Shoulder Pt. 2

Question 1

what is critical for shoulder rehab?

Answer 1

obtain stable scapular platform ASAP

Question 2

what order do you treat joints in UE

Answer 2

1. T spine (extension)
2. scapula (retraction, depression)
3. humeral head

Question 3

why should table exercises be done early in the acute phase?

Answer 3

increases proprioception and scapula input in supine

Question 4

criteria for sub-acute phase

Answer 4

pain-free ROM >/= 120 degrees elevation
strength in non-patho areas >/= 4+/5
scapular control present

Question 5

the ____ phase is critical in preventing chronicity and disability

Answer 5

sub-acute

Question 6

how to determine sets and reps in sub-acute phase

Answer 6

based on # the pt can perform CORRECTLY

Question 7

when to initial CKC exercises?

Answer 7

sub-acute phase
(scap control; control pain and inflammation)

Question 8

what motion are you trying to improve with progressive inferior glide?

Answer 8

abduction

Question 9

a ____ glide is imparted for the progressive flexion/abduction/ER mob

Answer 9

posterior

Question 10

a posterior glide mob is used to improve what motions?

Answer 10

flexion
IR
horizontal adduction
sometimes ER due to forward position

Question 11

what mob is good for all types of rotation and combined motion?

Answer 11

progressive posterior glide

Question 12

which mob is specifically for frozen shoulder?

Answer 12

long axis distraction with ER windup
inferior capsule/ER

Question 13

what mob can be done day 1 post-op and can help reduce impingement at GHJ?

Answer 13

STJ mobs

Question 14

if a pt feels their shoulder pain at end of ROM, where should you check?

Answer 14

AC &/or SC

Question 15

inferior glide of SC is associated with arm ____, while superior is associated with arm____

Answer 15

inferior - arm elevation
superior - arm depress

Question 16

anterior capsular stretch is good for what diagnosis?

Answer 16

frozen shoulder

Question 17

the sleeper stretch and modified cross-body stretch are for which part of the shoulder?

Answer 17

posterior capsule

Question 18

order of treatment

Answer 18

1. neuro re-ed
2. strength
3. endurance

Question 19

purpose of CKC exercises?

Answer 19

stability & proprioception

Question 20

purpose of plyometrics exercises?

Answer 20

power

Question 21

which muscles should be trained eccentrically?

Answer 21

ERs at shoulder
biceps at elbow

Question 22

which muscles should be trained concentrically?

Answer 22

phasic moves muscles
pecs, lats, teres major, triceps

Question 23

how long should you wait before adding resistance to RC post-op?

Answer 23

6-8 weeks
(lasts 3-6 months)

Question 24

RCT repair rehab phases

Answer 24

I: 0-6 wks - passive exercises
II: 6-12 wks - active assistive exercises
III: 12-24 wks - strengthening
IV: 24+ wks - advanced training

Question 25

main rules for phase I RCT repair rehab

Answer 25

no active ER no passive IR past neutral

Question 26

main rules for phase II RCT repair rehab

Answer 26

active assistive progressing to active

Question 27

main rules for phase III RCT repair rehab

Answer 27

begin light strengthening

Question 28

main rules for phase IV RCT repair rehab

Answer 28

more aggressive strengthening PRN stretching into IR and cross body

Question 29

T/F: pts continue to gain ROM up to 1 year post RCR

Answer 29

T

Question 30

____% of RCR show tears within 2 years

Answer 30

50%

Question 31

labrum rehab general guidelines

Answer 31

start with isometrics early

Question 32

what end ranges should be avoided for anterior instability?

Answer 32

abduction and ER

Question 33

what end ranges should be avoided for posterior instability?

Answer 33

adduction and IR

Question 34

general time frame for Bankart repair

Answer 34

4 weeks sling 4 weeks P/AROM 4 weeks strengthening return to higher functional activities @ 6 months

Question 35

inferior capsular shift surgery for MDI reduces capsular volume up to ___%

Answer 35

57%

Question 36

when to begin PROM post inferior capsular shift surgery for MDI?

Answer 36

2-3 weeks post-op

Question 37

T/F: SLAP injuries involve active and passive structure injury

Answer 37

T

Question 38

types _____ SLAP lesions require surgery

Answer 38

2-4

Question 39

there is a high rate of future injury to the capsule/labrum with patients <____ years old treated conservatively for SLAP

Answer 39

18

Question 40

no biceps isometrics should be done for ___ days post-op SLAP repair; strong contractions?

Answer 40

isometrics - 5-7 days strong - 12 weeks

Question 41

____ activities are best to facilitate co-contraction

Answer 41

CKC

Question 42

**if patient has intact RC, they will receive a ____ shoulder replacement

Answer 42

normal/anatomical

Question 43

**if patient DOES NOT have intact RC (large tear), they will receive a ____ shoulder replacement

Answer 43

reverse