Shoulder

Question 1

What type of acromion are you most likely to see impingement with?

Answer 1

Type III

Question 2

The _______ _____ = inferior part of the capsule that allows you to bring your arm into elevation

Answer 2

dependent fold

Question 3

GHJ concavity compression phenomenon = ______ effect

Answer 3

suction

Question 4

There is ________ intra-articular pressure in the GHJ

Answer 4

negative

Question 5

The capsule controls ______ of the humeral head on the glenoid fossa

Answer 5

translation

Question 6

What 3 movements tighten the posterior capsule?

Answer 6

1. flexion
2. adduction
3. IR

Question 7

What 3 movements tighten the anterior capsule?

Answer 7

1. extension
2. abduction
3. external rotation

Question 8

What direction do fibers of the GHJ run in?

Answer 8

Every direction

Question 9

The capsule attaches to the _____ in the back and the ______ at the front

Answer 9

glenoid; humerus

Question 10

What are 3 structures at risk of impingement below the acromion?

Answer 10

1. long head of biceps
2. supraspinatus
3. subacromial bursa

Question 11

The RC provides a ____ force for the humerus.

Answer 11

shunt

Question 12

The force of the RC has a slightly _______ vector, whereas the posterior cuff has a slightly _______ vector

Answer 12

downward; upward

Question 13

If you want to increase subacromial space, strengthen what 3 muscles/groups?

Answer 13

1. SA
2. Trapezius
3. RC

Question 14

If the RC is weak, we might see _______ translation of the humeral head.

Answer 14

upward

Question 15

Ideal shoulder function = humerus is centred in the _______

Answer 15

glenoid

Question 16

With shoulder pain, what are the 2 main presentations?

Answer 16

1. stiff shoulder

2. the hyper mobile

Question 17

What are 4 possible causes of stiff shoulder?

Answer 17

1. habitual postures
2. muscle imbalance
3. post traumatic
4. post surgical

Question 18

Stiff shoulder may result in biomechanical compensation at other joints. Name 3

Answer 18

1. neck
2. elbow
3. wrist

Question 19

The pattern of loss of ROM will depend on what?

Answer 19

whether all or some of the capsule is tight

Question 20

Is global or regional capsular tightness more common?

Answer 20

regional

Question 21

Anteriorsuperior capsule _____ the humeral head anterosuperiorly

Answer 21

pulls

Question 22

ALL portions of the capsule besides the anterior superior portion _____ the humeral head away from the tight area

Answer 22

push

Question 23

What movements will you lose with anterosuperior capsule tightness?

Answer 23

ER and end range abd

Question 24

With anterosuperior capsule tightness, impingement will occur in _______ _____/____

Answer 24

horizontal add/IR

Question 25

Anterosuperior capsule tightness decreases _______ glide of the humerus

Answer 25

posteroinferior

Question 26

With posterior capsule tightness, there will be a limitation of _______ ______ and _____

Answer 26

horizontal adduction and IR

Question 27

With posterior capsule tightness, the humerus will have an ______ resting position with decreased ______ glide

Answer 27

anterior; posterior

Question 28

With posterior capsule tightness, there will be weakness of _____ _______ and ______ ______

Answer 28

ER; scapular stabilizers

Question 29

With impingement, the limitation is in the painful range, usually between __-__ deg abd/flex

Answer 29

90-120

Question 30

What are 3 causes of impingement?

Answer 30

1. structural 2. capsular tightness 3. muscle imbalance

Question 31

What are 4 impingement tests?

Answer 31

1. neers 2. Hawkins kennedy 3. empty can 4. full can

Question 32

Impingement can lead to what 5 things?

Answer 32

1. RC tendinopathy 2. bone spurs on the acromion 3. burisitis 4. muscle imbalance 5. altered biomechanics

Question 33

What are 4 treatments for impingement?

Answer 33

1. joint glides 2. massage to capsule and soft tissues 3. exercise 4. education

Question 34

What are 6 steps in a RC assessment?

Answer 34

1. test for strength and/or pain 2. resisted ER 3. empty can test 4. full can test 5. subs cap lift off 6. drop arm test

Question 35

When strengthening for shoulder pain, start with _______ stability before progressing to the ___.

Answer 35

scapular; RC

Question 36

______ is useful to determine RC tear or Ca deposits

Answer 36

US

Question 37

Shoulder X-rays are rarely useful unless you're suspicious of a # (T/F).

Answer 37

TRUE