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Practical 1
C-Scan, Shoulder, Elbow. AROM, PROM, resisted tests, special tests, etc.
124
Health Care
Graduate
10/22/2012

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Cards

Term
C-Scan: elements of AROM (4)
Definition
Craniovertebral flex/ext,
Long flex/ext,
Sidebend,
Rotation
Term
C-Scan: Compression/Traction (6)
Definition
Compression c ... + flex
Compression c ... + ext
Compression in neutral
Traction in neutral
Traction in ext
Traction in flex
Term
Myotome: C1-3
Definition
Upper cervical flexors
Term
Myotome: C4
Definition
Levator scap,
diaphragm
Term
Myotome: C5
Definition
GH abd,
GH ER
Term
Myotome: C6
Definition
Elbow flex + sup,
wrist ext
Term
Myotome: C7
Definition
Elbow ext,
wrist flex
Term
Myotome: C8
Definition
Thumb IP ext
Term
Myotome: T1
Definition
Digit 4/5 add/abd
Term
Reflex: C4
Definition
Levator scap
Term
Reflex: C5
Definition
Ant delt
Term
Reflex: C5-6
Definition
Brachioradialis
Term
Reflex: C6
Definition
Biceps
Term
Reflex: C7
Definition
Triceps
Term
Reflex: C8
Definition
Ext pollicis longus
Term
Reflex: T1
Definition
Abd digiti minimi
Term
Reflex: "other"
Definition
Hoffman's sign
Term
ULTT: Median n. (3)
Definition
sup,
wrist/finger ext,
elbow ext
Term
ULTT: Radial n. (5)
Definition
pron,
IR,
wrist/thumb flex,
elbow ext,
ulnar dev
Term
ULTT: Ulnar n. (3)
Definition
sup,
wrist ext,
elbow flex
Term
Elbow ROM (5)
Definition
elbow flex/ext - sup
elbow flex/ext - pron
pron/sup
wrist flex/ext
ulnar/radial dev
Term
Elbow resisted tests (9)
Definition
biceps & brachialis,
brachioradialis,
brachialis,
triceps & anconeus,
FDS/FDP/FCU,
ECRB/ECRL,
ECU/ED,
Pron teres,
Supinator
Term
Ligt test: valgus in ext tests... (3)
Definition
MCL,
ant capsule,
bony config
Term
Ligt test: varus in ext tests... (2)
Definition
ant capsule,
bony config
Term
Ligt test: valgus in flex tests... (2)
Definition
post MCL,
bony config
Term
Ligt test: varus in flex tests...
Definition
LCL
Term
Elbow special tests (7)
Definition
Tinel's,
elbow flex,
Wartenberg's sign,
pronator,
pinch grip,
Mills,
Cozens
Term
Shoulder AROM (3)
Definition
flex,
abd,
fxnl IR/ER
Term
Shoulder PROM (4)
Definition
abd,
flex,
IR (c/s abd),
ER (c/s abd
Term
Shoulder resisted tests (9)
Definition
ER,
IR,
horiz add,
flex+IR,
abd,
flex,
ext,
add,
elbow ext
Term
Shoulder ER diff dx (3)
Definition
ER = SIT
empty can = ST
abd = S
Term
Shoulder IR diff dx (5)
Definition
IR = SLT
IR+ext = LT
IR+elev = L
horiz add = P
IR+flex = D
Term
Shoulder ligt tests (6)
Definition
GH (sup, mid, ant-inf, post-inf)
Coracohumeral (ant, post)
Term
Shoulder PAM (4)
Definition
abd = inf glide
flex = spin
ER = ant glide
IR = post glide
Term
Shoulder instability tests (4)
Definition
Apprehension & relocation,
ant/post drawer,
sulcus sign,
Norwood stress test
Term
Shoulder labral tear tests (5)
Definition
O-Brien,
Crank,
Clunk,
Biceps load,
Biceps tension
Term
Shoulder AC tests (2)
Definition
Crossbody add,
Paxson O's sign
Term
Shoulder impingement tests (7)
Definition
Painful arc,
Neers,
Hawkins Kennedy,
IRRST,
ERLS,
lift off,
drop arm
Term
Scap glide resistance: sup-lat
Definition
lats (C5-6)
Term
Scap glide resistance: sup-med
Definition
serr ant (C6-7)
Term
Scap glide resistance: inf-lat
Definition
lev scap (C3-4),
rhomboid (C4-5)
Term
Scap glide resistance: inf-med
Definition
pec min (C8),
serr ant upper fibers (C7)
Term
Scap observation (7)
Definition
Acromion @ T1
Sup angle @ T2
med borders 3" from spine
rotates up 60* c full abd
atrophy
winging/tipping
glides
Term
Reasons to perform a C-scan (6)
Definition
1. insidious onset of neck, scap, shoulder, elbow, hand pain
2. neurological symptoms
3. UE weakness/fatigue
