shoulder

Question 1

shoulder instability as unidirectional is mostly seen at?

Answer 1

anteriorly

Question 2

1 combined abd and ext rot
2 arm in flexion and internal rotation

which one will lead to posterior and anterior instability of the shoulder?

Answer 2

1= anterior instability
2= posterior instability

Question 3

avulsion of the anteroinferior labrum from the glenoid is called?

Answer 3

bankart leasion

Question 4

Congenital & Acquired capsuloligamentous laxity is?

Answer 4

multidirectional instability posteriorly

Question 5

with bankart lesion, patient’s arm should be placed in ER or IR?

Answer 5

ER

Question 6

with reverse bankart lesion, the patient’s arm should be placed in ER or IR?

Answer 6

IR

Question 7

what are the dynamic stabilizers?

Answer 7

deltoid
rotator cuff muscles
biceps long head

Question 8

how many phases do we have for shoulder instability injury?

Answer 8

Phase I: Weeks 0–4 acute
Phase II: Weeks 4–8 subacute
Phase III: Weeks 8–12 chronic
Phase IV: >12 weeks functional

Question 9

the brace removal is done in phase 3, chronic 8-12
true or false?

Answer 9

false, in subacute 4-8 weeks

Question 10

AAROM is done in which phase?
give examples

Answer 10

phase one
flexion, abduction, lateral rotation

Question 11

for bankart tear internal rotation is not allowed
for reverse bankart tear external rotation is not allowed
for applying ROM during phase one
true or false?

Answer 11

true

Question 12

isometric strengthening, mobility, scapula, and isotonic theraband exercises are done in which phase?

Answer 12

2nd phase

Question 13

give example of mobility exercise

Answer 13

wand

Question 14

most seen compensation movement with shoulder instability
is?

Answer 14

shoulder elevation

Question 15

what are the main muscles for scapula exercises in shoulder instability?

Answer 15

lower trapezius
serratus anterior

Question 16

which muscle should we strengthen when there is the elevation of shoulder?

Answer 16

lower trapizuis

Question 17

in which position we can strengthen the lower trapezius?

Answer 17

prone
standing
with holding for 5-10 sec then repeat 5 times

Question 18

in 2nd phase list the duration of each type of exercise:
isometric
mobility
scapula exercises
isotonic

Answer 18

isometric= 10 times each/ 3 daily
mobility= 10 times each/ 4 daily
scapula= 5-10 times each
isotonic= 20 times each/ 3 daily

Question 19

which exercises are done in phase three?

Answer 19

advanced ER
advanced IR
scapula setting exercises
lower trapezius in prone
serratus anterior in 4-point kneeling
WB ( wall push-ups, 4-point kneeling push-ups)

Question 20

list the extrinsic etiologies of rotator cuff syndrome

Answer 20

Extrinsic Cause
Bony Factors
Type of Acromion
Osteophytes
or
Soft Tissue Factors
Subacromial bursitis
Thickened coracoacromial ligament

Question 21

list the intrinsic factors of rotator cuff syndrome

Answer 21

Intrinsic Factors
Degenerative Cuff Failure

Traumatic Cuff Failure

Reactive Cuff Failure

Question 22

list the type of acromion

Answer 22

type one= flat, normal
type 2=curved, dipping and downward
type 3= hooked

Question 23

what are the impingement syndrome stages?

Answer 23

Stage I, involves edema and/or hemorrhage. <25 years, associated with an overuse injury, at this stage the syndrome is reversible.

Stage II, 25 to 40 years. Fibrosis, irreversible tendon changes.

Stage III, >50 years of age, involves a tendon rupture or tear.

Question 24

the pain is radiating to which aspect of the rotator cuff?
and what is the most ROM is stiffened?

Answer 24

pain, lateral aspect and may radiates to deltoid insertion
ROM stiff, IR

Question 25

adhesive capsulitis is known as?

Answer 25

frozen shoulder

Question 26

for a frozen shoulder, all ROM is affected true or false?

Answer 26

true

Question 27

the male is more affected than female in frozen shoulder true or false?

