Shoulder Complex Flashcards
Shoulder Complex is a combination of the following joints
• Glenohumeral Joint
• Acromioclavicular Joint
• Sternoclavicular Joint
• Scapulothoracic Joint
Resting Position of GH
40• to 55• Abduction, 30• Horizontal Adduction
Closed-Pack Position of GH
Full Abduction, Full Lateral Rotation
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
Yes
Force couples
groups of counter-acting muscles that show obvious action when a movement is loaded or done quickly
Eating
70• - 100• Horizontal Adduction
45• - 60• Abduction
Combing hair
30• - 70• Horizontal Adduction
105• - 120• Abduction
90• Lateral Rotation
Reach Perineum
75• - 90• Horizontal Abduction
30• - 45• Abduction
90• Medial Rotation
Tuck in shirt
50• - 60• Horizontal Abduction
55• - 65• Abduction
90• Medial Rotation
Place hand behind head
10• - 15• Horizontal Adduction
110• - 125• Flexion
90• Lateral Rotation
MOST LATERAL!!!
Putting something on a shelf
70• - 80• Horizontal Adduction
70• - 80• Flexion
45• Lateral Rotation
Wash opposite shoulder
60• - 120• Horizontal Adduction
60• - 90• Flexion
The examiner should perform the palpation in a systemic manner, beginning with the anterior structures and working around posterior structures.
Yes
Hand-to-Back of Neck
The fingers do not touch the neck
4
Hand-to-Back of Neck
The fingers touch the neck
3
Hand-to-Back of Neck
The fingers reach the median line of the neck, but with compensation by adduction or shoulder
elevation
2
Hand-to-Back of Neck
The fingers reach the median line of the neck but do not have full abduction and/or lateral rotation
1
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
0
Hand-to-Scapula
Cannot move the hand behind the trunk
4
Hand-to-Scapula
The hand reaches the buttock.
3
Hand-to-Scapula
The hand reaches the opposite iliac crest
2
Hand-to-Scapula
The hand reaches the opposite scapula 6 cm to 15 cm beneath it
1
Hand-to-Scapula
The hand reaches behind the trunk to the opposite scapula or 5 cm beneath it in full medial rotation
0
Hand-to-Opposite Scapula
The hand cannot pass the midline of the trunk
3
Hand-to-Opposite Scapula
The hand passes the midline of the trunk
2
Hand-to-Opposite Scapula
The hand reaches the spine of the opposite scapula in full adduction
1
Hand-to-Opposite Scapula
The hand reaches the spine of the opposite scapula in full adduction without wrist Flexion
0
FUNCTIONAL TEST
Flexion, Extension, Abduction, Adduction
5-6 reps
F
Functional
FUNCTIONAL TEST
Flexion, Extension, Abduction, Adduction
3-4 reps
FF
Functionally Fair
FUNCTIONAL TEST
Flexion, Extension, Abduction, Adduction
1-2 reps
FP
Functionally Poor
FUNCTIONAL TEST
Flexion, Extension, Abduction, Adduction
Cannot lift arm
NF
Non Functional
AROM
Flexion
160• - 180•
AROM
Extension
50• - 60•
AROM
Abduction
170• - 180•
AROM
Adduction*
50• - 75•
AROM
Lateral/External Rotation
80• - 90•
AROM
Medial/internal Rotation
60• - 100•
AROM
Horizontal Adduction (Horizontal Flexion)
130•
Best position for PROM
Supine
PROM normal end feel
Flexion
Tissue stretch
PROM normal end feel
Abduction
Tissue stretch or bone to bone
PROM normal end feel
Lateral/External Rotation
Tissue stretch
PROM normal end feel
Medial/Internal Rotation
Tissue stretch
PROM normal end feel
Extension
Tissue stretch
PROM normal end feel
Horizontal Adduction
Tissue stretch or soft tissue approximation
Best position for RROM
Supine
How many movements during RROM
6
Flexion
Extension
Lateral Rotation
Medial Rotation
Adduction
Abduction
