shoulder Flashcards
how to treat regional capsular tightenness in shoulder
soft tissue techniques
passive stretches
mobilizations
home exercies
treating rotator cuff
exercises,
surgical
education,
how is the posterior capsule tightened in GHJ
flexion adduction IR
how is the anterior capsule of GHJ tightening
extension abduction ER
ideal shoulder function
good posture
humerus is central in glenoid
mm balance
neuromuscular function
causes of stiff shoulder
habitual postures mm imbalance trauma post surgical unknown
clinical presentation of stiff shoulder
+- pain
loss of ROM
compensation
capsular length restriction
may have impingement
frozen shoulder
global tightness
types of capsular tightness
global and regional (more common)
anterosuperior capsule tightness
pulls humerus anterosuperiorly
loss of ER / end rage ABD
posterior capsule tightness
limitation in IR and horizontal ADD
weak ER and scap stabilizers
impingement
pinched humerus and acromion or coracoid
painful arc
causes of impingement
structural
capsular tightness
mm imbalance
impingement tests
neers
hawkins kennedy
empty can
impingement can lead to
rotator cuff tear
bursitis
mm imbalance
altered biomechs
treating impingement
glides
massage to capsule /tissue
exercise (stretch, strengthen)
education
should impingement exercises be painful
no , that could overload the rotator cuff
Rotator cuff assessment
test strength and pain Resisted ER empty can full can subs cap lift off drop arm
when to refer for imaging
full rotator cuff tear
surgical cand
young functional loss
#
stage 1 mm performance
conscious activation
stage 2 mm perfomrane
co contraction
stage 3 mm performnce
general snap strengthening
stage 4 mm performance
advanced strengthening
strategies for scapular orientation exercise
scap retraction w max depression
scap retraction w elevation
Stage 2 exericse
push up from knee prone full can quadruped shoulder flex lawnmowers robbery
Stage 3 exercises
push up w extended leg
low row
stage 4 exercise
plyometrics sport specific
oscillations
difference acrominon types
1 has more space
3 has less
does RC have up or downward vector
slight down
what does force coupling
serrates anteior
upper n lower trap