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| How long does rehabilitaion take for a shoulder dislocation? |
2.5-4 MONTHS |
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MichaelMorano Tue, 21 Sep 2010 03:30:35 GMT |
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| What are the 3 phases of recovery for shoulder dislocations? |
-PROTECTION PHASE
-CONTROLLED MOTION PHASE
-RETURN TO FUNCTION PHASE |
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MichaelMorano Tue, 21 Sep 2010 03:30:35 GMT |
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| Minimum protection phase/return to function phase for RC tears? |
-12-16 WEEKS POSTOPERATIVELY
-PATIENTS
-PATIENTS NOT ALLOWED TO RETURN TO HIGH DEMAND ACTIVITIES FOR 6 MONTHS OR POSSIBLY 1 YEAR |
0 |
MichaelMorano Tue, 21 Sep 2010 02:27:14 GMT |
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| For RC tears, vigorous stretching is not considered safe for about? |
3-4 MONTHS |
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MichaelMorano Tue, 21 Sep 2010 02:27:14 GMT |
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| What is the criteria for progression for the RC moderate protection phase? |
-A WELL HEALED INCISION
-MINIMAL PAIN WITH ASSISTED SHOULDER MOTIONS
-PROGRESSIVE IMPROVEMENT IN ROM |
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MichaelMorano Tue, 21 Sep 2010 02:27:14 GMT |
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| What is the focus of the second phase (moderate protection phase) of rehabilitation for RC tears? |
-TO BEGIN TO DEVELOP STRENGTH, ENDURANCE, AND NEUROMUSCULAR CONTROL OF THE SHOULDER WHILE CONTINUING TO ATTAIN FULL OR NEARLY FULL, PAIN-FREE SHOULDER MOTION.
-EMPHASIS IS PLACED ON DEVELOPING CONTROL OF THE SCAPULAR STABILIZERS AND ROTATOR CUFF MUSCLES |
0 |
MichaelMorano Tue, 21 Sep 2010 01:51:32 GMT |
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| The maximum protection phase for RC tears is? |
-3-4 WEEKS AFTER A FULLY ARTHROSCOPIC OR MINI OPEN REPAIR OF SMALL OR MEDIUM TEARS
-6-8 WEEKS AFTER REPAIR OF LARGE OR MASSIVE TEARS |
0 |
MichaelMorano Tue, 21 Sep 2010 01:51:32 GMT |
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| What is the priority during the initial phase of rehabilitation after a RC tear? |
PROTECTION OF THE REPAIRED TENDON
(TENDON IS AT IT'S WEAKEST POINT APPROX 3 WEEKS AFTER SUGERY) |
0 |
MichaelMorano Tue, 21 Sep 2010 01:51:32 GMT |
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| After repair of a large or massive cuff tear, avoid use of operated arm for functional activities that involve heavy resistance for? |
12 MONTHS POSTOPERATIVELY |
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MichaelMorano Tue, 21 Sep 2010 01:51:32 GMT |
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| After repair of a full-thickness RC tear, you should delay dynamic strengthening (progressive resistive exercises)/PRE for a minimum of __________ for small tears, and __________ for large tears? |
-8 WEEKS FOR SMALL TEARS
-3 MONTHS FOR LARGE TEARS |
0 |
MichaelMorano Tue, 21 Sep 2010 01:23:09 GMT |
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| After repair of a full-thickness RC tear, there should be no weight bearing (closed chain) exercises or activities for how long? |
6 WEEKS |
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MichaelMorano Tue, 21 Sep 2010 01:23:09 GMT |
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| After repair of a full-thickness RC tear, when is it ok for the patient to active shoulder or abduction flexion? |
NOT UNTIL THE PATIENT CAN LIFT THE ARM WITHOUT HIKING THE SHOULDER |
