Shoulder / Test 3 Flashcards

0
Q

can get a good idea of a patient’s physical state by observation in blank

A

the waiting room

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1
Q

gold standard for standardized tests for shoulder

A

DASH

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2
Q

four things to observe when you have contact with a patient

A

posture, protecting arm?, head position, demeanor

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3
Q

hand on top of head reduces symptoms is blank sign for blank

A

lhermettes, nerve

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4
Q

lhermettes sign is often a precursor to blank

A

ms

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5
Q

adducted or ir or cradled are the most common positions for shoulder blank

A

pathology

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6
Q

most common age for atraumatic instability of the shoulder

A

20

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7
Q

frozen shoulder is most common in this age

A

50

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8
Q

frozen shoulder can take blank to blank to get better

A

6 months, 3 yrs

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9
Q

djd is most common at blank age

A

70

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10
Q

tendinosis age range

A

40-60

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11
Q

calcium deposits in muscles between these ages

A

20-40

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12
Q

highest risk population of people with frozen shoulder

A

women with diabetes

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13
Q

primary impingement can be blank or blank

A

intrinsic, extrinsic

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14
Q

intrinsic primary impingement can be due to these changes in the rotator cuff

A

vascularity, degeneration, degeneration of bone

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15
Q

extrinsic primary impingements are more related to

A

posture, muscle imbalances, motor control, training, occupation

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16
Q

clicking, snapping, grinding can all be from some sort of blank

A

djd

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17
Q

achy pain could be blank

A

muscle

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18
Q

sharp pain could be

A

fracture

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19
Q

numbness or burning pain can be

A

nerve

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20
Q

dead arm can be blank

A

thoracic outlet syndrome

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21
Q

origin of pain is coming from a nerve root (central)

A

radiculopathy

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22
Q

origin of pain of nerve is peripheral

A

neuropathy

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23
Q

causes of pain during adls for shoulder

A

night pain/laying on shoulder, reaching overhead, deodorant, washing back of head, push up from chair, push open doors

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24
Djornes triad is blank and indicates a blank and can be tested by blank
Coughing, sneezing, straining, space occupying lesion, valsalva maneuver
25
rare genetic disorder with a defect in collagen synthesis, can be mild to life threatening
ehlers-danlos
26
ehlers danlos is when skin can be blank
stretched really far
27
ehlers danlos index that checks for global hypermobility
brighton
28
autosomal dominant genetic disorder of connective tissue, disproportionate long limbs, fingers, tall stature, predisposed to cv disorders
marfan syndrome
29
hypothesis - patient reporting lateral shoulder pain with overhead activities or demonstration of painful arc
bursitis, impingement subacromial, tendonitis
30
hypothesis - patient reports instability, apprehension, and pain with activities most often when shoulder is abducted and externally rotated
shoulder instability, labral tear if there is clicking
31
hypothesis - decreased rom and pain with resistance
possible rc tear or long head of biceps tendonitis
32
Hypothesis - patient reports of pain and weakness with muscle loading, night pain, age > 60
possible rc tear
33
Hypothesis - shoulder pain radiating to elbow, aggravated by movement not bad at rest. > 45 years old and more female than males
adhesive capsulitis
34
visceral pathology will present with blank pain
constant
35
visceral pathology may be blank onset
insidious
36
rest does not relieve pain or symptoms in blank pathologie
visceral
37
impaired smoothness signs of shoulder arom and prom is characterized by blank
clicking
38
shoulder arom and prom where instability shows up during mid rom
pathology is NOt capsuloligamentous
39
end rom instability means pathology is
capsuloligamentous
40
if assisting scapular assist increases pain during raising arm
ac pathology
41
if using scapular assist decreases pain then there is a blank
rotator cuff tendonitis/reactivity
42
if pain does not change during raising arm overhead then there is a possible blank
capsuloligamentous inextensibility
43
capsular inextensibility of shoulder capsular pattern... most limited top 3
external rotation, abduction, internal rotation
44
flexion glide to assess
posterior/inferior
45
extension glide to assess
anterior
46
abduction glide to assess
inferior glide humeral head | inferior glide clavicle on sternum (ac joint)
47
internal rotation glide to assess
posterior
48
external rotation glide to assess
anterior glide
49
horizontal abduction glide to assess
anterior
50
horizontal adduction glide to assess
posterior
51
highly sensitive rules people blank
out (true negatives)
52
highly specific rules people blank
in (true positives)
53
internal rotation lag sign has a high blank
sensitivity and specificity
54
shift in probability that favors the existence of a disorder
positive likelihood ratio
55
weak er, ir, and positive empty can test and drop arm test then there is probably blank
rotator cuff tear
56
hawkins kennedy and neer's tests are for blank and are more blank so should be used at blank of exam
impingement, specific, beginning
57
patient internal impingement test with anterior instability to produce symptoms
gh apprehensions
58
patient internal impingement test with anterior instability to reduce symptoms
gh relocation
59
empty can is aka
jobe's test
60
four common shoulder pathologies
hypomobility, hypermobility, compressive load intolerance, tensile load intolerance
61
tendonitis and rc tear can show up as these kind of pathologies
tensile/compressive load intolerance
62
a muscle imbalance is when
one muscle is much stronger than the other in a force couple
63
effective treatment for hypomobility of shoulder during overhead activities
non thrust manipulations to posterior/inferior capsule
64
decreased rom in ac or sc joint pathology is usually at the end range of blank movement..... presents most often with limited blank or blank
overhead, adduction, horizontal abduction
65
most active muscle during press up
pec major