Shoulder Complex Exam and Eval

Question 1

adhesive capsulitis vs frozen sholder

Answer 1

adhesive capsulitis is an inflammatory response

Question 2

adhesive capsulitis

Answer 2

2 year process
age 40-60
females>males
capsular pattern

Question 3

capsular pattern of shoulder

Answer 3

first loss is ER

second loss is flexion and abduction (equal losses in both)

Question 4

frozen shoulder

Answer 4

capsular pattern may or may not be present

often limitations greater in IR than ER

Question 5

if more ROM loss in IR rather than ER, think what diagnosis?

Answer 5

frozen shoulder (rather than adhesive capsulitis)

Question 6

causes of IR position of arms at rest

Answer 6

• tight pecs, lat, teres major, subscap
• weak traps
• IR can be due to position of scapula, not tight muscles

Question 7

most commonly used UE outcome measurement tool

Answer 7

quick dash

Question 8

GROC

Answer 8

global rating of change

measures the patient’s perception of it theya re getting better or worse (can use with any joint, 7 pt scale)

Question 9

pattern 4 of scapulohumeral rhythm

Answer 9

normal

Question 10

C3-C4 referred pain

Answer 10

SC joint

Question 11

C4

Answer 11

AC joint innervation

Question 12

C5

Answer 12

lateral shoulder referred pain

Question 13

C5-C6

Answer 13

GHJ structure innervation

Question 14

getting coat on: what arm positions and what disorder?

Answer 14

abduction and ER: classic adhesive capsulitis if painful

Question 15

pain with arms overhead and with putting on seatbelt

Answer 15

impingment

Question 16

pattern 1 scapulohumeral rhythm

Answer 16

inferior medial angle of scapula is displaced posteriorly from the posterior thorax

Question 17

pattern 2 scapulohumeral rhythm

Answer 17

entire medial border of scapula is displaced posteriorly from the psoterior thorax

Question 18

pattern 3 scapulohumeral rhythm

Answer 18

early scapular elevation or excessive/insufficient scapular upward rotation

Question 19

which muscles attach to the coracoid?

Answer 19

coracobrachialis, pec minor, short head of biceps

Question 20

palpate subacromion space

Answer 20

fall laterally off of AC joint

Question 21

how to palpate teres major

Answer 21

feel by asking for IR, it will pop out
teres major and lat close to inferior angle of scapula
order from sup to inferior: infraspinatus, teres minor, teres major, lat

Question 22

IR vs ER for palpating tuberosities of humerus

Answer 22

IR = greater tuberosity
ER = lesser tuberosity

Question 23

SA palpation

Answer 23

below inferior angle of scapula
arm in flexed position above head, resist extension to feel
weak SA will compensate with pecs

Question 24

origin/insertion of triceps

Answer 24

infraglenoid tubercle of scapula and olecranon

Question 25

subscapularis palpation

Answer 25

palpate in supine
armpit
inferior/anterior surface of scapula

Question 26

Position of patient when assessing the scapulothoracic joint

Answer 26

sidelying facing the therapist

Question 27

Sternoclavicular joint becomes unstable after: (2)

Answer 27

1. trauma such as a car accident

2. open heart surgery: sternum heals as cartilage and not bone

Question 28

anterior inferior glide of SCJ assesses which 3 ligaments?

Answer 28

1. anterior sternoclavicular
2. costochondral
3. costoclavicular

Question 29

Superior posterior glide of SCJ assesses what lgiament?

Answer 29

asesseses the posterior SC ligament, restricted by superior joint capsule and interclavicular ligament

Question 30

When the GHJ has limited motion, the most common place to compensation/substitute from to get the motion is where?

Answer 30

scapulothoracic joint

Question 31

anterior and posterior glide of the ACJ: two methods of stabilization

Answer 31

1. stabilize humerus and move clavicle (pt faces away from therapist)
2. stabilize scapula/thorax with your body and move the clavicle (pt faces you)

Question 32

limited inferior glide of GHJ = textbook what disorder?

Answer 32

adhesive capsulitis

Question 33

inferior glide of GHJ: stabilize what and palpate what?

Answer 33

stablize scapula, palpate subacromial space!

good inhibition, relaxation technique

Question 34

if a patient is restricted in posterior glide, what happens to the head of the humerus?

Answer 34

it is pushed anteriorly, which decreases the subacromial space during elevation of the arm

Question 35

position of patient during both posterior and anterior glides of GHJ

Answer 35

supine (however, an anterior glide can also be done in prone!)

Question 36

if anterior glide of the GHJ is limited, what function/action is limited?

Answer 36

humeral ER will be limited, which is needed for glenohumeral elevation

Question 37

patients who classically have a tight posterior capsule and would benefit from a posterior glide of the GHJ?

Answer 37

baseball pitchers (because anterior capsule is hypermobile)
also - those with impingement

Question 38

an anterior glide goes from ___ to ___

Answer 38

posterior to anterior

Question 39

a posterior glide goes from ___ to ____

Answer 39

anterior to posterior ( stretches posterior capsule)

Question 40

limited anterior and inferior glides = what condition?

Answer 40

adhesive capsulitis

Question 41

capuslar pattern of GHJ

Answer 41

ER, abduction, flexion

Question 42

how do you stabilize the scapula when doing a prone anterior glide to the GHJ?

Answer 42

place towel under arm