0 |
MichaelMorano Tue, 21 Sep 2010 01:23:09 GMT |
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| During the recovery of a full-thickness RC repair, you should only do PASSIVE and NO ASSISTED ROM for how long? |
6-8 WEEKS |
0 |
MichaelMorano Tue, 21 Sep 2010 01:23:09 GMT |
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| Teres major nerve? |
LOWER SUBSCAPULAR NERVE |
0 |
MichaelMorano Mon, 20 Sep 2010 22:35:54 GMT |
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| Subscapularis nerve? |
UPPER AND LOWER SUBSCAPULAR NERVE |
0 |
MichaelMorano Mon, 20 Sep 2010 22:35:54 GMT |
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| Levator scapula? |
DORSAL SCAPULAR NERVE |
0 |
MichaelMorano Mon, 20 Sep 2010 22:34:26 GMT |
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| Rhomboids nerve? |
DORSAL SCAPULAR NERVE |
0 |
MichaelMorano Mon, 20 Sep 2010 22:34:26 GMT |
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| Pectoralis major nerve? |
LATERAL AND MEDIAL PECTORAL NERVE |
0 |
MichaelMorano Mon, 20 Sep 2010 22:34:26 GMT |
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| Pectoralis minor nerve? |
MEDIAL PECTORIAL NERVE |
0 |
MichaelMorano Mon, 20 Sep 2010 22:34:26 GMT |
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| What is the most common structure involved with rotator cuff impingement? |
SUPRASPINATUS TENDON |
0 |
MichaelMorano Mon, 20 Sep 2010 17:40:37 GMT |
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| Secondary shoulder impingement? |
RELATED TO GLENOHUMERAL INSTABILITY THAT CREATES A REDUCED SUBACROMIAL SPACE BECAUSE THE HUMERAL HEAD ELEVATES AND MINIMIZES THE AREA UNDER THE CORACOACROMIAL LIGAMENT. |
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MichaelMorano Mon, 20 Sep 2010 17:40:37 GMT |
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| Primary shoulder impingement? |
REFERS TO MECHANICAL COMPRESSION OF THE ROTATOR CUFF TENDONS, PRIMARILY THE SUPRASPINATUS |
0 |
MichaelMorano Mon, 20 Sep 2010 17:40:37 GMT |
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| Impingement refers to mechanical compression of the rotator cuff tendons, primarliy the supraspinatus tendon? |
PRIMARY SHOULDER IMPINGEMENT |
0 |
MichaelMorano Mon, 20 Sep 2010 17:40:37 GMT |
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| When can functional use be expected after a total shoulder arthroplasty? |
AROUND 6 MONTHS POST-OPERATIVELY |
0 |
MichaelMorano Mon, 20 Sep 2010 03:54:02 GMT |
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| Tx of total shoulder arthroplasty (week 6)? |
-LIGHT RESISTANCE EXERCISES ARE INITIATED
-THERABAND FOR HOME USE |
0 |
MichaelMorano Mon, 20 Sep 2010 03:54:02 GMT |
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| Tx of total shoulder arthroplasty (second week)? |
-SCAPULAR MOBILIZATION AND STABILIZATION EXERCISE ADDED
-QUANTITY AND QUALITY OF ISOMETRIC EXERCISE AND MOTION EXERCISES ARE PROGRESSED |
0 |
MichaelMorano Mon, 20 Sep 2010 03:51:42 GMT |
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| Tx of total shoulder arthroplasty (first week)? |
PATIENT IS ALLOWED TO DO AROM OF THE DISTAL EXTREMITIES |
0 |
MichaelMorano Mon, 20 Sep 2010 03:51:42 GMT |
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| Tx of total shoulder arthroplasty (days 1-2)? |
-GENTLE ACTIVE ASSISTED ROM AND ISOMETRIC EXERCISES
-MUSCLE CONTRACTIONS OF THE DELTOID ARE CONTRAINDICATED IN CASES OF RC TEAR (RARE) |
1 |
MichaelMorano Mon, 20 Sep 2010 03:52:11 GMT |
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| How is immobilization accomplished with a clavicle Fx? |
