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Musculoskeletal Rehab > Shoulder Complex Examination > Flashcards

Shoulder Complex Examination Flashcards

1
Q

How is the DASH scored?

A

-30 functional task
-0-4 Lickert scale
-max score 80
-lower score= greater disability

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2
Q

How is the SPADI scored?

A

-13 time scored on VAS
-8 item physical function
-5 item pain
-max score 100
-higher score = greater disability

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3
Q

How is ASES scored

A
  • American Shoulder Elbow Surgeon
    -10 item scored on VAS
    -Max score 100
    -Lower score = greater disability
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4
Q

What are some movement patterns that a patient can present with?

A

-Total neglect
-“elbow down” movement only
-Substitution
(Scapular, Trunk, Head)

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5
Q

What is Bakody’s Sign?

A

indicative of nerve root irritation C4-C6

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6
Q

What are some trigger symptoms complaints about the quality?

A

-Shifting or popping out
-Clicking, snapping, or grinding
-Ache
-Sharp pain
-Stiffness
-Numbness
-Burning
-Dead arm

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7
Q

What is Ehlers- Danlos?

A

-Rare genetic disorder that causes a defect In collagen fibers synethesis
- mild to life threatening with no cure

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8
Q

What is Marfan’s Syndrome?

A

-autosomal dominant genetic disorder of connective tissue
-disproportionate limbs

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9
Q

When evaluating the elevation painful arc what are the degrees that indicate glenohumeral pain?

A

60-120 degrees

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10
Q

When evaluating the elevation painful arc what are the degrees that indicate acromioclavicular pain?

A

170-180 degrees

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11
Q

What may be some neuromuscular issues causing extrinsic shoulder pain?

A

-Cervical radiculopathy
-upper trunk brachial plexopathy
-Neurologic amyotrophy
-Focal Mononeuropathy
-Muscular Dystrophy

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12
Q

What may be some Cardiovascular issues causing extrinsic shoulder pain?

A

-Cardiac ischemia
-Thoracic Outlet Syndrome
-Aortic disease
-Axillary thrombosis

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13
Q

What may be some causes of Pulmonary issues causing extrinsic shoulder pain?

A

-Upper lobe pneumonia
-Pulmonary embolism
-Pneumothorax
-Pneumoperitoneum

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14
Q

What may be some Malignacy issues causing extrinsic shoulder pain?

A

-Pancoast tumor
-metastatic cancer

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15
Q

What may be some Abdominal issues causing extrinsic shoulder pain?

A

-Biliary disease’s
-Hepatic disease
-Pancreatitis
-Splenic injury
-Perforated viscus

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16
Q

What is the Popeye defect?

A

-Proximal portion of long head of bicep tears which causes bulging
-will still have function but not as strong

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17
Q

Axillary nerve issues will cause atrophy to what muscles?

A

-Teres Minor
-Deltoid

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18
Q

Accessory nerve issues will cause atrophy to what muscles?

A

SCM & Trapezius

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19
Q

Suprascapular nerve issues will cause atrophy to what muscles?

A

-Supraspinatus
-Infraspinatus

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20
Q

Lower sub scapular nerve issues will cause atrophy to what muscle?

A

Teres Major

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21
Q

Long thoracic nerve issues will cause atrophy to what muscle?

A

Serratus Anterior

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22
Q

Upper & Lower Subscapular nerve issues will cause atrophy to what muscle?

A

Subscapularis

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23
Q

What is the normal value of flexion for the shoulder complex?

A

0-180 degrees

24
Q

What is the normal value of abduction for the shoulder complex?

A

0-180

25
Q

What is the normal value of extension for the shoulder complex?

A

0-60

26
Q

What is the normal value of external rotation for the shoulder complex?

A

0-90

27
Q

What is the normal value of internal rotation for the shoulder complex?

A

0-70

28
Q

What glides are used to assess flexion osteokinematic motion?

