Shoulder Injuries

Question 1

What massage techniques can be used on the upper trapezius?

Answer 1

Petrissage
NMT
Muscle compressions

Question 2

What massage techniques can be used on Teres Major?

Answer 2

Longitudinal massage
Frictions
Trigger pointing

Question 3

What massage techniques can be used on Rhomboids?

Answer 3

Longitudinal massage
Protract scapular
Deep tissue massage
Trigger pointing

Question 4

What massage techniques can be used for Levator Scapulae?

Answer 4

Kneading

NMT

Question 5

What is a rotator cuff strain?

Answer 5

Tear in the tendon caused by overuse or acute injury

Weakest point is 1cm from the attachment to the greater tuberosity of the humerus

Question 6

What are the causes of rotator cuff strain?

Answer 6

Trauma (direct fall onto shoulder, lifting heavy objects)

Overuse (increased age or use = decreased blood flow and elasticity, >35yrs increased weakness)

Question 7

What are the symptoms of rotator cuff strain?

Answer 7

Intense pain when injury occurs if acute
Pain on palpation
Pain on resisted movement

Question 8

What is the treatment for rotator cuff strain?

Answer 8

Mobility exercises

Rehab

Question 9

What massage techniques can be used for rotator cuff strain?

Answer 9

Soft tissue work on all periscapular muscles
Identify and treat areas of tension
Friction techniques on tendon

Question 10

What are the causes of adhesive capsulitis (frozen shoulder)?

Answer 10

Hormonal release
Genetics
Autoimmune response to injury, fracture, surgery

Question 11

What are the symptoms of adhesive capsulitis?

Answer 11

Pain and stiffness
Range of movement
Pain at night

Question 12

What is the treatment for adhesive capsulitis?

Answer 12

Traction techniques
Rotations
Harmonics
Scapular articulation
AP shear

Question 13

What are the massage techniques for adhesive capsulitis?

Answer 13

NMT into rotator cuff muscles

Question 14

What soft tissue techniques can be used around the biceps, triceps and deltoids?

Answer 14

Picking up and rolling
Myofascial release
STR

Question 15

What soft tissue techniques can be used around the lats?

Answer 15

Longitudinal massage

STR

Question 16

What soft tissue techniques can be used around the pectorals?

Answer 16

STR/passive stretch

Question 17

What soft tissue techniques can be used around the subscapularis?

Answer 17

Trigger pointing

STR

Question 18

What are the statistics for dislocated shoulders?

Answer 18

Most common traumatic sporting injury
Male 9 : 1 Female
Greater incidence of anterior than posterior dislocation

Question 19

What are the causes of anterior shoulder dislocation?

Answer 19

Externally rotated and abducted arm fell upon

Fall onto an outstretched arm

Question 20

What are the causes of a posterior shoulder dislocation?

Answer 20

Pulled vigorously outwards and backwards, e.g., Judo

Question 21

What are the symptoms of a shoulder dislocation?

Answer 21

Excruciating pain
Lack of mobility
Feeling of shoulder ‘popping out’
Looks or feels deformed

Question 22

What is the treatment for shoulder dislocation?

Answer 22

Manipulation back into place
Immobilisation for 2 weeks
Mobilisation and strength training

Question 23

What is subacromial bursitis?

Answer 23

Inflammation of the bursa underneath the acromion and on top of the supraspinatus tendon

Question 24

What are the causes of subacromial bursitis?

Answer 24

Fall or blow to the shoulder
Supraspinatus tendonopathy
Overuse of arm above shoulder level

Question 25

What are the symptoms of subacromial bursitis?

Answer 25

Pain in the anterior, upper part of the shoulder
Tenderness on palpation
Positive impingement testing (painful arc)

Question 26

What is the treatment for subacromial bursitis?

Answer 26

Treat underlying reason for pain

Mobility exercises