Week 6 Exam Questions UE Dysfunction

Question 1

what are common causes of pain in the Shoulder for SCI

Answer 1

RTC tear or tendinitis, CTS, subluxations, impingement, biceps tendonitis, Adhesive capsulitis.

Question 2

how do we grade subluxations

Answer 2

1+ is less than 1cm,
2+ 1-2cm
3+ is over 2 cm.

Question 3

how do you do a sulcus sign test

Answer 3

you give a little bit of traction at 20-50 degrees abduction

Question 4

what are some reasons you might get impingement

Answer 4

entrapment of the SIT muscles, biceps, bursa, humeral head, hypertonicity, tightness in the posterior and inferior capsule.

Question 5

what is an adhesive capsulitis patterns

Answer 5

flexion, abduction, ER, IR

Question 6

in what way can FES help subluxations

Answer 6

in acute, you put it on the middle deltoid and supraspinatus

Question 7

what are the risk factors for shoulder pain

Answer 7

duration of injury for more than 15 years, older age, higher BMI, females over males, wheelchair propulsion style. the way you do pressure relief and your activity level

Question 8

what is the WUSPI

Answer 8

the wheelchair users shoulder pain index, looks at subjective things with pain and difficulty

Question 9

how should any training be

Answer 9

task specific, high reps, and with high intensity.

Question 10

what is the STOMPS program

Answer 10

strengthening and optimal movement for painful shoulders. you essentially do 3x/week, with a rest day, and you alternate exercises day to day. you do stretching for 15 seconds to post capsule, bicep, pecs, and movements like caption, snap squeezes, Shoulder ER with TB and chops with a TB

Question 11

should you EMG biofeedback with exercise or just exercise

Answer 11

both

Question 12

what are some challenges with WC

Answer 12

you have modifications to equipment to be made, may not be able to get into machines, can’t position right

Question 13

TF 70% tetra have limited shoulder ROM

Answer 13

yes, so you can manip and mob the c-spine, 1st rib, GH, clavicle and elbow

Question 14

what is suggested to be the main cause of shoulder pain

Answer 14

flaccidity, especially when the weight of the arm is pulling on those passive structures

Question 15

main cause of shoulder pain in BI

Answer 15

adhesive capsulitis

Question 16

which type of hemiparesis is shoulder pain more common

Answer 16

left, because that side is also usually neglected

Question 17

what causes an anterior subluxation

Answer 17

you have imbalanced muscles, such as IR, ADD< and flexors are tight compared to the others.

Question 18

which is better a giv-mor sling or a Rolyan sling

Answer 18

giv-more

Question 19

what is the adhesive capsulitis patterns

Answer 19

ER>ABD>IR

Question 20

what is the best way to treat adhesive capsulitis

Answer 20

prevent it from happening

Question 21

what kind of injury do you have if you have a toothache like sensation

Answer 21

an impingement

Question 22

which way can a flaccid hemiparetic shoulder be turned, into ER or IR

Answer 22

ER, never IR

Question 23

what are some CPG treatments for stroke patients and UE dysfunction

Answer 23

high reps, intense, task specific practice, mental practice, CIMT(restrain the less effected limb for 90% of hours, or modify it to have it constrained for 30 min 3x/week).. bilateral arm training (force use of both arms)