Shoulder Ortho Impingement Syndrome

Question 1

RSI

Answer 1

Repetitive Stress Injury

Question 2

Shoulder impingement occurs in what population?

Answer 2

greater than 40 YO

Question 3

Primary Impingement is due to what?

Answer 3

DEGENERATIVE changes at these locations:
• Anterior Tissue
• Acromion Process
• Acromion Spur
• Coracoid Process
• Rotator cuff (SITS)

Question 4

What is the Impingement Syndrome?

Answer 4

Rotator cuff (SITS) muscular imbalance => RSI RESULTS

a) subacromial thickening
b) swollen supraspinatus tendon attachment.

Question 5

Secondary impingement is due to:

Answer 5

Problems with muscle dynamics involving
• gleno-humoral articulation
• scapulo-thoracic articulation

Question 6

What age group is affected with Secondary Impingement Syndrome?

Answer 6

15 - 35 YO

Question 7

In secondary impingement, the signs are a secondary result of :

Answer 7

altered MUSCLE DYNAMICS

i.e. underlying INSTABILITY issue

Question 8

Posterior impingement d/t

Answer 8

i.e. baseball, overhead throwing

NOT a general population issue

Question 9

When testing for this ailment, what should you consider?

Answer 9

Selecting a test which is reproducing

Chief complaint Pain

Question 10

Impingement Tests

Answer 10

• Neer

* Hawkins - Kennedy

Question 11

Dx - What meridians are involved?

Answer 11

LI, SI

Question 12

Dx - Primary Impingement can involve?

Answer 12

Bi Syndrome:
• Cold Bi
• Bone Bi

Question 13

Dx - Secondary Impingement can involve?

Answer 13

• LV Qi Stagnation

* SP Blood Def.

Question 14

Tx of Primary Impingement syndrome

Answer 14

Acupuncture can only control Pain & Irritation but can not treat Primary Impingement well.
For Bi-Syndrome: dispel Bi

Question 15

Tx of Secondary Impingement syndrome

Answer 15

• Shoulder Balancing @ Joint-level (SITS IZ)
• SI 3, 9(TM), 10 (IS), 11(IS), 14(LS)
• LI 4, 10, 15, 16
• LU7
• TW14
• GB21