Shoulder / Test 3 Flashcards
can get a good idea of a patient’s physical state by observation in blank
the waiting room
gold standard for standardized tests for shoulder
DASH
four things to observe when you have contact with a patient
posture, protecting arm?, head position, demeanor
hand on top of head reduces symptoms is blank sign for blank
lhermettes, nerve
lhermettes sign is often a precursor to blank
ms
adducted or ir or cradled are the most common positions for shoulder blank
pathology
most common age for atraumatic instability of the shoulder
20
frozen shoulder is most common in this age
50
frozen shoulder can take blank to blank to get better
6 months, 3 yrs
djd is most common at blank age
70
tendinosis age range
40-60
calcium deposits in muscles between these ages
20-40
highest risk population of people with frozen shoulder
women with diabetes
primary impingement can be blank or blank
intrinsic, extrinsic
intrinsic primary impingement can be due to these changes in the rotator cuff
vascularity, degeneration, degeneration of bone
extrinsic primary impingements are more related to
posture, muscle imbalances, motor control, training, occupation
clicking, snapping, grinding can all be from some sort of blank
djd
achy pain could be blank
muscle
sharp pain could be
fracture
numbness or burning pain can be
nerve
dead arm can be blank
thoracic outlet syndrome
origin of pain is coming from a nerve root (central)
radiculopathy
origin of pain of nerve is peripheral
neuropathy
causes of pain during adls for shoulder
night pain/laying on shoulder, reaching overhead, deodorant, washing back of head, push up from chair, push open doors
Djornes triad is blank and indicates a blank and can be tested by blank
Coughing, sneezing, straining, space occupying lesion, valsalva maneuver
rare genetic disorder with a defect in collagen synthesis, can be mild to life threatening
ehlers-danlos
ehlers danlos is when skin can be blank
stretched really far
ehlers danlos index that checks for global hypermobility
brighton
autosomal dominant genetic disorder of connective tissue, disproportionate long limbs, fingers, tall stature, predisposed to cv disorders
marfan syndrome
hypothesis - patient reporting lateral shoulder pain with overhead activities or demonstration of painful arc
bursitis, impingement subacromial, tendonitis
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
hypothesis - decreased rom and pain with resistance
possible rc tear or long head of biceps tendonitis
Hypothesis - patient reports of pain and weakness with muscle loading, night pain, age > 60
possible rc tear
Hypothesis - shoulder pain radiating to elbow, aggravated by movement not bad at rest. > 45 years old and more female than males
adhesive capsulitis
visceral pathology will present with blank pain
constant
visceral pathology may be blank onset
insidious
rest does not relieve pain or symptoms in blank pathologie
visceral
impaired smoothness signs of shoulder arom and prom is characterized by blank
clicking
shoulder arom and prom where instability shows up during mid rom
pathology is NOt capsuloligamentous
end rom instability means pathology is
capsuloligamentous
if assisting scapular assist increases pain during raising arm
ac pathology
if using scapular assist decreases pain then there is a blank
rotator cuff tendonitis/reactivity
if pain does not change during raising arm overhead then there is a possible blank
capsuloligamentous inextensibility
capsular inextensibility of shoulder capsular pattern… most limited top 3
external rotation, abduction, internal rotation
flexion glide to assess
posterior/inferior
extension glide to assess
anterior
abduction glide to assess
inferior glide humeral head
inferior glide clavicle on sternum (ac joint)
internal rotation glide to assess
posterior
external rotation glide to assess
anterior glide
horizontal abduction glide to assess
anterior
horizontal adduction glide to assess
posterior
highly sensitive rules people blank
out (true negatives)
highly specific rules people blank
in (true positives)
internal rotation lag sign has a high blank
sensitivity and specificity
shift in probability that favors the existence of a disorder
positive likelihood ratio
weak er, ir, and positive empty can test and drop arm test then there is probably blank
rotator cuff tear
hawkins kennedy and neer’s tests are for blank and are more blank so should be used at blank of exam
impingement, specific, beginning
patient internal impingement test with anterior instability to produce symptoms
gh apprehensions
patient internal impingement test with anterior instability to reduce symptoms
gh relocation
empty can is aka
jobe’s test
four common shoulder pathologies
hypomobility, hypermobility, compressive load intolerance, tensile load intolerance
tendonitis and rc tear can show up as these kind of pathologies
tensile/compressive load intolerance
a muscle imbalance is when
one muscle is much stronger than the other in a force couple
effective treatment for hypomobility of shoulder during overhead activities
non thrust manipulations to posterior/inferior capsule
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
most active muscle during press up
pec major
