MSK: 8A

Question 1

Rx determined by what

Answer 1

stage of healing and irritability

Question 2

scapular or cardinal planes

Answer 2

scapular

Question 3

what is hallmark of irritability

Answer 3

pain at rest

Question 4

obtain what platform ASAP

Answer 4

scapular platform

Question 5

short or long levers

Answer 5

short rx

Question 6

rx proximal to distal to decrease shld pain and increase function

Answer 6

t spine
scapula
humeral head

Question 7

acute phase interventions

Answer 7

early motion start PROM

table ex’s early then seated then standing

AROKM may be sufficent resistance

walking

global strengthening

modalities

Question 8

progression to sub acute criteria

Answer 8

evidence of tissue healing

pain free ROM 120 or more elevation

strength in non pathologic areas at least 4+/5

scapular control present (compare to unaffected)

Question 9

sub acute goals

Answer 9

attain full pain free ROM w/ normal joint kinematics

improve mm strength

improve NM control

restore normal mm force couples

Question 10

pendulum for what patients

Answer 10

distraction forces

swollen

Question 11

do you do pendulum for unstable

Answer 11

no

Question 12

muscle stretch dosage vs capsulitis

Answer 12

5x week 10-60 secs 3 sets

over 1 min

Question 13

in sub acute phase do we do OKC or CKC

Answer 13

CKC

Question 14

what is an important question in sub acute phase about pt?

Answer 14

what activites does pt need to return to?

Question 15

chronic phase

Answer 15

maximize function

yellow flags

multi modal approach

Question 16

joint mobilizations

GH joint progressive inferior glide

Answer 16

abduct pt arm (45-90) and support against body

grasp proximal humerus and take up skin slack adding long axis distraction

positoin body so caudal arm is directed caudally (stand next to pt head)

mob with WS

release, reposition and repeat in progressive degrees of flexion, abduction, ER

Question 17

inferior glide helps what motion

Answer 17

abduction

Question 18

GH joint progressive posterior mobilization helps with

Answer 18

center humeral head and increase IR (or ER in patients with normal capsular volume)

Question 19

GH joint progressive anterior mobilization good for what patients

Answer 19

adhesive capsulitis or significant OA

used only with significant loss of joint mobility / capsular volume

Question 20

GH joint progressive posterior mobilization how to progress

Answer 20

add more H adduction

Question 21

what is good for adhesive capsulitis

Answer 21

GH progressive anterior mobilization

GH inferior capsule/ER

Question 22

SC joint inferior glide is associated with what movement

Answer 22

arm elevation

Question 23

Sc joint superior glide is associated with what movement

Answer 23

arm depression

Question 24

Lower trap strengthening what degree does arm need to be in

Answer 24

110

Question 25

___ levels of RC are critical

Answer 25

endurance