Shoulder/Intro Flashcards
1
Q
Pathoanatomic Classification
A
- assumes that tissue pathology represents a homogenous group (i.e. Bob with RCT is the same as Fred with RCT)
- assumes strong relationship between tissue pathology and patient complaints (i.e. if Wanda has bulged disc on imaging with pain then Carla must have pain with her bulged disc)
2
Q
Classification Systems
A
- Pathoanatomic classification
- Movement system diagnosis
3
Q
Stages of Intervention
A
- Stage I: relieve primary impairment
- Stage II: Relieve movement issues at adjacent body segment
- Stage III: address global issues
4
Q
Intervention: Stage I
A
- Pain (7/10+)
- Immobility/modify activity (post op-need immobility/protection)
- Mobility (need mobility)
- Exercise/Conditioning
5
Q
Intervention: Stage III
A
- LE strength/core
- cardiovascular training
- return to work/sport
6
Q
Intervention: Stage II
A
- mechanical issues
- muscle recruitment
- adjacent structures
7
Q
Functional ROM
A
- Reach overhead: flex/abd: 148*
- comb hair: h add: 104, Abd 112, Er 54*
- Reach behind back: ext 56, h abd 69, IR 60*
8
Q
GIRD
A
- Glenohumeral IR Deficiency
- Loss IR (15-25* compared to non-dominant side)
- Loss of total ROM
- Associated with shoulder injury (SLAP)
9
Q
Total Rotation ROM
A
90* + 70=160
10
Q
Limited IR due to:
A
- tight posterior capsule
- Ant tilt of scap
- tight ER Mm (teres minor, infraspinatus)
11
Q
Limited ER due to:
A
- short IR Mm (lats, pec major, subscap)
- ant capsule
- ant lig
12
Q
Ant Scap Tilt due to:
A
-tight pec minor
13
Q
Elevate scap due to:
A
-tight levator scap, upper trap
14
Q
Adducted Scap due to:
A
Rhomboids
15
Q
ICR
A
Instantaneous Center of Rotation
16
Q
Serratus most active above:
A
90* elevation
17
Q
where to start?
A
- Scap stability before Rotator cuff
- closed chain before open
18
Q
Closed Chain
A
- promotes co-activation
- increases scapular activity
- decreases tensile stress
- improves proprioception
- start with scap stabilization
19
Q
How to progress CKC Scap stability
A
- stability of scap in static postures (scap clocks)
- stable scap with isolated GH motion (wall wash)
- large shdr ROM under controlled situations (PNF)
- loaded mobility upon stability (resistance)
20
Q
If HYPOmobile
A
work exercise through entire range
21
Q
If HYPERmobile
A
work exercise in mid to shortened ranges
22
Q
Primary Impingement
A
- older
- hypomobile
- overhead worker
23
Q
Secondary Impingement
A
- young
- athlete
- hypermobile
- (swimmer, pitcher)
