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Fall Semester DPT > Shoulder Complex- General Shd. Prognosis > Flashcards

Shoulder Complex- General Shd. Prognosis Flashcards

1
Q

What are the normal asymmetries in the shoulder complex?

A

Ipsilateral shoulder depression

Less shd IR/ reaching behind the back

Ipsilateral thoracolumbar SB and ROT

More hyperextended knee

Flatter foot

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2
Q

If a patient was having trouble washing themselves, how many functional degrees of FLX would they need to wash their hair and body?

A

120° for hair and 75° for trunk

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3
Q

If a patient was having trouble putting on/taking off a shirt, how many functional degrees of FLX would they need?

A

90°

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4
Q

Your patient is having trouble reaching in the cabinet to grab spices to cook a meal, how many degrees of FLX will she need to do task functionally?

A

150° (reaching on a high shelf)

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5
Q

How many functional degrees does a patient need to fasten their bra behind their back?

A

50+° EXT and 70° of horizontal ADD, and full IR

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6
Q

Movement of the humerus is accompanied by movements of what two structures?

A

scapula (primarily)

other smaller joints (Ex: SC, AC, upper thoracic and upper costotransverse jts.) - secondarily

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7
Q

Companion motions assists with _________ motion

A

optimal

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8
Q

Companion motions help to prevent __________

A

impingement

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9
Q

Companion motions keeps ________ and _________ overlap efficient to prevent active insufficiency

A

actin/myosin

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10
Q

What muscles make up the rotator cuff?

A

Subscapularis
Supraspinatus
Infraspinatus
Teres Minor

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11
Q

In 0-150° of overhead reaching, the humerus performs which 3 actions?

A

FLX
ABD
ER

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12
Q

With 0-150° of overhead reaching, the concentric control of the humerus involves which 3 groups of muscles?

A

Flexors

ABDuctors

ERs

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13
Q

With 0-150° of overhead reaching, the eccentric control of the humerus involves which 3 groups of muscles?

A

Extensors

ADDuctors

IRs

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14
Q

In 0-150° of overhead reaching, the scapula performs which 3 actions?

A

Elevation

Upward Rotation

Protraction (primarily at AC jt.)

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15
Q

With 0-150° of overhead reaching, the concentric control of the scapula involves which 3 groups of muscles?

A

Elevators

Upward Rotators

Protractors

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16
Q

With 0-150° of overhead reaching, the eccentric control of the scapula involves which 3 groups of muscles?

A

Depressors

Downward Rotators

Retractors

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17
Q

With 0-150° of overhead reaching, the scapula has maximum tension where?

A

Brachial Plexus @ 150° as the clavicle posteriorly rotates

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18
Q

In 150-200° of overhead reaching, the humerus performs which 3 actions?

A

FLX

ABD

ER

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19
Q

With 150-200° of overhead reaching, the concentric control of the humerus involves which 3 groups of muscles?

A

Flexors

ABDuctors

ERs

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20
Q

With 150-200° of overhead reaching, the eccentric control of the humerus involves which 3 groups of muscles?

A

Extensors

ADDuctors

IRs

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21
Q

In 150-200° of overhead reaching, the scapula performs which 3 actions?

A

Depression

Retraction

Post. tilt primarily at SC joint

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22
Q

With 150-200° of overhead reaching, the concentric control of the scapula involves which 3 groups of muscles?

A

Depressors

Retractors

especially Lower Trap if: 150° with GH ST motion and upper T-spine EXT

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23
Q

With 150-200° of overhead reaching, the eccentric control of the scapula involves which 3 groups of muscles?

A

Elevators

Protractors

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24
Q

With 150-200° of overhead reaching, the Upper T-spine performs which actions?

A

Ipsilateral SB, ROT, and EXT

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25
Q

What will happen if the upper T-spine is hypomobile with 150-200° of overhead reaching?

A

It will inhibit LT activity and lead to impaired scapular motion

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26
Q

With a hypomobile upper t-spine, it limits LT activation for upward ROT up to _____ ° and depression > 150° during _______ __________

A

150

overhead reaching

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27
Q

With a hypomobile upper t-spine, compensation and ___________ may develop at which joints?

A

hypermobility

AC and GH

28
Q

With upper T-spine hypomobility, it allows excessive _______ clavicular rotation and excessive tension on which cord of the brachial plexus?

A

posterior

median cord

29
Q

With the median nerve of the brachial plexus having tension with overhead reaching, which other nerve can cause parasthesia’s?

