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CATA 339 - fall 2022 > Lecture 12 - Shoulder rehab > Flashcards

Lecture 12 - Shoulder rehab Flashcards

1
Q

Imbalance between ___ and ___ and ___ often see in individuals with GH injuries

A

UFT
MFT
SA

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2
Q

Functionally, the ___ and ___ provide the moment arm for upward rotation

A

UFT and SA

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3
Q

___ provides stability and compression to the inferior angle of the scapula against the thorax

A

LFT

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4
Q

3 stages of muscle performance deficits

A
  1. Conscious muscle control
  2. Muscle control and strength necessary for ADL
  3. Advanced control during sports movements
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5
Q

Shown to improve dynamic GH stability through stimulation of proprioceptors and enhance co-contraction of RC muscles

A

closed kinetic chain exercises

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6
Q

Which exercise has a greater UFT activation ratio, but is not recommended if want to work more on MFT,LFT, and SA?

A

Bow and arrow

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7
Q

Which exercise is recommended to minimize UFT while activating MFT, LFT, and SA?

A

External rotation with scapular squeeze
Lawn mover

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8
Q

Which exercise has more UFT activation than lawn mower?

A

Robbery

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9
Q

Goal of progression when athlete is in a sling?

A

Establishing conscious control - minimal RC activity

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10
Q

Flexibility deficits are common to lead to mispositioning such as anterior tilt or downward rotation of scapula, T or F

A

TRUE

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11
Q

Scapular muscles affected by flexibility

A

Pec minor
Levator scapulae

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12
Q

GH muscles affected by flexibility

A

Lats
Rotator cuff/posterior capsule

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13
Q

See slide 18

A

Scapular rehab algorithm

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14
Q

50% decrease in rotator cuff force leads to what?

A

Increases anterior/posterior humeral displacement by 40%

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15
Q

Rotator cuff muscles line of pull (2)

A
  • compression of humerus into glenoid cavity
  • inferior pull
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16
Q

Is there a difference for eccentric ex. vs concentric-eccentric ex. for rotator cuff tendinopathy rehab?

A

No significant

17
Q

__ if preffered over 1-2

A

3

18
Q

Exercise programs for RC tendinopathy should provide clinically relevant outcomes within how much time?

A

12 weeks

19
Q

Common findings with impingement syndrome (3)

A
  • Diminished posterior tilting (10d)
  • Increased superior translation of humerus (2cm) - weakness in RC m.
  • Poor posture
20
Q

See slide 25

A

AC joint rehabilitiation

21
Q

Other name for idiopathic adhesive capsulitis

A

Frozen shoulder

22
Q

Early mobilization is recommenced for what injury?

A

Frozen shoulder

23
Q

read slide 26

A

Frozen shoulder

24
Q

With a GH instability, 1st time dislocations are typically treated (surgery or not?)

A

Non-operatively

25
Q

GH instability - Phase 1 goals (4)

A
  • Reduce pain/inflammation/mm guarding
  • Protect healing tissue and avoid further injuries to capsule
  • Minimize effects of immobilization
  • Re-establish dynamic joint ability and proprioception
26
Q

3 categories of exercises for acute phase 1 of GH instability

A
  1. Early passive ROM - protect injury
  2. Submaximal strengthening
  3. Proprioception
27
Q

2 Milestones of intermediate phase 2 for GH instability

A

Must have near full PROM and AROM
Flexion and ER/IR exercises can be initiate at 90d of ABD

28
Q

What can be done in phase 2 of GH instability with isotonic strengthening?

A
  • Side-lying ER, prone rowing
  • Push up introduced + core strengthening
  • Address underlying scapular dyskenisis
29
Q

4 milestones of phase 3 advanced strengthening of GH instability

A
  • Minimal to no pain
  • Full shoulder ROM and capsular mobility
  • Good strength (4/5 MMT)
  • Endurance, and dynamic stability of scapulothoracic and UE
30
Q

Progression of isotonic exercises in phase 3 of GH instability

A
  • Functional positions for sports
  • Low resistance and high reps to improve neuromuscular control and fatigue
  • Bench press, seated row, lat pull downs resistance progressed
  • Plyometric exercises - two hand throwing drills, chest pass, progress to one hand
31
Q

Causes of biceps tendinopathy (4)

A
  • Postural issues
  • RC weakness/injury
  • Overuse of the biceps tendon without proper strength and conditioning
  • SLAP lesions?
32
Q

RTP criteria for biceps tendinopathy

A

No sport-specific pain or weakness

33
Q

RTP for shoulder injuries (8)

A

No specific criteria
Little/no pain, near normal ROM and strength
Functional ability and sport specific skills
Scapular dyskinesis - symmetry in scapular muscle strength (for non throwing athletes)
10% increased strength on dominant side in unilateral OH athletes
Less than 20d difference from side to side in IR
Also fatigue tests - high performance plyometric tests or eccentric RC

34
Q

Examples of proprioception type of exercises

A

CKC or OKC exercises
WB vs NWB
Rhythmic stabilizations
Reaction exercises
Coordination exercises

35
Q

Main components that need to be worked on in shoulder rehab (3 main)

A
  • Rotator cuff muscles
  • Posture
  • Scapular motion
36
Q

2 examples of PROM of shoulder tools

A

T-bar (cane)
Pendulums

37
Q

2 examples of A-AROM of shoulder tools

A

Pully system
T-bar (cane)

38
Q

2 examples of AROM of shoulder tools

A

Table bows
Wall washes

CATA 339 - fall 2022 (14 decks)

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