shoulder interventions Flashcards
considerations when developing intervention plan
-tissue involved
-irritability
-precautions
-impairments
-techniques for addressing impairments
-patient goals
tendinitis healing time
3 -7 weeks
tendon rupture healing time
5 weeks - 6 months
grade 1 muscle tear healing time
days - 4 weeks
grade 2 muscle tear healing time
3 weeks - 3 months
grade 3 muscle tear healing time
5 weeks - 6 months
grade 1 ligament tear healing time
4 days - 4 weeks
grade 2 ligament tear healing time
3 weeks - 6 months
grade 3 ligament tear healing time
5 weeks - 1 yr
ligament graft healing time
2 months - 2 years
bone healing time
5 weeks - 3 months
factors affecting healing
-age
-drugs
-nutritional state
-smoking
-MOI
-diabetes
what lever arm should be prioritized earlier in rehab?
shorter lever arm
which plane is more functional to rehab in?
scapular plane
Goals in acute phase
-restore pain free movement via kinetic chain
-enhance patient comfort
-limit atrophy
-minimize effects of reduce motion and use of arm
-ensure independence with HEP
-PRICE
ROM in acute phase
pendulum, PROM, AAROM, AROM
What grade distraction does pendulum exercise provide?
grade 1 - 2
closed chain exercises provide ____ with contraction and help to balance ______ and ______ forces
joint compression, compression, shear
benefits of towel roll
-maintains 30* of abduction
-improves blood flow to rotator cuff muscles
-adduction force creates inferior movement of humeral head
-increases activity of posterior rotator cuff muscles
low trap exercises
-sidelying ER
-prone ER shoulder at 90*
-sidelying forward flexion
-Ts
-Ws
-prone Ys
mid trap exercises
-sidelying ER
-prone ER
-sidelying forward flexion
-I’s
-W’s
-prone y’s
-prone unilateral row
serratus anterior exercises
-scaption with ER
-forward flexion
-serratus punch
-dynamic hug
-push up plus
-bench press
common interventions for tendinitis/ tendinopathy
-cross friction massage
-eccentrics
what glide should be performed on someone with flexion hypomobility
posterior
what glide should be performed on someone with abduction hypomobility
inferior
what glide should be performed on someone with ER hypomobility
anterior
what glide should be performed on someone with IR hypomobility
posterior
muscles to strengthen for SC joint hypermobility
deltoid, pectoralis, trapezius, SCM
muscles to be strengthened for AC joint hypermobility
deltoid, pectoralis, trapezius, SCM
what interventions are best for joint hypermobility
strength, proprioception, taping
proprioception progressions
-blocked vs random
-slow vs fast
-mid range vs provoking positions
-supported vs unsupported
pain interventions
-modalities
-soft tissue
-pendulums
-joint mobs 1-2
-correcting posture
myofascial pain syndrome interventions
-soft tissue trigger points
-stretching
-correcting muscle imbalances
-dry needling
functional test for UE
one arm hop test
closed kinetic chain extremity stability test
