Shoulder / Test 3 Flashcards Preview

PT 514 Musculo Rehab > Shoulder / Test 3 > Flashcards

Flashcards in Shoulder / Test 3 Deck (66):
0

gold standard for standardized tests for shoulder

DASH

1

can get a good idea of a patient's physical state by observation in blank

the waiting room

2

four things to observe when you have contact with a patient

posture, protecting arm?, head position, demeanor

3

hand on top of head reduces symptoms is blank sign for blank

lhermettes, nerve

4

lhermettes sign is often a precursor to blank

ms

5

adducted or ir or cradled are the most common positions for shoulder blank

pathology

6

most common age for atraumatic instability of the shoulder

20

7

frozen shoulder is most common in this age

50

8

frozen shoulder can take blank to blank to get better

6 months, 3 yrs

9

djd is most common at blank age

70

10

tendinosis age range

40-60

11

calcium deposits in muscles between these ages

20-40

12

highest risk population of people with frozen shoulder

women with diabetes

13

primary impingement can be blank or blank

intrinsic, extrinsic

14

intrinsic primary impingement can be due to these changes in the rotator cuff

vascularity, degeneration, degeneration of bone

15

extrinsic primary impingements are more related to

posture, muscle imbalances, motor control, training, occupation

16

clicking, snapping, grinding can all be from some sort of blank

djd

17

achy pain could be blank

muscle

18

sharp pain could be

fracture

19

numbness or burning pain can be

nerve

20

dead arm can be blank

thoracic outlet syndrome

21

origin of pain is coming from a nerve root (central)

radiculopathy

22

origin of pain of nerve is peripheral

neuropathy

23

causes of pain during adls for shoulder

night pain/laying on shoulder, reaching overhead, deodorant, washing back of head, push up from chair, push open doors

24

Djornes triad is blank and indicates a blank and can be tested by blank

Coughing, sneezing, straining, space occupying lesion, valsalva maneuver

25

rare genetic disorder with a defect in collagen synthesis, can be mild to life threatening

ehlers-danlos

26

ehlers danlos is when skin can be blank

stretched really far

27

ehlers danlos index that checks for global hypermobility

brighton

28

autosomal dominant genetic disorder of connective tissue, disproportionate long limbs, fingers, tall stature, predisposed to cv disorders

marfan syndrome

29

hypothesis - patient reporting lateral shoulder pain with overhead activities or demonstration of painful arc

bursitis, impingement subacromial, tendonitis

30

hypothesis - patient reports instability, apprehension, and pain with activities most often when shoulder is abducted and externally rotated

shoulder instability, labral tear if there is clicking

31

hypothesis - decreased rom and pain with resistance

possible rc tear or long head of biceps tendonitis

32

Hypothesis - patient reports of pain and weakness with muscle loading, night pain, age > 60

possible rc tear

33

Hypothesis - shoulder pain radiating to elbow, aggravated by movement not bad at rest. > 45 years old and more female than males

adhesive capsulitis

34

visceral pathology will present with blank pain

constant

35

visceral pathology may be blank onset

insidious

36

rest does not relieve pain or symptoms in blank pathologie

visceral

37

impaired smoothness signs of shoulder arom and prom is characterized by blank

clicking

38

shoulder arom and prom where instability shows up during mid rom

pathology is NOt capsuloligamentous

39

end rom instability means pathology is

capsuloligamentous

40

if assisting scapular assist increases pain during raising arm

ac pathology

41

if using scapular assist decreases pain then there is a blank

rotator cuff tendonitis/reactivity

42

if pain does not change during raising arm overhead then there is a possible blank

capsuloligamentous inextensibility

43

capsular inextensibility of shoulder capsular pattern... most limited top 3

external rotation, abduction, internal rotation

44

flexion glide to assess

posterior/inferior

45

extension glide to assess

anterior

46

abduction glide to assess

inferior glide humeral head
inferior glide clavicle on sternum (ac joint)

47

internal rotation glide to assess

posterior

48

external rotation glide to assess

anterior glide

49

horizontal abduction glide to assess

anterior

50

horizontal adduction glide to assess

posterior

51

highly sensitive rules people blank

out (true negatives)

52

highly specific rules people blank

in (true positives)

53

internal rotation lag sign has a high blank

sensitivity and specificity

54

shift in probability that favors the existence of a disorder

positive likelihood ratio

55

weak er, ir, and positive empty can test and drop arm test then there is probably blank

rotator cuff tear

56

hawkins kennedy and neer's tests are for blank and are more blank so should be used at blank of exam

impingement, specific, beginning

57

patient internal impingement test with anterior instability to produce symptoms

gh apprehensions

58

patient internal impingement test with anterior instability to reduce symptoms

gh relocation

59

empty can is aka

jobe's test

60

four common shoulder pathologies

hypomobility, hypermobility, compressive load intolerance, tensile load intolerance

61

tendonitis and rc tear can show up as these kind of pathologies

tensile/compressive load intolerance

62

a muscle imbalance is when

one muscle is much stronger than the other in a force couple

63

effective treatment for hypomobility of shoulder during overhead activities

non thrust manipulations to posterior/inferior capsule

64

decreased rom in ac or sc joint pathology is usually at the end range of blank movement..... presents most often with limited blank or blank

overhead, adduction, horizontal abduction

65

most active muscle during press up

pec major