Shoulder

Question 1

Scapulothoracic motion testing

Answer 1

Upward/downward rotation, Elevation/depression, abduction/adduction, backward tilt/forward tilt

Question 2

Scapulothoracic SD MFR

Answer 2

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

Question 3

Spencer Technique for Glenohumeral ART(can also do MET)

Answer 3

Elephants fart constantly to annoy anger inteligent people

Question 4

Extension

Answer 4

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

Question 5

Flexion

Answer 5

Lateral Recumbant facing you, their arm extended, grab their shoulder with one hand and elbow with other, push their arm into shoulder flexion to barrier for 2 secs, then rythmically repeat

Question 6

Compression Circumduction

Answer 6

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

Question 7

Traction Circumduction

Answer 7

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

Question 8

Adduction and external rotation

Answer 8

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

Question 9

Abduction

Answer 9

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

Question 10

Internal rotation

Answer 10

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

Question 11

Traction with inferior glide

Answer 11

Put their hand on your shoulder with arm extended, both ur hands interlocked on their shoulder, pull everything up then back down.

Question 12

GH joint flexion/Extension SD Met

Answer 12

Stabiliize shoulder with one hand, grab elbow with other, then do MET for flex and extend

Question 13

GH joint Internal/External rotation SD Met

Answer 13

Stabilize shoulder one hand, other grab wrist, do MET for internal/external rotation

Question 14

GH joint AB/Adduction SD Met

Answer 14

They have arm flexed 90 degrees at elbow, Stabilize shoulder one hand, other grab elbow, do MET abduction then backdown to adduction

Question 15

SC Joint Abduction/Adduction diagnosis

Answer 15

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. If they prefer one over the other, say that one SD

Question 16

SC Joint Flexion/Extension diagnosis

Answer 16

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. If they prefer one over the other, say that one SD

Question 17

SC Elevated/Adducted SD ART

Answer 17

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

Question 18

SC Elevated/Adducted SD Met

Answer 18

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.

Question 19

SC Horizontal Extension SD MET

Answer 19

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.

Question 20

Clavicle Anterior and superior glide SD: ART

Answer 20

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

Question 21

Cross Am adduction test

Answer 21

Stand behind them, one hand on ac joint, bring their arm across, if pain t hats positive test, can also use osteopathic to feel for tissue texture abnormalities that could clue you into pathologies.

Question 22

AC Joint Dx

Answer 22

look for obvious deformity, step of sign is shoulder seperation of ac joint, fel for tenderness or tissue texture changes, asses for glide by coming onto distal end of clavicle and spring down one at time. If likes to spring down, its inferior clavicle, if doesnt its a superior clavicle. 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.

Question 23

AC- Superior Clavicle ART

Answer 23

One hand on the AC Joint, other hand on their wrist straight up, traction force upward, trying to gap ac joint, eventually feel some motion and feel some motion, you have now gapped the joint. Once you do that, start bringing their arm forward and down in articular fashion to bring the clavicle back down, trying to go further into barrier each time to bring clavicle back down

Question 24

AC Joint IR/ER Eval

Answer 24

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, look if they prefer interanl or external rotaiton

Question 25

AC Internal Rotation SD MET (*Here they are using SD correctly)

Answer 25

one hand on AC joint to stabillize, wrist in other hand, pull them into ER and have them IR against you

Question 26

AC External Rotation SD MET

Answer 26

one hand on AC joint, wrist in other hand, move them into IR and have them ER against you