Shoulder Impairments - Impingement

Question 1

Impingement syndrome is typically referring to pinching on structures in the _____________ __________ during humeral elevation.

Answer 1

SUBACROMIAL SPACE

Question 2

Name the 3 structures that can get impinged in the subacromial space causing impingement syndrome?

Answer 2

SUPRASPINATUS TENDON
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SUBACROMIAL BURSA
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BICEPS LH TENDON

Question 3

How is impingement syndrome classified?

Answer 3

PRIMARY or SECONDARY

Question 4

Primary impingement can be due to intrinsic or extrinsic factors, and is ____________ or BIOMECHANICAL.

Answer 4

STRUCTURAL

Question 5

Secondary impingement is due to ___________ and INSTABILITY, where impingement is the secondary result.

Answer 5

LAXITY

Question 6

The intrinsic factors of primary impingement can be described as ____________.

Answer 6

STRUCTURAL

Question 7

The extrinsic factors of primary impingement can be described as ____________.

Answer 7

BIOMECHANICAL

Question 8

List the 6 extrinsic biomechanical factors resulting in decreased suprahumeral space (impingement)?

Answer 8

1. POSTERIOR CAPSULE TIGHTNESS
2. WEAK EXTERNAL/ SHORT INTERNAL ROTATORS
3. DELTOID OVERPOWERS ROTATOR CUFF
4. POOR SCAPULAR STABILITY/ MUSC. IMBALANCES
5. HYPERKYPHOSIS
6. ROTATOR CUFF OVERUSE AND FATIGUE

Question 9

What are the general impingement dysfunction presentations?

Answer 9

TENDONOPATHY
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BURSITIS
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ROTATOR CUFF TEARS
(progress massage techniques through healing stages)

Question 10

How does the rotator cuff relate to primary and secondary impingement?

Answer 10

PRIMARY - rotator cuff OVERUSE

SECONDARY - rotator cuff TEAR

Question 11

What do you want your techniques to focus on for acute phase to control inflammation and promote healing? (4)

Answer 11

SUPERFICIAL FLUID TECHNIQUES
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LYMPHATIC DRAINAGE
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SPASM TECHNIQUES
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LOW GRADE JOINT MOBILIZATION