WITH A FIGURE 8 BRACE |
0 |
MichaelMorano Mon, 20 Sep 2010 03:51:42 GMT |
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| Clavicular Fx or normally seen in? |
YOUNGER PATIENTES (<25) |
0 |
MichaelMorano Mon, 20 Sep 2010 03:28:06 GMT |
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| What does scapular Fx Tx depend on? |
WHETHER OR NOT THERE IS ASSOCIATED GH INSTABILITY |
0 |
MichaelMorano Mon, 20 Sep 2010 03:28:06 GMT |
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| What is the 2nd most common scapula Fx? |
GLENOID NECK FX |
0 |
MichaelMorano Mon, 20 Sep 2010 03:28:06 GMT |
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| Scapular Fx? |
-RESULT FROM DIRECT, SEVERE TRAUMA
-USUALLY ASSOCIATED WITH OTHER INJURIES TO ESPECIALLY THORAX
-BODY MOST COMMON
-TX CONSERVATIVELY |
0 |
MichaelMorano Mon, 20 Sep 2010 03:28:06 GMT |
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| How many people does adhesive capsulitis effect? |
2% OF POPULATION
11% OF PEOPLE WITH DIABETES |
0 |
MichaelMorano Mon, 20 Sep 2010 03:17:22 GMT |
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| RSD |
REFLEX SYMPATHETIC DYSTROPHY |
0 |
MichaelMorano Mon, 20 Sep 2010 03:17:22 GMT |
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| Pt presentation of adhesive capsulitis? |
-PROGRESSIVE SHOULDER PAIN
-SEVERE RESTRICTIONS IN AROM & PROM |
0 |
MichaelMorano Mon, 20 Sep 2010 03:17:22 GMT |
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| Clinical presentation of adhesive capsulitis? |
OCCURS MORE IN MIDDLE AGED POPULATION WITH FEMALES>MALES |
0 |
MichaelMorano Mon, 20 Sep 2010 03:17:22 GMT |
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| Secondary adhesive capsulitis? |
RESULTS FROM TRAUMA, IMMOBILIZATION, RSD, RA, ABDOMINAL DISORDERS, OR PSYCHOGENIC DISORDERS |
0 |
MichaelMorano Mon, 20 Sep 2010 03:07:03 GMT |
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| Primary adhesive capsulitis? |
UNKNOWN CAUSE: ASSOCIATED WITH DIABETES, HYPOTHYROIDISM AND CARDIOPULMONARY CONDITIONS |
0 |
MichaelMorano Mon, 20 Sep 2010 03:07:03 GMT |
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| Two classifications of adhesive capsulitis? |
-PRIMARY
-SECONDARY |
0 |
MichaelMorano Mon, 20 Sep 2010 03:07:03 GMT |
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| Shoulder capsular pattern? |
ER>ABD>IR |
0 |
MichaelMorano Mon, 20 Sep 2010 03:07:03 GMT |
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| Adhesive capsulitis is AKA? |
FROZEN SHOULDER |
0 |
MichaelMorano Mon, 20 Sep 2010 03:03:55 GMT |
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| Clinical presentation of labrum tears? |
SHARP POP OR CATCHING SENSATION IN THE SHOULDER DURING CERTAIN SHOULDER MOVEMENTS |
0 |
MichaelMorano Mon, 20 Sep 2010 03:03:55 GMT |
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| MOI of labrum tears? |
-OVERUSE
-TRAUMA
-SLAP LESIONS |
0 |
MichaelMorano Mon, 20 Sep 2010 03:03:55 GMT |
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| Posterior dislocation rehab phase? |
STRENGTHEN ANTAGONIST (ER/ADD) |
0 |
MichaelMorano Mon, 20 Sep 2010 03:03:55 GMT |
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| Posterior dislocation minimum protection phase Tx? |
-ISOMETRIC STRENGTHENING
-AROM AVOIDING MOTIONS WHICH PUT EXCESSIVE STRAIN ON POST CAPSULE
1. HORIZONTAL ADDUCTION
2. IR/ABD |
0 |
MichaelMorano Mon, 20 Sep 2010 02:57:21 GMT |
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| Posterior dislocation max protection phase? |
MAINTAIN DISTAL JOINT MOBILITY |
0 |
MichaelMorano Mon, 20 Sep 2010 02:57:21 GMT |
