week 1 sync 2

Question 1

sub acromial impingement syndrome Pain syndrome

Question 2

scapular plain elevation

Answer 2

scaption

Question 3

systems

Answer 3

Question 4

SIS syndrome

Answer 4

Subacromial Impingement Syndrome (SIS)

Question 5

SAS syndrome

Sub acromial Pain syndrome

Answer 5

Need to go back and watch the sync session for this

Question 6

Sub-Acromial Impingement/Sub-Acromial Pain Syndrome
Extrinsic Impingement - 3 Types

Answer 6

. PRIMARY IMPINGEMENT: A mechanical, space limiting
condition in the suprahumeral region

. SECONDARY IMPINGEMENT: Abnormal biomechanics
(hypermobility or posture)

. INTERNAL IMPINGEMTENT: Posterior RC gets “pinched”
intra-articularly when arm is in 90 degrees of Abduction
and ER secondary to anterior laxity

. It is possible to see a patient who presents with a
combination of primary and secondary impingement
(swimmer)

Question 7

Progression of RC related pathology

Question 8

A 23 yo swimmer presents w/ anterior/lateral R
shoulder pain. B shoulders have increased ROM.
Which type of impingement most likely?

A. primary
B. Secondary
C. tertiary

Answer 8

B secondary

Question 9

special tests

Answer 9

Need to watch sync session and pick these out

Question 10

What are some special tests to assist diagnosis of SIS?

I think this is interchangeable with SAS

Answer 10

Painful arc sign, neer, ER manual muscle test

They said this could be a test question

Question 11

Interventions General

Question 12

Case study 1

. A 48 year old female presents to your clinic with chief
complaint of L shoulder pain and weakness. Denies:
Trauma. Red Flag Screening -.
. Shoulder pain increases with: reaching overhead; yoga
(downward dog movement/position); racquetball;
swimming.
· Shoulder pain decreases with: rest; hot shower; ice;
TENS unit (tried 1x with a friend’s TENS unit).

Answer 12

Possible Differential Diagnosis conditions?

Cervical radic, Brachial plexus

There is more to this

Question 13

How to DDx between SIS and cervical radiculopathy C4 or C5 root?

Answer 13

spurlings

Question 14

Case study 1 second half

Answer 14

Question 15

Review Question

A patient with R shoulder pain demonstrates pain and reduced mobility with
reaching behind his head in order to wash his hair. Which direction would be
best to perform mobilization glides in order to increase his functional ability
to wash his hair?
· A) Anterior, Longitudinal Traction/Distraction
. B) Inferior, Longitudinal Traction/Distraction
· C) Anterior, Inferior, Superior
. D) Inferior, Posterior, Anterior

Answer 15

Answer
D. Inferior, Posterior, Anterior

Question 16

Review Question 2

A 36 year old male presents with local R shoulder pain. His PMH includes: rheumatoid arthritis
(RA), for which he sees a rheumatologist on yearly basis. He is very active, engage in resistance
training, taekwon do and baseball, and states that his RA has not really limited him that much
but he is aware it could get worse with time. His objective findings include: observation: WNL;
decreased R shoulder elevation and ER; hypo-mobile R GH capsule inferior and posterior. His
current pain level ranges 2-4/10. His R shoulder strength demonstrates slight deficits compared
to L side. His goal is to return to recreational baseball and taekwondo, as he frequently engages
in these activities. Which treatment would be best to utilize?

A) Joint mobes: inf and posterior glides: gr. 1,2 progressive exercise to tolerance

B) Joint mobes: inf and posterior glides: gr. 3,4, progressive exercise to tolerance

C) progressive exercise to tolerance only

D) end range shoulder stretching and progressive exercise to tolerance

Answer 16

Answer

A. Joint mobes: inf and posterior glides: gr. 1,2 progressive exercise to tolerance