Quiz 9: 2

Question 1

What exercises allow the pt to focus on scapular control and established movement patterns without creating excessive loads on the shoulder?

Answer 1

scapular clock

Question 2

What stretch can you teach a pt to help with posterior shoulder flexibility?

Answer 2

• sleeper stretch

- crossover stretch

Question 3

What is the loose packed position of the shoulder?

Answer 3

• slight abduction
• flexion
• neutral rotation

Question 4

Name 3 types of RTC impingements

Answer 4

• primary
• secondary
• internal

Question 5

Name 3 different categories of proximal biceps tendon injuries

Answer 5

• tendinopathy
• instability
• rupture

Question 6

Describe: biceps tendinopathy

Answer 6

tendinitis, tenosynovitis, tendinosis

Question 7

Describe: Instability (biceps injury)

Answer 7

• tendon dislocation and subluxation

- transverse humeral ligament

Question 8

Describe: biceps rupture (where most common)

Answer 8

most common in bicipital groove

Question 9

Causes: biceps tendinopathy

Answer 9

• overuse injuries
• impingement syndromes
• GH instability

Question 10

Causes: biceps instability

Answer 10

• tear in tendinoligamentous sling
• tear in transverse humeral ligament
• shallow bicipital groove

Question 11

Causes: biceps rupture

Answer 11

• traumatic events

- excessive eccentric load

Question 12

What is the newest trend for pts with UCL-R scars?

Answer 12

getting sweet tats to accentuate their battle scars

Question 13

What does GIRD/ERG stand for?

Answer 13

Glenohumeral IR deficit, ER Gain

Question 14

What population is GIRD/ERG commonly seen?

Answer 14

• throwing athletes who start throwing sports early

- due to anatomical change in humerus/GH capsule

Question 15

What is the total arc of motion of shoulder IR/ER?

Answer 15

160

Question 16

What should the total arc of motion consist of?

Answer 16

• 70 from IR (45 isolated, 70 composite GH/scap motion)

- 90 from ER

Question 17

What makes GIRD the appropriate dx?

Answer 17

• GIRD » ERG = deranged kinematics

- decrease in IR is usually greater than a 25˚ difference compared to non-throwing shoulder

Question 18

Name 2 special tests that can be done to check for RTC impingements

Answer 18

• Hawkins-Kennedy
• Neer
• Coracoid impingement
• crossover

Question 19

Name one thing that indicates a positive test impingement test?

Answer 19

• pain
• painful arc
• grating/crepitus
• weakness
• pain inhibition

Question 20

What % of shoulder dx are impingements?

Answer 20

55%

Question 21

Briefly describe internal impingement

Answer 21

• inside joint

- can be hyper/hypomobile

Question 22

Briefly describe secondary impingement

Answer 22

• subacromial space

- hypermobile

Question 23

Briefly describe primary impingement

Answer 23

• subacromial space

- hypomobile

Question 24

What are the arthrokinematics of the shoulder in OKC?

Answer 24

Convex on concave

Question 24

What mob would you do if the pt had decreased horizontal adduction?

Answer 24

Lateral distraction

Question 24

What are 3 glides you can do at the ST jt?

Answer 24

- elevation glide - depression glide - protraction glide - retraction glide - UR - DR - circumduction glide

Question 24

Name the mob you would do at the AC jt

Answer 24

AP glide