Shoulder Flashcards
(14 cards)
Broadly, what are the 4 steps to consider in an algorithm for shoulder patients
- Scapula - abnormal movement, does correct help
- Humeral head - abnormal movement, does correction help ?
- Are there pathological restrictions to consider ? Scans etc. that may limit or change management
- What are their functional requirements ?
What degree of change in scapula upward rotation would be considered an assymetry ?
More than 5 degrees
What does it mean if a scap correction makes someone worse ?
This was a compensatory strategy - should not follow this in rehab but gives good insight into what they’re compensating for
Or
They have a reactive cuff and then should trial correction later on
What presentation often demonstrate winging?
Posterior instability
What two open chain movements should you be cautious with in a posterior instability
Flexion and horizontal flexion
What % of RC tears progress over a 2 year period ?
50%
What % of degenerative tears progress over a 2 year period
30%
What % of traumatic tears progress over a 2 year period
%70
For MDI, what is the most evidence based treatment regime
The WIP program
Over what period is an RC repair most likely to retear?
12 weeks
What are two common compression positions for the shoulder cuff?
Seatbelt and taking jumper off positions
What cuff becomes compressed in WB?
Subscap and supraspinatus
What is the WIP classification of instability
- Macro instability
- Overuse/micro traumatic
- Atraumatic - congenital
What RTP markers for anterior instability and rough time frame?
Good rom with no apprehension
Strength testing on dyno
