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What is the only bony attachment of the shoulder girdle to the axial skeleton?
SC joint
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In how many degress of abduction does the setting phase occur?
30 degrees
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In how many degrees of flexion does the setting phase occur?
60 degrees
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Which direction of rotation occurs with shoulder flexion?
Internal
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Which direction of rotation occurs with shoulder abduction?
external rotation
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At how many degrees of flexion does internal rotation occur?
(both passive and active)
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Why is scaption a more functional position than flexion or abduction?
- There is less tension in the joint capsule and ligaments resulting in greater elevation/ROM
- Does not require internal or external rotator activation to prevent greater tubercle impingement
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What muscles causes upward translatory rotation of the humerus?
Deltoids, supraspinatus
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What muscles cause a downward translatory force and compression of the humerus?
infraspinatus, supraspinatus, teres minor
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What are the functions of the supraspinatus?
Compression, significant stabilization, and slight upward rotation
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Where does C4 refer pain to?
trapezius to the tip of the shoulder
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Where does C5 refer pain to?
Deltoid region and lateral arm
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Where does diaphragm refer pain?
upper trapezius
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Where does the heart refer pain?
axilla and left pectoral region
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Where does gallbladder irritation refer pain?
tip of shoulder and posterior scapular region
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What are the three phases of management for shoulder management?
- Protective phase (acute)
- Controlled motion phase (subacute)
- Return to function phase (chronic)
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What are the characteristics of the protective phase?
- •Control pain, edema, and muscle guarding
- •Maintain soft tissue, Joint Integrity and Mobility (above and below)
- •Maintain Integrity & Function of Associated Areas
- •Patient Education
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What are the characteristics of the controlled motion phase?
- •Emphasizing Joint Mobility
- •Includes self-mobilization techniques
- •Neuromuscular Re-education/Control (sequence of muscle firing)
- •Improve Joint Tracing: MWM (movement w/ mobilization)
- •Instructions for Self-Care
- •Progressively Increase Strength (iso, con, then ecc)
- •Postural Awareness
- •Developing a Strong, Mobile Scar (if applicable) (stretch then iso)
- •Develop balance in length and strength
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What are the characteristics of the return to function phase?
- •Progressive increase flexibility and strength
- •Prepare to functional demands
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In what degree of what motion does a painful arc occur?
45-120 degrees of abduction
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