Flashcards
sim2 shoulder
Cards in this deck (8)
- 1Observation of the shoulderPosterior
Look at the back in general curvature
Cranial carriage (head loading compared to spine)
Cervical and thoracic alignment
Humeral head
Scapula alignment - tilting/winging
hand position (rotation = GH stiffness)
Soft tissue symmetry
Swelling
Atrophy of muscles
Hypertrophy
Side view
Cranial carriage (leaning forward)
Winged scapula
Thoracic kyphosis
Anterior GH joint
Humeral head
Soft tissue
Anterior
Head position - central between shoulders, chin poke (upper cross syndrome)
Shoulder level - drop in height, imbalance of force couples?
Clavicle - symmetry and level
Acromio-clavicular level
Sternoclavicular level
Glenohumeral level
elbow joint - rotation, carrying angle?
wrist joint position - indicates dropped shoulder
soft tissue
thoracic sway - 2Touch of the shoulderHeat
temperature
Moisture
dryness - 3Active movements of the GH jointFlexion
extension
medial rotation
lateral rotation
abduction
adduction - 4What to look forROM --> Ask for pain, stiffness or weakness that prevents the ROM
Start position of the whole shoulder complex
Does ROM symptoms improve if the start alignment is improved
Symettry of movement
Scapular positioning and control throughout
Any compensatory/trick movements
Control on concentric and eccentric
Does reducing the lever increase ROM
Repetition to reproduce symptoms
Scapula
Do they move at the same time and rhythm
Which one moves first
Smooth transition in both directions of movements
GH joint
Ease of movement, facial expressions
Side
Change in plane movement
Hands
ROM, ease of movement - 5Active movements with overpressure GH jointExtension
flexion
Lateral rotation
medial rotation
Abduction - 6What to look forCompare active ROM to active overpressure to determine the available ROM
Feel quality of movement at the endpoint of range
ROM
Symmetry
Resistance/end feel
Muscle spasm
Is there movement available that the patient cant perform
Stiffness?
Pain?
Symptom production?
Behaviour of pain, patients facial expression - 7What is an over-pressureOverpressure's are applied at the end of the patient's physiological range
- 8End feel Overpressures are applied at end patients physiological rangeEnd-Feel Structure
Soft-Intra-articular synovitis Intra-articular oedema Ligament laxity
Firm with slight give- Earlier than typical and earlier than non-injured side = Increased muscle tonus
Earlier than typical and other side = Capsular tightness
Earlier than typical and other side= Ligamentous shortened
Hard/ blocked - Bone contacting bone earlier than is deemed normal (stiffness/joint abnormality) Structural stiffness Frozen stage frozen shoulder Osteoarthritis
Empty Severe /high sin bursitisAcute joint inflammation Fracture
Information
- Description
- sports therapy Flashcards on sim2 shoulder , created by BICKS JETTEN on 04/01/2024.
- Created by
- BICKS JETTEN · Jan 2024
- Updated
- Jan 4, 2024
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