Shoulder Classifications Flashcards

1
Q

What are the four STAR categories?

A

Subacromial pain syndrome
Adhesive capsulitis
Shoulder instability
Other

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2
Q

What are the five signs and symptoms of subacromial impingement?

A
  1. Impingement tests: jones, h-k, neers, empty can
  2. Painful arc
  3. Painful MMT of RC muscles
  4. Weakness of RC muscles
  5. Muscle atrophy
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3
Q

You can rule out subacromial with these two things

A

Significant loss of PROM
Signs of GH instability

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4
Q

5 signs of GH instability

A
  1. Age <40
  2. Hx of dislocation or subluxation
    • apprehension tests
  3. +relocation tests
  4. General laxity (Beighton score of 5 or more)
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5
Q

How does a posterior dislocation occur?

A

Longitudinal force when in horizontal adduction and IR

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6
Q

Addressing pain associated with local tissue pathology

A

High irri: activity mod, modalities, manual
Moderate: activity mod with progressive reintroduction, manual prn, limited modalities
Low: no modalities, load tissue

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7
Q

Addressing pain sensitization

A

Progressive exposure to activity
PNE, isometrics, aerobic exercise
Address fear avoidance

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8
Q

Limited PROM Tx

A

High: ROM and stretching in pain-free ROM short of end range
Mod: comfortable end range stretch intermittent and short
Low: end range with increased duration and frequency

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9
Q

NM weakness due to atrophy, disuse or decinditioning

A

High: Arom in pain-free rom
Mod: light or mod resistance to fatigue in mid-range
Low: mod to high resistance to fatigue including end range

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10
Q

NM weakness with poor motor control or activation

A

High: AROM in pain-free ROM. Consider biofeedback and NM estim
Mod: basic movement training with emphasis on quality
Low: high demand movement training: quality over resistance

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11
Q

Evidence shows US, low level laser and extracorporeal shock - wave therapy does/does not have good evidence

A

Does not

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12
Q

What is the quick dash MCID?

A

8-15.9

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