shoulder Flashcards
scapulohumeral rhythm
the normal coordinated movement in arm elevation
2:1 (humerus:scapula)
whats scapulohumeral rhythm affected by
pain tendinopathy weakness capsular restriction swelling
GH joint abduction range
120 degs
scapular upward rtowrds
60 deg
key mm functions in scapulohumeral rhythm
upper/lower traps with serrates to evaluate and hold it down
rotators to stabilize and depress
thoracic outlet syndrome
compression of subclavian blood vessel / lower cord brachial plexus
neuro sytmpoms
subjective assessmentt of shoulder
occupation mechanics of injury sleep side pain radiation to elbow dominant hand age SIN functional limtations
whats instability
excessive ROM
soft end feel
pain
apprehension
do the rotator cuff mm help in scapulohumeral rhythm
yes stabilize humeral head and depress it
what decreases superior migration of humeral head
rotator cuff
rotator cuff mm
supra
infra
sub
t minor
upper extremity functional index
measures difficulty in activity
clinically important difference UEFI
5-10 points
whats a high score on UEFI
80
special tests for shoulder
instability
impingement
mm tendon
thoracic outlet
when don’t you do instability tests
history dislocations
stability tests
sulcus
ant apprehension
posterior apprehension
wheres impingement of shoulder
between acromion and greater tuberosity of humerus
what do you test before testing for impingement
if flexion n internal rotation hurt
when don’t you do impingement tests
if flexion n internal rotation hurts
impingement tests
neers
hawkins -kennedy (@)
mm tendon tests
long head biceps supraspinatus drop arm external rotation lag belly press
test for infra tear
external rotation lag
positive drop arm test indicates
rotator cuff tear
supra
test for subscap
belly press
what do you do before testing for TOS
pulses
brachial
radial
ulnar
TOS tests
adson
Allen modified
