Shoulder Flashcards
Protraction (scapula)
Agonist:
- Serratus anterior
- Pec major and minor
Antagonist:
- Trapezius
- Rhomboids
Retraction (scapula)
Agonist:
- Trapezius
- Rhomboids
Antagonist:
- Serratus anterior
- Pec major and minor
Elevation (scapula)
Agonist:
- Upper fibers trapezius
- Levator scapulae
Antagonist:
- Serratus anterior
- Lower fibers trapezius
Depression (scapula)
Agonist:
- Serratus anterior
- Lower fibers trapezius
- Pec major and minor
Antagonist:
- Upper fibers trapezius
- Levator scapulae
Upward/lateral rotation (of inferior angle of scapula)
Agonist:
- Trapezius (UFT/LFT)
- Serratus anterior
Antagonist:
- Levator scapulae
- Rhomboids
- Pec minor
Downward/medial rotation (of inferior angle of scapula)
Agonist:
- Levator scapulae
- Rhomboids
- Pec minor
Antagonist:
- Trapezius (UFT/LFT)
- Serratus anterior
Abduction (humerus)
Agonist:
- Supraspinatus (0-15)
- Deltoid (15-90)
- Serratus anterior (90-180)*
- Trapezius UFT/LFT (90-180)*
Antagonist:
- Pectoralis major
- Latissimus dorsi
- Teres major
Internal/medial rotation (humerus)
Agonist:
- Subscapularis
- Pec major
- Latissimus dorsi
- Anterior deltoid
- Teres major
Antagonist:
- Infraspinatus
- Teres minor
- Posterior deltoid
External/lateral rotation (humerus)
Agonist:
- Infraspinatus
- Teres minor
- Posterior deltoid
Antagonist:
- Subscapularis
- Pectoralis major
- Latissimus dorsi
- Anterior deltoid
Pancoast Tumor
- Tumor at the apex of the lung
- Between ages of 40-60
S&S:
o Severe pain in shoulder region radiating toward the axilla and scapula along the ulnar aspect of the muscle of the hand
o Atrophy of hand and arm muscles
o Horner Syndrome (ptosis, miosis, hemi anhidrosis, enophthalmos)
o Compression of the blood vessels with edema
o Neck pain
o Pain relieved when propping arm up on table or with other arm
Increase thoracic kyphosis
Scapula:
- Protracted
- Depressed
- Downwardly rotated
- Anterior tilted
GH joint:
- IR position
Tight muscle:
- Pect Major, minor
- Shoulder internal rotators
Weak muscle:
- Shoulder ER
- Scapular upward rotator: SA, LFT
- Scapular retractor: MFT, Rhomboids
Forward head posture
Tight muscle:
- Scalene, UFT, Levator Scapulae, SCM
- Deep neck extensor:
Splenius/Semispinalis/longissimus capitis
Weak:
- Scapular muscles
- Deep neck flexor: longus capitis