UE Diagnostic Packet - Mobility Deficit Shoulder Flashcards
mobility deficit conditions of shoulder
adhesive capsulitis
OA
outcome measures for mobility deficit conditions of shoulder
Quick DASH
Penn Shoulder Scale (PSS)
Shoulder Pain and Disability Index (SPADI)
risk factors for Adhesive Capsulitis (AC)
increased risk = DM / thyroid disease
normal risk factors:
40-65 y/o
female
previous AC in contra arm
explain the progression of AC
gradual onset and progressive pain and mobility deficits lasting 12-18 months
4 Phases of AC
initial
freezing
frozen
thawing
initial phase of AC
pain at night
- difficulty sleeping
beginning ROM loss
- especially ER
freezing phase of AC
pain with gradual ROM loss
frozen phase of AC
less pain, substantial ROM deficit
thawing phase of AC
little pain, improvement in ROM deficits
thought process when considering AC as potential diagnosis?
are they 45+?
insidious onset?
recent trauma in that area?
OA characteristical definition
degenerative disorder of articular cartilage associated with hypertrophic bone changes
risk factors for OA
genetics
female
past trauma
advancing age
obesity
how is OA diagnosed
history of joint pain worsened by movement
thought process when considering OA
advanced age?
trauma to area?
history of OH activity?
gradual / insidious onset?
stiffness in morning (≈30 min)
rest help pain?
how is ROM affected by AC
decreased AROM and PROM
- ER (early) ABD (late)
what can be present in OA during ROM
crepitus - cracking/popping
How are ROM / joint mobility and Mobility Deficits at shoulder associated
decreased AROM/PROM
capsular end feel
pain at end-range
shoulder hiking (lack of GHJ motion)
JT mobility = lacking in multiple planes
How is muscle performance and Mobility Deficit at shoulder associated
should be normal
resisted = strong/painless
How is palpation and Mobility Deficit at shoulder associated
typically non-painful
–> unless capsule is stretched (AC)
bony enlargement (OA)
cool joint effusion (OA)
interventions related to Adhesive Capsulitis
patient education
- course of disease
activity modification
stretching
- match level of irritability and
- strengthen in range
medical intervention
- corticosteroid injection
interventions associated with OA
patient education
- functional activity modification
improve joint mobility
improve muscle length
retraining muscles through new range
medical intervention
- corticosteroid
