1what are the 5 primary arteries of the vascular supply of the upper extremity
subclavian
axillary
brachial
radial and ulnar
2what is a closed packed position of the glenohumeral joint
abduction with external rotation
3who is a closed packed positon good for?
who is a closed packed position bad for?
good: good for CBA patients
bad: bad for arthritis
4what is a loose (open) packed position
50 degrees of abduction with slight horizontal adduction
neutral position at side
5who is a loose packed position bad for?
who is a loose packed position good for?
bad: stroke patients
good: arthritis
6what are the pros and cons if a patient cannot be prone or supine for shoulder goniometry and MMT?
pros: not hurt them, still able to do it, saves time
cons: not as valid and reliable
7proper posture promotes ________
poor posture leads to ___________
function
dysfunction
8what muscle is affected in scapular winging
serratus anterior
9what nerve is affected in scapular winging
long thoracic nerve
10what are some neurological disorders that can cause scapular winging
CVA, TBI, etc.
11how does scapular winging disrupt scapulohumeral rhythm
- limits flexion and abduction (never get over 120 degrees)
- shoulder pain
- limited overhead activity
12How would this affect your OT evaluation?
passively mobilize scap and see if it affects ROM
13what motions are affected with anterior glenohumeral joint capsular tightness
extension, external rotation
14what motions are affected with posterior glenohumeral joint capsular tightness
flexion, internal rotation
15a rotator cuff tear is a result of ____________
impingement
16partial or complete rupture of one or more tendons of SITS muscles
rotator cuff injury
17what are some mechanisms of injury for rotator cuff tear
trauma
repetitive stress
overhead activity
chronic impingement syydrome
18glenohumeral joint arthritis is caused by degeration of the
glenoid labrum
19what are the signs and symptoms of glenohumeral joint arthritis
- shoulder hard end feel with ROM
- could be without pain
- bone on bone
- creaking sound
- shoulder pain
20subacromial impingement is common in what jobs
common at trade jobs
21what is a subacromial impingement
compressed soft tissue structures under acromion
22what are some mechanisms of injury for subacromial impingement
- repetitive stress with overhead activity
- may lead to rotator cuff rupture
23partial dislocation of the GH joint
shoulder subluxation
24what are the mechanisms of injury for shoulder subluxation
trauma
ligament laxity
muscle weakness
25what are some common diagnoses for shoulder subluxation
neurological dysfunction (CVA, TBI, SCI)
26what is adhesive capulitis
frozen shoulder
27what happens in adhesive capulitis
fibrosis of the joint capsule leads to significant ROM deficits
28what are the symptoms of Adhesive capulitis
- pain and loss of ROM
- capsular pattern (limitations)
29what is the first most limited movement during adhesive capulitis
second most
third most
first: ER limitations
second: abduction limitations
third: IR limitations
30what are the causes of adhesive capulitis
not well understood
trauma or injury
inflammatory conditions
aging