4. muscle atrophy in c-innervated mm
5. feelings of coldness in one/both hands
6. relief with arm in unusual positions
Term
C-scan observation (5)
Definition
posture,
shoulder ht,
orientation of head,
scap position,
mm atrophy
Term
C-spine capsular pattern
Definition
equal ipsilat sidebending/rotation
Term
"Abnormal DTRs are not clinically relevant unless they are found in combination with _____ or _____ abnormalities"
Definition
sensory, motor
Term
GH capsular pattern
Definition
ER>Abd>IR
Term
GH close packed position
Definition
90º abd, full ER
Term
GH loose packed position
Definition
30º abd, flex, IR
Term
GH ligt attachments - sup band
Definition
upp glenoid >> sup lesser tubercle
Term
GH ligt attachments - mid band
Definition
upp glenoid >> inf lesser tubercle
Term
GH ligt attachments - inf band
Definition
ant glenoid >> anatomical neck of humerus
Term
Which part of GH capsule usually shrinks during immobilization?
Definition
inf capsule (+ inf GH ligt)
Term
Coracohumeral ligt attachments - ant band
Definition
lat coracoid >> lesser tubercle (c subscap tendon)
Term
Coracohumeral ligt attachments - post band
Definition
lat coracoid >> ant greater tubercle (c supra tendon)
Term
Role of coracohumeral ligt
Definition
hold hd of humerus into glenoid c arm in dependent position
(counteracting add pull of gravity)
Term
Long hd of biceps = "_____ ___"
Definition
"dynamic ligt"; snugs humeral hd into glenoid upon abd
Term
Elevation = "____..."; 3 examples
Definition
"motion which requires muscles to overcome the wt of the limb";
flex, abd, scap up rot
Term
force couple for scap up rot
Definition
trap + serr ant
Term
scap add mm
Definition
rhomboids, trap
Term
scap abd mm
Definition
serr ant, pec minor
Term
Important GH bursae (2)
Definition
subacromial, subdeltoid
Term
Peripheral nn of shoulder (4)
Definition
suprascap, axillary, subscap, musculocutaneous
Term
Biomechanical steps involved in shoulder elevation (4)
Definition
humeral rotation,
scap rotation around clavicle,
clavicular rot/elev,
T-spine ext/rot
Term
ROM where scap movement begins:
abd:
flex:
Definition
30º abd
60º flex
Term
ROM where GH abd mvmt shifts to AC joint
Definition
100º elev
Term
Role of infra, teres minor, subscap in GH abd
Definition
pull humeral head downward
Term
Scap downward rot
Definition
levator scap, rhomboids
Term
Referred TO shoulder girdle - viscerogenic (5)
Definition
cardiac,
liver,
spleen,
lung,
stomach
Term
Referred TO shoulder girdle - spondylogenic
Definition
C4-T2
Term
Referred TO shoulder girdle - systemic (4)
Definition
RA,
AS,
diabetes,
subclavian occlusion
Term
Referred FROM shoulder girdle - capsular (4)
Definition
arthritises,
neuropathic arthropathy,
intra-articular fx,
adhesive capsulitis
Term
Referred FROM shoulder girdle - noncapsular (7)
Definition
bursitis,
tendonitis,
ligt adhesions/scars,
subluxations,
AC sprain,
extra-articular fx/tumor,
pancoast tumor
Term
Referred FROM shoulder girdle - unrestricted, painful (2)
Definition
chronic bursitis/tendinosis,
instabilities
Term
TUBS
Definition
traumatic,
unidirectional,
bankart lesion,
surgery required
Term
AMBRI
Definition
atraumatic,
multidirectional,
bilateral,
rehab is effective,
inferior capsular shift recommended
Term
Rehab of AMBRI depends on: (4)
Definition
type of instability,
pt's inflamm response to surgery,
post-op precautions,
gradual rate of progression (gentle ROM for 8 wk post-op)
Term
Neers stages of impingement (3)
Definition
I: edema/hemorrhage
II: tendonitis/osis, bursitis, fibrosis
III: bone spurs, tendon disruption
Term
Neers stage I descriptors (5)
Definition
<25 yo,
SA pain/tenderness,
painful arc,
+ impingement tests,
strong & painful resisted tests
Term
Neers stage II descriptors (3)
