Shoulder Complex Flashcards

1
Q

Shoulder Complex is a combination of the following joints

A

• Glenohumeral Joint
• Acromioclavicular Joint
• Sternoclavicular Joint
• Scapulothoracic Joint

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2
Q

Resting Position of GH

A

40• to 55• Abduction, 30• Horizontal Adduction

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3
Q

Closed-Pack Position of GH

A

Full Abduction, Full Lateral Rotation

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4
Q

A forward head posture is often associated with rounded shoulders, a medially rotated
humerus and a protracted scapula resulting in the humeral head translating anteriorly, a tight posterior capsule, tightness of the pectoral, upper trapezius, and levator scapulae muscles, and weakness of lower scapular stabilizers and deep neck flexors

A

Yes

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5
Q

Force couples

A

groups of counter-acting muscles that show obvious action when a movement is loaded or done quickly

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6
Q

Eating

A

70• - 100• Horizontal Adduction
45• - 60• Abduction

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7
Q

Combing hair

A

30• - 70• Horizontal Adduction
105• - 120• Abduction
90• Lateral Rotation

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8
Q

Reach Perineum

A

75• - 90• Horizontal Abduction
30• - 45• Abduction
90• Medial Rotation

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9
Q

Tuck in shirt

A

50• - 60• Horizontal Abduction
55• - 65• Abduction
90• Medial Rotation

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10
Q

Place hand behind head

A

10• - 15• Horizontal Adduction
110• - 125• Flexion
90• Lateral Rotation
MOST LATERAL!!!

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11
Q

Putting something on a shelf

A

70• - 80• Horizontal Adduction
70• - 80• Flexion
45• Lateral Rotation

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12
Q

Wash opposite shoulder

A

60• - 120• Horizontal Adduction
60• - 90• Flexion

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13
Q

The examiner should perform the palpation in a systemic manner, beginning with the anterior structures and working around posterior structures.

A

Yes

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14
Q

Hand-to-Back of Neck

The fingers do not touch the neck

A

4

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15
Q

Hand-to-Back of Neck

The fingers touch the neck

A

3

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16
Q

Hand-to-Back of Neck

The fingers reach the median line of the neck, but with compensation by adduction or shoulder
elevation

A

2

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17
Q

Hand-to-Back of Neck

The fingers reach the median line of the neck but do not have full abduction and/or lateral rotation

A

1

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18
Q

Hand-to-Back of Neck

The fingers reach the posterior median line of the neck with the shoulder in full abduction and lateral rotation. The wrist is not dorsally extended

A

0

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19
Q

Hand-to-Scapula

Cannot move the hand behind the trunk

A

4

20
Q

Hand-to-Scapula

The hand reaches the buttock.

A

3

21
Q

Hand-to-Scapula

The hand reaches the opposite iliac crest

A

2

22
Q

Hand-to-Scapula

The hand reaches the opposite scapula 6 cm to 15 cm beneath it

A

1

23
Q

Hand-to-Scapula

The hand reaches behind the trunk to the opposite scapula or 5 cm beneath it in full medial rotation

A

0

24
Q

Hand-to-Opposite Scapula

The hand cannot pass the midline of the trunk

A

3

25
Q

Hand-to-Opposite Scapula

The hand passes the midline of the trunk

A

2

26
Q

Hand-to-Opposite Scapula

The hand reaches the spine of the opposite scapula in full adduction

A

1

27
Q

Hand-to-Opposite Scapula

The hand reaches the spine of the opposite scapula in full adduction without wrist Flexion

A

0

28
Q

FUNCTIONAL TEST
Flexion, Extension, Abduction, Adduction

5-6 reps

A

F
Functional

29
Q

FUNCTIONAL TEST
Flexion, Extension, Abduction, Adduction

3-4 reps

A

FF
Functionally Fair

30
Q

FUNCTIONAL TEST
Flexion, Extension, Abduction, Adduction

1-2 reps

A

FP
Functionally Poor

31
Q

FUNCTIONAL TEST
Flexion, Extension, Abduction, Adduction

Cannot lift arm

A

NF
Non Functional

32
Q

AROM

Flexion

A

160• - 180•

33
Q

AROM

Extension

A

50• - 60•

34
Q

AROM

Abduction

A

170• - 180•

35
Q

AROM

Adduction*

A

50• - 75•

36
Q

AROM

Lateral/External Rotation

A

80• - 90•

37
Q

AROM

Medial/internal Rotation

A

60• - 100•

38
Q

AROM

Horizontal Adduction (Horizontal Flexion)

A

130•

39
Q

Best position for PROM

A

Supine

40
Q

PROM normal end feel

Flexion

A

Tissue stretch

41
Q

PROM normal end feel

Abduction

A

Tissue stretch or bone to bone

42
Q

PROM normal end feel

Lateral/External Rotation

A

Tissue stretch

43
Q

PROM normal end feel

Medial/Internal Rotation

A

Tissue stretch

44
Q

PROM normal end feel

Extension

A

Tissue stretch

45
Q

PROM normal end feel

Horizontal Adduction

A

Tissue stretch or soft tissue approximation

46
Q

Best position for RROM

A

Supine

47
Q

How many movements during RROM

A

6
Flexion
Extension
Lateral Rotation
Medial Rotation
Adduction
Abduction