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Flashcards in Shoulder Girdle Deck (33):

What [4] muscles act to depress the scapulothoracic joint ?

  • Lower trapezius
  • Lattissimus Dorsi
  • Pectoralis minor
  • Subclavius


What muscles act to protract the scapulothoracic joint [1]?

  • Serratus Anterior


What [3] muscles act to retract the scapulothoracic joint?

  • Middle trapezius
  • Rhomboids
  • Lower trapezius


What [2] muscles act to upwardly rotate the scapulothoracic joint?

  • Serratus Anterior
  • Upper and Lower trapezius


What [2] muscles act to downwardly rotate the scapulothoracic joint?

  • Rhomboids
  • Pectoralis Minor


What [3] muscles act to elevate the scapulothoracic joint?

  • Upper trapezius
  • Levator scapulae
  • Rhomboids


Rotator cuff muscle: Supraspinatus

  • O: Supraspinous fossa of the scapula
  • I: Greater Tubercle of the humerus
  • A:
    • Abduction at GH joint
    • Stabilization of the head of the humerus
  • N: Suprascapular Nerve
    • C5,C6 (upper trunk)


Rotator cuff muscle: Subscapularis

  • O: Subscapular fossa of the scapula

  • I: Lesser Tubercle of the humerus

  • A: Internal Rotation at GH joint

  • N: Upper and Lower fibers of the subscapular nerve

    • C5,C6 (posterior cord)


Rotator cuff muscle: Teres Minor

  • O: upper 2/3 of the lateral border of the scapula
  • I: Greater Tubercle of the humerus
  • A:
    • External Rotation at GH joint
    • Adduction of GH joint
    • Stabilization of the head of humerus
  • N: Axillary Nerve
    • C5,C6 (posterior cord)


Rotator cuff muscle: Infraspinatus

  • O: Infraspinous fossa of the scapula
  • I: Greater Tubercle of the humerus
  • A:
    • External Rotation at GH joint
    • Adduction of GH joint
    • Stabilization of the head of humerus
  • N: Suprascapular Nerve
    • C5,C6 (upper trunk)


Teres Major

  • O: Posterior surface of the inferior angle of the scapula
  • I: Medial lip of the intertubercular sulcus
  • A:
    • Extension at GH joint
    • Adduction of GH joint
    • Medial Rotation of GH joint
  • N: Lower Subscapular
    • C5,C6 (posterior cord)


Primary muscles that medially rotate the shoulder [5 according to Neumann]:

  • Subscapularis
  • Teres Major
  • Lattissimus Dorsi
  • Pectoralis Major
  • Anterior Deltoid


Lattissimus Dorsi

  • O:
    • Inferior angle of the scapula
    • spinous processes of the last 6 thoracic vertebrae
    • last 3 or 4 ribs
    • thoracolumbar aponeurosis and posterior iliac crest
  • I: Intertubercular groove of the humerus
  • A:
    • Extension at GH joint
    • Adduction of GH joint
    • Medial Rotation of the GH joint
  • N: Thoracodorsal nerve
    • C5,C6,C7 (posterior cord)


Convex/Concave of the scapulothoracic joint:

  • Convex surface: Thorax
  • Concave surface: Scapula


Convex/Concave of the acromioclavicular joint

  • Convex surface: Clavicle (Variable)
  • Concave surface: Acromion (Variable)


Convex/Concave of the sternoclavicular joint:

  • Longitudinal diameter in Frontal plane (superior/inferior surface)
    • Clavicle:Convex
    • Sternum: Concave
  • Transverse diameter in Transverse plane (anterior/posterior surface)
    • Clavicle:Concave
    • Sternum: Convex


According to the APTA Guide to Physical Therapist Practice, patients should be classified into diagnostic groups by:

  • groups of impairments (preferred practice patterns)
    • rather than specific pathologies


Pancoast tumor:

  • Pain at vertebral border of scapula and/or ulnar nerve distribution


Ulnar Nerve:

  • spinal segments?
  • sensory distribution?
  • muscles supplied?

  • spinal segments:
    • C8-T1
  • sensory distribution:
    • skin on the ulnar side of the hand including medial side of the ring finger and entire small finger
  • muscles supplied:
    • Flexor carpi ulnaris
    • flexor digitorum profundis
    • Dorsal interossei
    • Plamaer interossei
    • lumbricals (medial half)


Presentation of spinal accessory nerve palsy:


ABSOLUTE Contrindications to manual therapy [7]:

  • Malignancy in area of treatment
  • Infectious Arthritis
  • Metabolic Bone Disease
  • Neoplastic Disease
  • Fusion or Ankylosis
  • Osteomyelitis
  • Fracture or Ligament Rupture


RELATIVE Contraintications to manual therapy [5]:

  • Excessive pain or swelling
  • Arthroplasty
  • Pregnancy
  • Hypermobility
  • Rheumatoid arthritis


The treatment plane lies in the _______ articular surface and is ________ to the joint surface and _____________ to the line drawn between the axis and the concave surface

  • concave
  • parallel
  • perpendicular


The axis of motion always lies in the ______ articular surface.

  • convex


Joint compression is:

  • The process of approximating joint surfaces together

  • Passive translatoric bone movement performed perpendicular to treatment plane


Joint Traction is:

  • The process of separating joint surfaces away from the each other

  • Passive translatoric bone movement performed perpendicular to treatment plane


What classification paradigm used with traction mobilization?

  • Kaltenborn:
    • Grades
      1. Grade 1: no appreciable joint separation.

        • G1 represents the force necessary to remove the compressive forces acting on the joint.

      2. Grade 2: the slack is taken up from the tissue surrounding the joint, which are then tightened.

      3. Grade 3: additional force is applied and the soft tissues surrounding the joint are stretched; thereby, separation of the joint surfaces is achieved.


Joint gliding:

  • Translatory movement where the joint surfaces are passively displaced parallel to the treatment plane


What mobilization scale to use for joint glides?


  • Grades I-IV
  • Maitland's mobilization grades chiefly apply to conditions of pain and/or limited motion
  • Treatment mobilizations should use Maitland, assessment uses [hypo/hypermobility] scale.


Ligamentous restraints to the SC joint:

  • Anterior & posterior sternoclavicular ligaments

  • Interclavicular ligament

  • Costoclavicular ligament

  • (...also has an Articular disc)


Supportive structures of the AC joint:

  • Acromioclavicular ligament
  • Coracoacromial ligament
  • Coracoclavicular ligaments
    • Conoid & Trapezoid Lig.


Supporting structures of the glenohumeral joint are:

  • Anterior - superior, middle and inferior glenohumeral ligaments
  • Coracohumeral ligament
  • Joint Capsule
  • Glenoid labrum
  • Long head of biceps


Some tasks [5] of extended scope physical therapists:

  • Screening orthopedic referrals
  • Performing orthopedic assessment and managing general practitioner referrals
  • Requesting and interpreting radiological studies, hematology, clinical biochemistry, electrophysiology
  • Referring to other professionals, including for surgery
  • Make musculoskeletal diagnosis