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| Excessive humeral head displacement in the posterior direction? |
POSTERIOR DISLOCATION |
0 |
MichaelMorano Mon, 20 Sep 2010 02:57:21 GMT |
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| Instability occuring in more than one plane? |
MULTI-DIRECTIONAL INSTABILITY |
0 |
MichaelMorano Mon, 20 Sep 2010 02:57:21 GMT |
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| Anterior instability movements to avoid? |
ABD & ER |
0 |
MichaelMorano Mon, 20 Sep 2010 02:39:45 GMT |
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| Most common shoulder instability? |
ANTERIOR INSTABILITY (95%) |
0 |
MichaelMorano Mon, 20 Sep 2010 02:39:45 GMT |
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| Grade III shoulder instability? |
A FEELING OF THE HUMERAL HEAD OVER RIDING THE RIM, BUT REMAINS DISLOCATED (50%) |
0 |
MichaelMorano Mon, 20 Sep 2010 02:39:45 GMT |
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| Grade II shoulder instability? |
A FEELING OF THE HUMERAL HEAD OVER RIDING THE RIM, BUT SPONTANEOUSLY REDUCES (>50%) |
0 |
MichaelMorano Mon, 20 Sep 2010 02:39:45 GMT |
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| Grade I shoulder instability? |
A FEELING OF THE HUMERAL HEAD RIDING UP INTO THE GLENOID RIM (25-50%) |
0 |
MichaelMorano Mon, 20 Sep 2010 02:30:20 GMT |
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| A mild amount of translation? |
NORMAL LAXITY (0-25%) |
0 |
MichaelMorano Mon, 20 Sep 2010 02:30:20 GMT |
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| Volition? |
SURGERY |
0 |
MichaelMorano Mon, 20 Sep 2010 02:30:20 GMT |
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| AMBRI? |
ATRAUMATIC MULTIDIRECTIONAL BILATERAL REHAB INFERIOR |
0 |
MichaelMorano Mon, 20 Sep 2010 02:30:20 GMT |
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| TUBS? |
TRAUMATIC UNIDIRCTIONAL BANKART SURGERY |
0 |
MichaelMorano Mon, 20 Sep 2010 02:27:36 GMT |
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| A clinical condition in which unwanted translation of the humeral head on the glenoid compromises the comfort and function of the shoulder? |
SHOULDER INSTABILITY |
0 |
MichaelMorano Mon, 20 Sep 2010 02:27:36 GMT |
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| Shoulder instability classification depends on? |
-ONSET
-DEGREE
-FREQUENCY
-VOLITION
-DIRECTION |
0 |
MichaelMorano Mon, 20 Sep 2010 02:27:36 GMT |
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| Matsen? |
SHOULDER LAXITY IS THE ABILITY OF THE HUMERAL HEAD TO BE PASSIVELY TRANSLATED ON THE GLENOID FOSSA |
0 |
MichaelMorano Mon, 20 Sep 2010 02:27:36 GMT |
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| RC TX minimum protection phase? |
-MINIMUM PROTECTION PHASE
1. INCREASE ROM
2. NORMALIZE SHOULDER KINEMATICS
3. STRENGTHER RC ANS PARASCAPULAR MUSCLES
4. IMPROVE THE RC ABILITY TO TOLERATE TENSION LOADING |
0 |
MichaelMorano Mon, 20 Sep 2010 02:19:15 GMT |
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| RC surgery TX? |
THE LENGTH OF REHAB DEPENDS ON THE PT'S AGE, TYPE OF TEAR, AND SURGICAL REPAIR |
0 |
MichaelMorano Mon, 20 Sep 2010 02:19:15 GMT |
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| Conservative RC TX? |
GOAL IS TO STRENGTHEN UNINJURED RC
-CONTROL INFLAMMATION (STEROID INJECTION)
ACTIVITY MODIFICATION-AVOID OVERHEAD ACTIVITIES
-MAINTAIN NORMAL SHOULDER KINEMATICS
-ANT/POST CAPSULE STRETCHING |
0 |
MichaelMorano Mon, 20 Sep 2010 02:19:15 GMT |
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| Clinical presentation of RC tears? |
-PAINFUL ARC