Answer 27

false

Question 28

what are the primary and secondary types of frozen shoulder

Answer 28

Primary independent of other pathologies Secondary after trauma or another condition Systemic, e.g DM Extrinsic to GH, e.g. Fx Intrinsic to GH, e.g. Rotator Cuff tear

Question 29

what will have with a frozen shoulder initially?

Answer 29

hyperplasia of the capsule leading to thickening

Question 30

what are the phases of a frozen shoulder?

Answer 30

1- pre adhesive or painful 0-3 M 2- freezing 3-9 M 3- stiffness or frozen 9-15 M 4- thawing or recovery 15-24 M

Question 31

A-full ROM under anesthesia B-Synovial hyperplasia -Fibroblastic proliferation -ROM w/wo anesthesia C- ROM Pain diminished or plateau especially the anterior aspect of GH D-Painless stiffness and progressive improvement in ROM list which one is for phase 4,2,3,1in frozen shoulder

Answer 31

4=D 3=C 2=B 1=A

Question 32

what will happen to the ROM in the frozen shoulder?

Answer 32

Limitations in A/P GH ROM >50% Scapulothoracic ROM increase Ext Rot (with the arm at side) decreases significantly

Question 33

the adduction limitation is seen with a frozen shoulder true or false?

Answer 33

false, abduction

Question 34

shoulder strength in frozen shoulder is affecting mostly?

Answer 34

IR and flexors muscles

Question 35

Inspection: atrophy, symmetry Palpation: AC, cuff tenderness Range of motion: active, passive Strength: ER and elevation power, lag Provocative: impingement sign, the arc of pain are related to?

Answer 35

physical examination

Question 36

how to test the supraspinatus muscle?

Answer 36

jobe or empty can

Question 37

neer and hawkins tests are for?

Answer 37

impingement syndrome

Question 38

how to test subscapularis muscle?

Answer 38

lift off test

Question 39

homeblower test is for?

Answer 39

teres minor muscle

Question 40

Icing (20 min, 3-4 times per day) with relative rest are applied in the acute phase of rehab true or false?

Answer 40

true

Question 41

how the patient will sleep with a frozen shoulder?

Answer 41

sleep with a pillow between the trunk and arm to decrease tension on the supraspinatus tendon

Question 42

the recovery phase includes what?

Answer 42

Restoration of shoulder ROM, Normalization of strength and dynamic muscle control, Proprioception and dynamic joint stabilization.

Question 43

After the pain has been managed, restoration of motion can be initiated by?

Answer 43

Codman pendulum exercises. Wall walking Stick or towel exercises

Question 44

how Normalization of strength and dynamic muscle control is done?

Answer 44

1- Perform strengthening in a pain-free range only to The scapular stabilizers include the rhomboids, levator scapulae, trapezius, and serratus anterior 2- Strengthening the rotator cuff muscles.

Question 45

how to strengthen the supraspinatus muscle?

Answer 45

Pendulums Trap Fly

Question 46

how to strengthen the infraspinatus muscle?

Answer 46

Pendulums Upper Ext Rotation External Rotation

Question 47

how to strengthen teres minor?

Answer 47

Horizontal Abduction Laying External Rotation Sleeper Stretch

Question 48

how to strengthen subscapularis?

Answer 48

Internal Rotation Int/Ext Rotation Stretch Passive Int Rotation

Question 49

Probably the best use for isokinetic exercise machines is ?

Answer 49

objective side-to-side comparison of strength

Question 50

Scapular stabilizer are strengthened by shoulder shrug, push-up and shoulder press true or false?

Answer 50

true

Question 51

for improving stabilizing we start with CKC and then progress to OKC with PNF for propioception true or false?

Answer 51

true

Question 52

program: isometric OKC eccentirc propioception CKC then OKC true or false?

Answer 52

true

Question 53

Pain or tenderness in the front of the shoulder, which worsens with overhead lifting or activity, Pain or achiness that moves down the upper arm, An occasional snapping sound or sensation in the shoulder are symptoms of?

Answer 53

biceps tendonitis