It is often misdiagnosed as what?

A

Ulnar

TOS

30
Q

With reaching the behind the back, there is movement at which two jts and what clavicular rotation?

A

AC and SC

anterior

31
Q

With reaching behind the back, the humerus is involved which 3 actions?

A

Hyper-EXT

ADD

IR

32
Q

With reaching behind the back, the concentric control of the humerus is involved with which 3 muscle groups?

A

HyperEXTenders

ADDuctors

IRs

33
Q

With reaching behind the back, the eccentric control of the humerus involves which 3 muscle groups?

A

HyperFlexors

ABDuctors

ERs

34
Q

With reaching behind the back, the scapula is involved with which 3 actions?

A

Elevation

Downward ROT

Retraction

35
Q

With reaching behind the back, the concentric control of the scapula is involved with which 3 muscle groups?

A

Elevators

Downward rotators

Retractors

36
Q

With reaching behind the back, the eccentric control of the scapula is involved with which 3 muscle groups?

A

Depressors

Upward Rotators

Protractors

37
Q

JM’s (effective intervention) provide relief for a variety of common shoulder complex conditions such as:

A

RC disorders

shoulder disorders

adhesive capsulitis

soft tissue disorders

38
Q

JM’S are good for all shoulder complex joints, which are:

A

AC, SC , ST, and GH

39
Q

With RC tendinopathy, you _________ rely on manual therapy alone

a. CANNOT
b. CAN

A

A.

40
Q

With the shoulder complex, Ther Ex. works with various shoulder conditions, is an effective intervention, BUT has no additional benefit when _______ was added with non-specific shd p!, _______, and __________

A

STM

ROM and function

41
Q

To activate the local muscles, your pt. should active the _________ then ___________ mm.

A

scapula; RC

42
Q

Your pt. will have better activation of the SA with _________ chain activities

A

closed

43
Q

Wall slides are good for the ___ muscle, and has lower activation of the LT, MT, LS, RM

A

SA

44
Q

After wall slides to activate the SA, you should advance your pt. to …

A

UE weight shifts, push ups, off.on unstable surface like physioball

45
Q

What’s a good prone scapular exercise for the shoulder complex?

A

ITWY’s

46
Q

With ITWY’s it limits compensation of a protective ____ and activates other needed mm. (RC)

A

UT

47
Q

Making a fist/tighter grip activates which mm.?

A

RC

48
Q

If you ER during shoulder complex exercises as appropriate, it will result in greater…

A

scapula muscle activity (LT/MT/LS/RMaj/Min)

49
Q

Some global mm. include:

A

Pec Major

Lat

Deltoid

50
Q

What are some higher level goals for MET and the shd complex?

A

LE exercises, Trunk exercises, and Multi-planar exercises (PNF diagonals)

51
Q

With JM’s and Ther Ex the combination was ________ effective to ther ex alone

A

equally

52
Q

With RC tendinopathy, _________ is more beneficial than manual therapy

A

exercise

53
Q

With cervical manipulation it ________ shoulder and neck mobility

A

improved

54
Q

With C5-C6 JM, it caused an immediate _________ in muscle force of the ________

A

increase; ERs

55
Q

C/T JM- mobilizing c/t spine ________ symptoms and function

A

improved

56
Q

____- _____ innervates all shoulder complex mm.

A

C3-T1

57
Q

Any evidence of cervical trauma, hyper mobility/instability, age-related changes, or prolonged FHP is a…

A

shoulder condition waiting to happen

58
Q

With regional interdependence, __________ dysfunction can alter shoulder muscle activity

A

cervical

59
Q

With regional interdependence, there is not a loss of ________

A

conduction

60
Q

With FHP, you need to address _______ stiffness

A

thoracic

61
Q

With FHP it inhibits shd ______ and scapular retractors and _______

A

ERs

depressors

62
Q

Dry-needling is for ____-______ shoulder P! and disability

A

non-traumatic

63
Q

With dry needling, there is ________ quality of evidence of a small and _____-______ effect

A. minimum; long-term
B. maximum; short-term
C. moderate; short-term

A

C.

64
Q

With dry needling there is ______ risk of bias

A. high
B. low
C. no

A

B.

65
Q

What are 4 positive factors for those referred to PT with shd symptoms?

A

Lower baseline disability

Lower symptoms at rest

Higher patient expectation with PT

Higher self-efficacy despite symptoms

66
Q
A
67
Q
A

Fall Semester DPT (11 decks)

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