Arm and Shoulder exercise and prescription

Question 1

In a study comparing multidirectional shoulder instability, what protocol was more efficient? Watson or Rockwood?

Answer 1

Watson protocol

Question 2

Why was the Watson protocol more effective than the Rockwood for shoulder instability?

Answer 2

The Watson protocol focused on scapular motor control before bringing in the deltoid and rotator cuffs
-i.e. scapular retraction and protraction

Question 3

True or false, after 6 weeks, the Watson protocol was greater than the Rockwood protocol?

Answer 3

False, at 12 weeks and 24 it was

Question 4

How much do people with subacromial impingement need to roughly increase shoulder strength by?

Answer 4

50%

Question 5

True or false, additional volume on top of usual care can provide benefits to subacromial impingement

Answer 5

False, there was no difference between usual care and extra volume

Question 6

What are the three prescribed stages in scapular dyskinesis rehab?

Answer 6

1. Conscious motor control
2. Muscle control and strength for ADL’s
3. Advanced control during sporting or functional movements

Question 7

True or false, scapular muscle rehab can improve SPADI levels in overhead athletes after 6 weeks?

Answer 7

True (SPADI = 29.86 to 11.7)

Question 8

What exercise has a substantial amount of upper subscapularis, lower subscapularis, infraspinatus and pectoralis major activity?

Answer 8

Push-up plus, ranging from 94%-122% MVIC

Question 9

What exercise produced 119% MVC for the upper traps?

Answer 9

Shrugs

Question 10

What exercise has the most MVC for lower and middle traps?

Answer 10

Prone horizontal abduction to 135 degrees shoulder abduction with thumb up (Prone Y’s)

Question 11

How much of the population is affected by lateral elbow tendinopathies?

Answer 11

1-3%

Question 12

True or false, isometrics alone can improve lateral elbow tendinopathy

Answer 12

Not particularly, pain levels must not exceed a high threshold. Also should be in conjunction with concentric and eccentric exercise

Question 13

Is eccentric exercise better than concentric?

Answer 13

Not particularly, eccentric may improve outcomes quicker, but both achieve the same result after 12 months

Question 14

What exercises should you do to reduce a painful arc?

Answer 14

Isometrics and shoulder adduction

Question 15

What are some example early phase subacromial rehab exercises?

Answer 15

Supported external rotation, wall/chair/table slides

Question 16

What are some example intermediate phase subacromial rehab exercises?

Answer 16

Side lying lateral raise, standing lateral raise, trunk rotation + lateral raise, external rotation with less support

Question 17

What are some example late phase subacromial rehab exercises?

Answer 17

Eccentrics

Question 18

What are 4 good scapular strengthening exercises?

Answer 18

Inferior glide, low row, lawn mower and robbery

Question 19

What are some good dynamic exercises for subacromial impingement?

Answer 19

Mimicking a throw with a band, reverse catches, plyo push-ups, hand walks

Question 20

If we wanted to bias the supraspinatus with minimal deltoid activity, what would be a better exercise; empty can, full can or prone Y

Answer 20

Full can abduction

Question 21

What should not be overlooked in lateral and medial epicondylitis?

Answer 21

Thoracic mobility, shoulder external and internal rotation, wrist flexion and extension strength