UE Diagnostic Packet - Muscle Power Deficit Shoulder Flashcards
outcome measures for muscle power deficits at shoulder
Quick - DASH
SPADI
Penn Shoulder Scale
diagnoses of muscle power deficits at shoulder
rotator cuff tendinopathy
subacromial pain syndrome
reported stages of RTC degenerative tendionpathies
1 - inflammation
2 - partial tear
3 - full tear
pathology types of RTC tendinopathy
degenerative
calcified (via imaging)
thought process when ruling in RTC tendinopathy
middle aged?
pain at top/lateral aspect of shoulder?
weakness with/without pain?
–> especially with overhead activities?
history of repetitive overhead activities and/or prior trauma to area?
observation associated with RTC tendinopathy
scapular dyskinesis with OH motion
–> flex and abd
pain reduction with stabilizing movements?
what tests are considered stabilizing tests?
scapular assist test
scapular reposition test
scapular retraction test
ROM observation associated with RTC tendinopathy
pain w/ OH motion
painful arc (60-120°)
+/- crepitus
muscle performance observation associated with RTC tendinopathy
pain/weakness with ABD and/or rotation
how to determine partial vs full thickness RTC tendinopathy when assessing muscle performance
partial = partial motion present
full = inability to raise arm / significant loss
palpation finding associated with RTC tendinopathy
tenderness over RTC or bicep insertions/belly
special test of full thickness RTC tendinopathy
external rotation / internal rotation lag sign
special test of partial thickness RTC tendinopathy
painful arc
neer’s test
hawkins-kennedy test
infraspinatus muscle test
belly press test
internal rotation lag sign
interventions associated with RTC tendinopathy
match impairments and irritability
education - activity modification
loaded active exercises (inc tissue tolerance)
improve force production (RTC / scapular thoracic muscles)
normalize movement / improve kinetic change
when is surgery indicated for RTC tendinopathy
Stage 2/3
- RTC repair
- subacromial decompression (maybe)
