Shoulder Ortho Specific Supraspinatus Tendinopathy

Question 1

Empty Test is specific for

Answer 1

Supraspinatus Tendinopathy

Question 2

Where does supraspinatus tendinopathy present?

Answer 2

LI 15, anterior/lateral glenohumeral head

Question 3

When does pain present?

Answer 3

Also at night, difficult to find a comfortable sleeping position

Question 4

With what OTHER problems will the shoulder present?

Answer 4

Upper crossed pattern

Question 5

What is tight in Upper crossed pattern ?

Answer 5

• Upper Trapezius
• Levator scapulae
• Pectoralis (mami)

Question 6

What is weak in Upper crossed pattern?

Answer 6

• Rhomboids
• Serratus anterior
• Lower Trapezius
• Deep Neck Flexors

Question 7

At what degrees is the painful arc with supraspinatus tendinopathy ?

Answer 7

Between 60 - 120 degrees w/ABD

Question 8

Typically full PROM ABD is possible, where if there would be pain here would it occur?

Answer 8

• w/shoulder flexion

* at the end range of shoulder ABD

Question 9

What tests are suitable for supraspinatus Tendinopathy ?

Answer 9

• Empty Can

* MMT Supraspinatus (ABD first 20 deg.)

Question 10

What Channels would be involved with Supraspinatus Tendinopathy?

Answer 10

• Large Intestine

* Small Intestine

Question 11

Xi-cleft points for acute conditions of Supraspinatus

Answer 11

LI 7, LU6, SI 6, TW7 prn

Question 12

What EA pts. are used in acute supraspinatus tendinopathy

Answer 12

4 Hz LI15-to-SI12 OR LI15-to-LI10

Question 13

Be sure to not needle the ____, just underneath the ____?

Answer 13

tendon, acromion

Question 14

What specific type of needling method is used at LI15 for chronic supraspinatus tendinopathy?

Answer 14

periosteal peck insertion

Question 15

What common points are used when needling acute or chronic supraspinatus tendinopathy?

Answer 15

• Threating TW5 to TW8
• LI4, LI10
• same side ST38
• SI 12 = Supraspinatus IZ

Question 16

Acute, when should you consult a physician

Answer 16

Severe pain at night, unremitting

Question 17

Acute, if the pain hinders shoulder movement, needle this pt ____ (same side) with stimulation, while PT attempts to move the shoulder.

Answer 17

ST41

Question 18

What is the recommendation for positioning the arm while sleeping comfortably?

Answer 18

• 55 deg. ABD

* 30 deg. horizontal ADD

Question 19

Chronic presentation of supraspinatus tendinopathy, special insertion technique under the acromian.

Answer 19

LI16 toward LI15

Question 20

Shoulder Balancing Treatment @ Joint Level, (considered Distal) is implemented where?

Answer 20

IZ for SITS (Supra-, Infraspinatus, Teres minor, Subscapularis)