A

-Posterior glide
-Inferior glide

29
Q

What glides are used to assess extension osteokinematic motion?

A

-Anterior

30
Q

What glides are used to assess ABDuction osteokinematic motion?

A

-Inferior glide humeral head
-Inferior glide clavicle on sternum

31
Q

What glides are used to assess Internal rotation osteokinematic motion?

A

posterior glide

32
Q

What glides are used to asses external rotation osteokinematic motion?

A
  • Anterior glide (biomechanically)
  • Posterior glide (when patient has poor posture)
33
Q

What glides are used to assess horizontal ABDuction osteokinematic motion?

A

-Anterior glide

34
Q

What glides are used to assess Horizontal ADDuction osteokinematic motion?

A

posterior glide

35
Q

What is HHD Interrater Reliability?

A

Reliability of hand-held dynamometry in measuring isometric strength of the shoulder internal & external rotator musculature using a stabilizing device

36
Q

What muscles contribute to flexion of the shoulder?

A

-Anterior deltoid
-Coracobrachialis
-Long head bicep & short head bicep
-Supraspinatus
-Pec Major

37
Q

What muscles contribute to extension of the shoulder?

A

-Posterior Deltoid
-Lattissiums Dorsi
-Teres Major
- Long head tricep

38
Q

What muscles contribute to abduction of the shoulder?

A

-Middle Deltoid
-Supraspinatus

39
Q

What muscles contribute to External rotation of the shoulder?

A

-infraspinatus
-teres major

40
Q

what muscles contribute to internal rotation of the shoulder?

A

Subscapularis

41
Q

What muscles contribute to horizontal abduction of the shoulder?

A

Posterior deltoid

42
Q

What muscles contribute to horizontal adduction of the shoulder?

A

Pec major
-clavicular head (60)
-Sternal head (120)

43
Q

What scapular muscles contribute to abduction & upward rotation?

A

Serratus Anterior

44
Q

What scapular muscles contribute to adduction & downward rotation?

A

Rhomboid major & minor

45
Q

What scapular muscles contribute to retraction?

A

-middle trap
-rhomboid major/minor

46
Q

What scapular muscles contribute to depression & adduction?

A

Lower & middle trap

47
Q

What are some examples of RC Pathology?

A

-RC tear
-RC Tendinopathy

48
Q

What are some examples of extra-articular pathology?

A

-AC Joint
-Long head bicep tendinopathy
-Long head bicep tendinitis
-Long head bicep rupture
-Bursitis

49
Q

What are some examples of Intra-articular pathology?

A

Anterior instability
Posterior instability
Bankart Lesion
SLAP lesion
GH OA

50
Q

What are some examples of other pathologies of the shoulder?

A

Adhesive Capsulitis
C-spine Radicular
Shoulder Referred (other body system)

51
Q

What is Litaker diagnostic cluster for RC tear?

A

Age >65= +LR 2.61
Night Pain= +LR 2.61
ER weakness = +LR 6.96
All 3: +LR=9.84

52
Q

what is park diagnostic cluster for RC tear?

A

Age > 60
+painful arc
+drop arm test
+infraspinatus test

53
Q

What combination of tests used to confirm RC tendinopathy of full thickness tear of supraspinaus?

A

Jobe/Empty Can (deltoid little less activated) + Full Can + External Rotation Lag Sign (have pt in full extension & ask them to stay there)

54
Q

What combination of tests used to confirm RC tendinopathy of full thickness tear of infraspinatus?

A

External rotation Lag sign

55
Q

What combination of tests used to confirm RC tendinopathy of full thickness tear of subscapularis?

A

Lift off + Belly press or Belly press + bear hug

56
Q

What does positive speed’s test indicate?

A

long head biceps tendinopathy

57
Q

What does positive ludington’s test indicate?

A

long head of biceps tendon rupture

Musculoskeletal Rehab (13 decks)

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