Subacromial Pain syndrome

Question 1

what are the interventions for mobility deficits or force production imbalance?

Answer 1

-isolated strengthening exercises
-joint mobs
-stretching

Question 2

what are the interventions for motor control deficits or movement coordination impairments?

Answer 2

-muscle recruitment training
-thoracic spine treatment
-rhythmic stabilization in open and closed chain
-proprioceptive training
-movement control training/education
-muscle performance training

Question 3

what is primary impingement

Answer 3

-mechanical GH impingement
-altered/reduced subacromial space
-associated AC joint pathology/acromial shape and/or osteophytes

Question 4

what is secondary impingement

Answer 4

-uncertain GH positioning
-excessive GH mob or tightness
-motor control deficits

Question 5

what are the strctures in secondary impingement

Answer 5

-RC tendons
-long head biceps
-GH joint capsule
-subacromial bursa
-subacromial arch/space

Question 6

what are the causes of secondary impingment

Answer 6

-RC weakness
-RC tear
-capsular laxity
-MI
-functional instability or NM inhibition
-scapular dyskinesia
-lack of thoracic movement

Question 7

what is the test item cluset

Answer 7

+ neer or hawkins
+ painful arc sign
+ painful ER

…rule out RTC tear or instability

Question 8

what are the historical factors

Answer 8

-pain at night
-pain with OH activities
-complaints of stiffness

Question 9

what are some objective findings

Answer 9

-poor scap control
-weakness of scap stabilizers