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Rehabilitation > Shoulder rehabilitation > Flashcards

Shoulder rehabilitation Flashcards

1
Q

What are some common shoulder injuries?

A
  • Glenohumeral dislocation
  • Overuse impingement (supraspinatus)
  • Overuse friction (long yea dog biceps tendonitis)
  • Chronic insidious (adhesive capsulitis aka frozen shoulder)
  • Instability
  • AC separations
  • Poor posture
  • Rotator cuff strain
  • Fractures
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2
Q

What are the objectives of treating a shoulder during the acute phase of an injury?

A
  • Decrease pain
  • Decrease swelling
  • Prevent reactive muscle spasm
  • Limit ROM
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3
Q

What can be used to decrease pain and swelling during the acute phase?

A
  • Ice
  • TENS unit
  • IFC unit
  • Medications
  • Immobilization/support
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4
Q

How do you preform a pendulum exercise?

A
  • Bend over at 90 degrees with non-injured arm stabilizing
  • Allow arm to swing freely using trunk to generate circular movements
  • Start small and get bigger, go in both directions
  • Parameters: 15-20 times up to 50
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5
Q

What is the purpose of the pendulum exercise?

A

Increase circulation to help speed up the removal of waste products and reduce soreness

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6
Q

What are the objectives of treating a shoulder injury during the sub acute phase?

A
  • Increase ROM
  • Decrease muscle spasm
  • Muscle re-education
  • Proprioception
  • Whole body maintenance
  • Psychological intervention
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7
Q

What are some examples of range of motion exercises that can be used during the sub acute phase?

A
  • Active assisted (T-bar, towel)
  • Active (wall exercises/slides, theraball)
  • Upper body exercises
  • Mobilizations (GH, AC and SC joints)
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8
Q

What are some things that can be used/done to decrease muscle spasm?

A
  • Heat/ice
  • Massage
  • Stretch
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9
Q

What are some ways to re-educate muscles?

A
  • Scapulothoracic core stability
  • Scaption
  • Strengthen important static muscles
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10
Q

What is scaption?

A

Moving the arm in the scapular plane

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11
Q

What are the benefits of working in the scapular plane?

A
  • Prevents impingement
  • A functional position for rhomboid contractions
  • Reduces tension on suprspinatus tendon
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12
Q

What muscles are important static muscles for the shoulder?

A
  • Rhomboids
  • Lower trapezius
  • Serratus anterior
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13
Q

When should retraction exercises be done?

A

Early in the rehab

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14
Q

What is purpose of retraction exercises?

A

Focus on endurance in conjunction with general muscle strength

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15
Q

What are some examples of retraction exercises?

A
  • Tubing
  • Dumbbells
  • Barbell
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16
Q

How should retraction exercises progress?

A

Hold retraction only with each rep, progress to holding for entire set, then progress to incorporating other movements

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17
Q

What are the muscle imbalances for scapular protraction?

A
  • Tight & strong: pectoralis major, pectoralis minor

- Lengthened & weak: rhomboids, middle trapezius, latissimus dorsi

18
Q

What are the muscle imbalances for humeral internal rotation?

A
  • Tight & strong: subscapularis, pectoralis major, latissimus dorsi
  • Lengthened & weak: Infraspinatus, teres minor
19
Q

What are the muscles imbalances for humeral elevation?

A
  • Balance between suprespinatus and infraspinatus to prevent impingement
  • Lower trapezius and serratus anterior also play a role
20
Q

What ar some ways to strengthen the rotator cuff?

A
  • Dynamic stabilizers
  • Internal rotators
  • External rotators
  • Open kinetic chain exercises
21
Q

What are some open kinetic chain exercises to strengthen the rotator cuff?

A
  • Tubing
  • Pulleys
  • Light weights
22
Q

What are some ways to strengthen the deltoid?

A
  • 4 square tubing exercise

- Push-ups

23
Q

What are some ways to strengthen the biceps brachii?

