbow towards you
Traction with inferior glide
Put their hand on your shoulder with arm extended, both ur hands interlocked on their shoulder, push down with ur hands but stand upt tand down.
GH joint flexion/Extension SD Met
Stabiliize shoulder with one hand, grab elbow with other, then do MET for flex and extend
GH joint Internal/External rotation SD Met
Stabilize shoulder one hand, other grab wrist, do MET for internal/external rotation
GH joint AB/Adduction SD Met
They have arm flexed 90 degrees at elbow, Stabilize shoulder one hand, other grab elbow, do MET abduction then backdown to adduction
SC Joint Abduction/Adduction diagnosis
they supine, Put both index fingers on their SC joint, have them shrug, this is sc joint abduction, have them move shoulders downward, this is sc joint adduction
SC Joint Flexion/Extension diagnosis
they supine, Put both index fingers on their SC joint, have them reach for ceiling, will feel sc flexion, have them lower arms, will feel sc extension
SC Elevated/Adducted SD ART
They supine with flexed head against ur body, thumb over sc joint with caudal pressure, tell them inhal exhale, in exhalation spring clavicle inferiorly to release restriction
SC Elevated/Adducted SD Met
they supine, u sit at their side, one hand on their sc joint, other hand on wrist and hold their shoulder extended and arm extended and internally rotated, have them try to raise arm against urs(flexion at the shoulder) 3-5 seconds, you hold them back down, repeat till no new barrieers.
SC Horizontal Extension SD MET
One hand on sc joint, other behind their shoulder, they pull down on your shoulder, you push down on their sc joint, then relax, then push down some more.
Clavicle Anterior and superior glide SD: ART
Patient supine, you on opposite side as the bad shoulder, put one hand between their body and bad arm and have to locked on the table, they adduct their bad arm onto your extended arm, use hypothenar eminence on their sc in lateral, posterior, and inferior direction- articulatory springing
Cross Am adduction test
one hand on their ac joint, they start arm at 90 degrees and adduct arm across body, positive finding is pain at the ac joint, represents tight posterior glenohumeral capsule (they also say increased tissue texture abnormality but then they say uniquely relevant to DO diagnosise)
AC- Superior Clavicle ART
One hand on the AC Joint, other hand on their wrist, traction force in caudad direction and extend their elbow joint, feel for gapping of ac joint
AC Joint Dx
Look for shifted clavicle at acromial end, superior or inferior. Palpate for this (step off) and tta. Cross arm adduction test (below). Check springing of distal clavicle inferiorly/superiorly and anteriorly/posteriorly. (resistant to inferior=clavicle superior etc.
AC Joint IR/ER Eval
one hand on AC joint, see if tenderness at ac joint and look for asymetry at gap compared to other side, Flex elbow and abduct to 45 degrees, internally and externally rotate arm 90 degrees
AC Internal Rotation SD MET (*Here they are using SD correctly)
one hand on AC joint to stabillize, wrist in other hand, pull them into ER and have them IR against you
AC External Rotation SD MET
one hand on AC joint, wrist in other hand, move them into IR and have them ER against you