-DECREASE STRENGTH AND ROM
-FUNCTIONAL DISABILITIES |
0 |
MichaelMorano Mon, 20 Sep 2010 02:19:15 GMT |
|
| Classifications of RC tears? |
-PARTIAL THICKNESS
-FULL THICKNESS |
0 |
MichaelMorano Mon, 20 Sep 2010 01:44:26 GMT |
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| Stretch shortened tissues (impingement syndrome)? |
-STRETCH THE INFERIOR CAPSULE
-INFERIOR JOINT MOBS
-IMPROVE IR ROM
-STRETCH IR OF THE SHOULDER |
0 |
MichaelMorano Mon, 20 Sep 2010 01:44:26 GMT |
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| Scapular stabilization (impingement syndromes)? |
-UPPER AND LOWER TRAPS
-LEV SCAPULA
-RHOMBOID MAJOR
-PECT MINOR
-MIDDLE AND LOWER SERRATUS ANTERIOR |
0 |
MichaelMorano Mon, 20 Sep 2010 01:44:26 GMT |
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| Normalize any muslce imbalances (impingement syndromes)? |
-DELTOID AND RC (FORCE COUPLE)
-STRENGTHEN HUMERAL DEPRESSORS (INFRASPINATUS AND TERES MINOR) |
0 |
MichaelMorano Mon, 20 Sep 2010 01:44:26 GMT |
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| Tx goals for impingement? |
-NORMALIZE ANY MUSCLE IMBALANCES
-SCAPULAR STABILIZATION
-STRETCH SHORTENED TISSUES |
0 |
MichaelMorano Mon, 20 Sep 2010 01:36:08 GMT |
|
| Impingement syndrome types? |
-PRIMARY
-SECONDARY
-INTERNAL |
0 |
MichaelMorano Mon, 20 Sep 2010 01:36:08 GMT |
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| Clinical presentation of impingement syndrome? |
-PAINFUL ARC OF MOTION
-PAIN WITH COMBINED MOTIONS OF ABD AND IR |
0 |
MichaelMorano Mon, 20 Sep 2010 01:36:08 GMT |
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| Tx Grade IV, V, VI AC injuries? |
SURGERY |
0 |
MichaelMorano Mon, 20 Sep 2010 01:36:08 GMT |
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| Tx grade III AC injuries? |
SURGERY? |
0 |
MichaelMorano Mon, 20 Sep 2010 01:21:03 GMT |
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| Tx grade I & II AC injuries? |
CONSERVATIVE |
0 |
MichaelMorano Mon, 20 Sep 2010 01:21:03 GMT |
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| Tx for AC joint dislocation/subluxation? |
STRENGTHEN RC MUSCULATURE EXPECIALLY IR/ER |
0 |
MichaelMorano Mon, 20 Sep 2010 01:21:03 GMT |
|
| Tx for acute shoulder injuries? |
-ACUTE PHASE: PRICE
-SUB-ACUTE: INCREASE ROM AND STRENGTHEN (GRADUALLY)
-MINIMAL PROTECTION PHASE: FUNCTIONAL ACTIVITIES |
0 |
MichaelMorano Mon, 20 Sep 2010 01:21:03 GMT |
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| Overuse? |
REPETITIVE MOVEMENTS |
0 |
MichaelMorano Mon, 20 Sep 2010 01:11:10 GMT |
|
| Overstreatched injuries? |
(PASSIVE) EXTERNAL FORCE EXCEEDS PASSIVE INSUFFICIENCY |
0 |
MichaelMorano Mon, 20 Sep 2010 01:11:10 GMT |
|
| Overload injuries? |
(ACTIVE) EXTERNAL STRESS EXCEEDS INTERNAL RESISTANCE TENSILE FAILURE |
0 |
MichaelMorano Mon, 20 Sep 2010 01:11:10 GMT |
|
| Hill-sachs lesion? |
A COMPRESSION FX OF THE POSTEROLATERAL HUMERAL HEAD |
0 |
MichaelMorano Mon, 20 Sep 2010 01:11:10 GMT |
|
| Bankart lesion? |
FX OF ANTERIOR RIM OF THE GLENOID WITH THE ATTACHED LABRUM |
0 |
MichaelMorano Mon, 20 Sep 2010 01:03:29 GMT |
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| Slap lesion? |
TEAR OF THE SUPERIOR LABRUM |
0 |
MichaelMorano Mon, 20 Sep 2010 01:03:29 GMT |
|
| Tear of the superior labrum? |
SLAP LESION |
0 |
MichaelMorano Mon, 20 Sep 2010 01:03:29 GMT |
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| Overuse syndromes? |
-IMPINGEMENT
-RC TEARS
-LABRUM TEARS
-MULIT-DIRECTIONAL INSTABILITIES OF THE GH JOINT |
0 |
MichaelMorano Mon, 20 Sep 2010 01:03:29 GMT |
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