A
  • Elbow flexion/supination
  • Tubing exercises
  • Chin-ups
24
Q

What are some ways to strengthen the triceps brachii?

A
  • Close grip push-ups
  • Seated chair extensions
  • Elbow extension (tubing)
  • Kick back (barbell)
  • Pulley exercises
  • Bench press
25
Q

What are some ways to incorporate proprioception for joint stability?

A
  • Rhythmic stabilization
  • Static positions
  • Quardruped support positions
  • Theraball
  • Fitter
  • Wobble board
  • Foam rollers
26
Q

What is a good shoulder proprioception exercise for joint position?

A

The clock exercise; have to get them to the point where they can perform the exercise with their eyes closed

27
Q

What are some plyometric exercises for the shoulder?

A
  • Wall drops-push offs
  • Power push-ups
  • Box push-ups
  • Medicine ball catches-throws
28
Q

What are some ways to incorporate a whole body rehab?

A
  • CV endurance
  • Core stability
  • Lower body strength
  • Contralateral strength
29
Q

What are some ways to incorporate the psychological aspect of a rehab?

A
  • Informed (education)
  • Positive attitude
  • Attainable goal setting
  • Personal responsibility for therapy
  • Team contact
  • Healing imagery
30
Q

What are the objectives for return to support?

A
  • Continue proprioception
  • Agility
  • Power
  • Plyometrics
  • Sport-specific skill
  • Psychological readiness
  • Return to sport progressions
31
Q

What are some return to sport performance criteria?

A
  • Throwing/catching
  • Overhead skills
  • Landing
  • Direct contact
  • Psychological readiness
  • Skill development
32
Q

What are the phases of baseball pitching?

A
  • Windup
  • Early cocking
  • Late cocking
  • Acceleration
  • Deceleration/follow through
33
Q

What are the 4 primary strokes swimming?

A
  • Freestyle
  • Backstroke
  • Breaststroke
  • Butterfly
34
Q

What are the 4 phases of a golf swing?

A
  • Take-away/wind-up
  • Forward swing
  • Acceleration
  • Follow-through
35
Q

What is the objective of a glenohumeral dislocation rehabilitation?

A
  • All for capsular healing (surgery)
  • Regain range of motion
  • Engage secondary stabilizers (rotator cuff)
  • Ensure protective proprioception (stability)
  • Address psychological fear
  • Return to function (sport specific)
36
Q

How do you treat a glenohumeral dislocation during the acute phase?

A
  • Support to limit external rotation
  • Surgical repair
  • Allow for full capsular repair/healing
37
Q

How do you treat a glenohumeral dislocation during the sub acute phase?

A
  • Regain range of motion
  • Progressions
  • Mobilizations
  • Massage
  • Strength progressions
  • Focus on rotator cuff
  • Isometric internal/external rotation
  • Active range of motion
  • Concentric exercises
  • Isokinetic
  • Stability proprioception
  • Plyometrics
  • Whole body
  • Sport specific skills
  • Reintegration into sport
38
Q

What are some examples of progression exercises for a glenohumeral dislocation rehabilitation?

A
  • Pendulum exercises
  • Table slides
  • Wall walks
  • T-bar exercises
  • Towel exercises
39
Q

What are some ways to incorporate stability proprioception?

A
  • Static: wall/ball support, quadruped
  • Unstable: wobble boards, theraball
  • Dynamic: fitter, wheelbarrow walks
  • Perturbations
40
Q

What can cause a supraspinatus tendonitis?

A
  • Chronic impingement
  • Postural disposition
  • Anatomical predisposition
41
Q

What are the objectives of a supraspinatus tendonitis treatment?

A
  • Address the lesion site
  • Address postural imbalances
  • Regain range of motion
  • Regain strength
  • Promote functional proprioception
  • Include core in the skill
  • Whole body
  • Sport specific skills
  • Reintegration into sport

Rehabilitation (9 decks)

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