Shoulder Girdle Flashcards

1
Q

What [4] muscles act to depress the scapulothoracic joint ?

A
  • Lower trapezius
  • Lattissimus Dorsi
  • Pectoralis minor
  • Subclavius
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2
Q

What muscles act to protract the scapulothoracic joint [1]?

A
  • Serratus Anterior
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3
Q

What [3] muscles act to retract the scapulothoracic joint?

A
  • Middle trapezius
  • Rhomboids
  • Lower trapezius
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4
Q

What [2] muscles act to upwardly rotate the scapulothoracic joint?

A
  • Serratus Anterior
  • Upper and Lower trapezius
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5
Q

What [2] muscles act to downwardly rotate the scapulothoracic joint?

A
  • Rhomboids
  • Pectoralis Minor
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6
Q

What [3] muscles act to elevate the scapulothoracic joint?

A
  • Upper trapezius
  • Levator scapulae
  • Rhomboids
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7
Q

Rotator cuff muscle: Supraspinatus

A
  • O: Supraspinous fossa of the scapula
  • I: Greater Tubercle of the humerus
  • A:
    • Abduction at GH joint
    • Stabilization of the head of the humerus
  • N: Suprascapular Nerve
    • C5,C6 (upper trunk)
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8
Q

Rotator cuff muscle: Subscapularis

A
  • O: Subscapular fossa of the scapula
  • I: Lesser Tubercle of the humerus
  • A: Internal Rotation at GH joint
  • N: Upper and Lower fibers of the subscapular nerve
    • C5,C6 (posterior cord)
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9
Q

Rotator cuff muscle: Teres Minor

A
  • O: upper 2/3 of the lateral border of the scapula
  • I: Greater Tubercle of the humerus
  • A:
    • External Rotation at GH joint
    • Adduction of GH joint
    • Stabilization of the head of humerus
  • N: Axillary Nerve
    • C5,C6 (posterior cord)
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10
Q

Rotator cuff muscle: Infraspinatus

A
  • O: Infraspinous fossa of the scapula
  • I: Greater Tubercle of the humerus
  • A:
    • External Rotation at GH joint
    • Adduction of GH joint
    • Stabilization of the head of humerus
  • N: Suprascapular Nerve
    • C5,C6 (upper trunk)
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11
Q

Teres Major

A
  • O: Posterior surface of the inferior angle of the scapula
  • I: Medial lip of the intertubercular sulcus
  • A:
    • Extension at GH joint
    • Adduction of GH joint
    • Medial Rotation of GH joint
  • N: Lower Subscapular
    • C5,C6 (posterior cord)
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12
Q

Primary muscles that medially rotate the shoulder [5 according to Neumann]:

A
  • Subscapularis
  • Teres Major
  • Lattissimus Dorsi
  • Pectoralis Major
  • Anterior Deltoid
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13
Q

Lattissimus Dorsi

A
  • O:
    • Inferior angle of the scapula
    • spinous processes of the last 6 thoracic vertebrae
    • last 3 or 4 ribs
    • thoracolumbar aponeurosis and posterior iliac crest
  • I: Intertubercular groove of the humerus
  • A:
    • Extension at GH joint
    • Adduction of GH joint
    • Medial Rotation of the GH joint
  • N: Thoracodorsal nerve
    • C5,C6,C7 (posterior cord)
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14
Q

Convex/Concave of the scapulothoracic joint:

A
  • Convex surface: Thorax
  • Concave surface: Scapula
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15
Q

Convex/Concave of the acromioclavicular joint

A
  • Convex surface: Clavicle (Variable)
  • Concave surface: Acromion (Variable)
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16
Q

Convex/Concave of the sternoclavicular joint:

A
  • Longitudinal diameter in Frontal plane (superior/inferior surface)
    • Clavicle:Convex
    • Sternum: Concave
  • Transverse diameter in Transverse plane (anterior/posterior surface)
    • Clavicle:Concave
    • Sternum: Convex
17
Q

According to the APTA Guide to Physical Therapist Practice, patients should be classified into diagnostic groups by:

A
  • groups of impairments (preferred practice patterns)
    • rather than specific pathologies
18
Q

Pancoast tumor:

A
  • Pain at vertebral border of scapula and/or ulnar nerve distribution
19
Q

Ulnar Nerve:

  • spinal segments?
  • sensory distribution?
  • muscles supplied?
A
  • spinal segments:
    • C8-T1
  • sensory distribution:
    • skin on the ulnar side of the hand including medial side of the ring finger and entire small finger
  • muscles supplied:
    • Flexor carpi ulnaris
    • flexor digitorum profundis
    • Dorsal interossei
    • Plamaer interossei
    • lumbricals (medial half)
20
Q

Presentation of spinal accessory nerve palsy:

A
21
Q

ABSOLUTE Contrindications to manual therapy [7]:

A
  • Malignancy in area of treatment
  • Infectious Arthritis
  • Metabolic Bone Disease
  • Neoplastic Disease
  • Fusion or Ankylosis
  • Osteomyelitis
  • Fracture or Ligament Rupture
22
Q

RELATIVE Contraintications to manual therapy [5]:

A
  • Excessive pain or swelling
  • Arthroplasty
  • Pregnancy
  • Hypermobility
  • Rheumatoid arthritis
23
Q

The treatment plane lies in the _______ articular surface and is ________ to the joint surface and _____________ to the line drawn between the axis and the concave surface

A
  • concave
  • parallel
  • perpendicular
24
Q

The axis of motion always lies in the ______ articular surface.

A
  • convex
25
Q

Joint compression is:

A
  • The process of approximating joint surfaces together
  • Passive translatoric bone movement performed perpendicular to treatment plane
26
Q

Joint Traction is:

A
  • The process of separating joint surfaces away from the each other
  • Passive translatoric bone movement performed perpendicular to treatment plane
27
Q

What classification paradigm used with traction mobilization?

A
  • Kaltenborn:
    • Grades
      1. Grade 1: no appreciable joint separation.
        • G1 represents the force necessary to remove the compressive forces acting on the joint.
      2. Grade 2: the slack is taken up from the tissue surrounding the joint, which are then tightened.
      3. Grade 3: additional force is applied and the soft tissues surrounding the joint are stretched; thereby, separation of the joint surfaces is achieved.
28
Q

Joint gliding:

A
  • Translatory movement where the joint surfaces are passively displaced parallel to the treatment plane
29
Q

What mobilization scale to use for joint glides?

A

Maitland’s

  • Grades I-IV
  • Maitland’s mobilization grades chiefly apply to conditions of pain and/or limited motion
  • Treatment mobilizations should use Maitland, assessment uses [hypo/hypermobility] scale.
30
Q

Ligamentous restraints to the SC joint:

A
  • Anterior & posterior sternoclavicular ligaments
  • Interclavicular ligament
  • Costoclavicular ligament
  • (…also has an Articular disc)
31
Q

Supportive structures of the AC joint:

A
  • Acromioclavicular ligament
  • Coracoacromial ligament
  • Coracoclavicular ligaments
    • Conoid & Trapezoid Lig.
32
Q

Supporting structures of the glenohumeral joint are:

A
  • Anterior - superior, middle and inferior glenohumeral ligaments
  • Coracohumeral ligament
  • Joint Capsule
  • Glenoid labrum
  • Long head of biceps
33
Q

Some tasks [5] of extended scope physical therapists:

A
  • Screening orthopedic referrals
  • Performing orthopedic assessment and managing general practitioner referrals
  • Requesting and interpreting radiological studies, hematology, clinical biochemistry, electrophysiology
  • Referring to other professionals, including for surgery
  • Make musculoskeletal diagnosis