Definition
25-40 yo,
capsular pattern,
more pronounced pain
Term
Neers stage I Rx (4)
Definition
reduce inflamm,
pt ed,
rest,
restore prox perscap control
Term
Neers stage II Rx (1)
Definition
reestablish GH capsular mobility
Term
Neers stage III descriptors (3)
Definition
>40 yo,
weakness in abd/ER,
squaring of acromion (indicated atrophy of deltoid & RC)
Term
Frozen shoulder stage I - name & timeframe
Definition
painful/freezing phase,
10-36 weeks
Term
Frozen shoulder stage II - name & timeframe
Definition
stiffening/frozen phase,
4-12 mos
Term
Frozen shoulder stage III - name & timeframe
Definition
thawing phase,
5-26 mos
Term
Frozen shoulder stage I - presentation (6)
Definition
women > men,
non-dominant arm,
capsular pattern,
pain at rest,
pain radiating past elbow in C5 dermatome,
night pain
Term
Frozen shoulder stage I - Rx
Definition
rest,
ice,
modalities,
low grade mobs,
US over T4 ganglion,
manip of T-spine,
gentle ROM,
cortisone injection
Term
Frozen shoulder stage II/III - presentation (3)
Definition
pain in shoulder (not elbow),
pain with use,
less pain at rest
Term
Frozen shoulder stage II/III - Rx
Definition
pain control,
heat modalities,
low grade jt mobs,
ROM,
jt mobs working backward through capsular pattern (flex >> IR >> abd >> ER),
stretch inf capsule
Term
Ulnohumeral close packed position
Definition
full ext & sup
Term
Ulnohumeral capsular pattern
Definition
flex>ext
Term
Radiohumeral close packed position
Definition
90* elbow flex, 5* sup
Term
Radiohumeral capsular pattern
Definition
flex>ext>sup>pron
Term
Sup radioulnar close packed position
Definition
5* sup
Term
Sup radioulnar capsular pattern
Definition
pron=sup
Term
Carrying angle norms (M & F)
Definition
M: 5*
F: 10-15*
Term
Trochlea: "The medial side of the trochlea projects more ______ than laterally"
Definition
anteriorly
Term
Main factor dictating arthrokinematics of elbow
Definition
spiral config of trochlear groove
Term
Elbow flex/ext arthrokinematics (convex, concave)
Definition
concave on convex
Term
Elbow abd/add arthrokinematics (convex, concave)
Definition
convex on concave
Term
In elbow pronation, the radial hd shifts _____ to provide room for ____ _____
Definition
laterally;
radial tuberosity
Term
In full pronation, carrying angle is ______
Definition
decreased
Term
Conjunct motions with elbow flex (2)
Definition
add,
sup
Term
Arthrokinematics of elbow ext:
radiohumeral:
ulnohumeral:
Definition
radiohumeral: post-lat
ulnohumeral: post-med
Term
Elbow MCL attachments
Definition
med epicondyle >> coronoid & olecranon
Term
Elbow LCL attachments
Definition
lat epicondyle >> olecranon;
annular ligt
Term
Elbow MCL shape
Definition
triangular
Term
Elbow LCL shape
Definition
fan
Term
CT that resists elbow ext
Definition
MCL, ant capsule
Term
CT that resists elbow flex
Definition
MCL
Term
Dermatomes giving rise to lateral elbow pain
Definition
C5-6
Term
Ant interosseous n lesion: sensory, motor, or both?
Definition
motor
Term
Important items in pt hx when screening for elbow pathology (5)
Definition
age,
occupation,
length of time having injury,
mvmt impairments,
function
Term
Fx or growth plate injury to humerus can result in:
Definition
cubitus varus (gunstock deformity)
Term
Inner flex
Definition
flex, sup, add
Term
Outer flex
Definition
flex, pron, abd
Term
Inner ext
Definition
ext, sup, add
Term
Outer ext
Definition
ext, pron, abd
Term
Ligt stressed: valgus in ext
Definition
MCL, ant capsule, bony config
Term
Ligt stressed: valgus in flex
Definition
post MCL, bony config
Term
Ligt stressed: varus in ext
Definition
bony config, ant capsule
Term
Ligt stressed: varus in flex
Definition
LCL
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