PTA 201 Final (Shoulder) Flash Cards

 
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What is normal ROM for ankle DF? 0-20 DEGREES 0 MichaelMorano Sun, 05 Dec 2010 20:40:51 GMT view revision history
How do the quads work from heel strike to foot flat? ECCENTRICALLY 0 MichaelMorano Sun, 05 Dec 2010 20:40:51 GMT view revision history
What is the normal pulse for an infant? 100-130 0 MichaelMorano Sun, 05 Dec 2010 20:39:43 GMT view revision history
What is the treatment of choice when treating a patient with multi-directional instability? CONSERVATIVE 0 MichaelMorano Sun, 05 Dec 2010 20:39:43 GMT view revision history
How long does the maximum protection phase for surgical repairs to large RC tears usually last? 6-8 WEEKS 0 MichaelMorano Sun, 05 Dec 2010 20:39:43 GMT view revision history
What is the function of the lower trapezius? -DEPRESSION OF THE SCAPULA
-UPWARD ROTATION OF THE SCAPULA
-RETRACTION OF THE SCAPULA
0 MichaelMorano Sun, 05 Dec 2010 20:39:42 GMT view revision history
How do Codman Pendulum's work most effectively? AS GRADE II OSCILLTION TECHNIQUES WHICH INHIBIT PAIN AND MAINTAIN JOINT MOBILITY 0 MichaelMorano Sun, 05 Dec 2010 20:13:28 GMT view revision history
What muscles need to be strengthened if a patient shows excessive IR? -INFRASPINATUS
-TERES MINOR
-POSTERIOR DELTOID
0 MichaelMorano Sun, 05 Dec 2010 20:13:28 GMT view revision history
What muscles need to be strengthened if a patient has excessive shoulder protraction? -RHOMBOID
-MIDDLE TRAP
-LOWER TRAP
0 MichaelMorano Sun, 05 Dec 2010 20:13:28 GMT view revision history
What set of shoulder muscles should be targeted for strengthening on a patient with an anterior dislocation? -TERES MAJOR
-SUBSCAPULARIS
-PECT MAJOR
0 MichaelMorano Sun, 05 Dec 2010 20:13:28 GMT view revision history
A positive sulcus sign indicates injury to the superior glenohumeral ligament? FALSE

INFERIOR GLENOHUMERAL LIGAMENT
0 MichaelMorano Sun, 05 Dec 2010 19:51:29 GMT view revision history
What is the primary goal of a total shoulder replacement? PAIN RELIEF 0 MichaelMorano Sun, 05 Dec 2010 19:51:29 GMT view revision history
True/False

The drop arm test is a good test for determing the integrity of the rotator cuff?
TRUE 0 MichaelMorano Sun, 05 Dec 2010 19:51:29 GMT view revision history
True/False

The subscapularis is commonly a source of pain and discomfort with impingement syndrome?
FASLE

SUPRASPINATUS
0 MichaelMorano Sun, 05 Dec 2010 19:51:29 GMT view revision history
Advanced task specific strengthening activities dominate this phase of rehab after an RC repair? MINIMUM PROTECTION PHASE 0 MichaelMorano Fri, 03 Dec 2010 02:22:07 GMT view revision history
What muscles must first be targeted after an RC tear repair? STRENGTHEN CUFF MUSCLES FIRST BEFORE DYNAMICALLY STRENGTHENING THE SHOULDER ABDUCTORS AND FLEXORS 0 MichaelMorano Fri, 03 Dec 2010 02:22:07 GMT view revision history
For a post RC repair, when do strengthening exercises typically begin? 8 weeks post op 0 MichaelMorano Fri, 03 Dec 2010 02:22:07 GMT view revision history
Begin to develop strength, endurance, and neuromuscular control of the shoulder. What phase of rehab is this most approprite for? MODERATE PROTECTION PHASE 0 MichaelMorano Fri, 03 Dec 2010 02:09:32 GMT view revision history
When can pendulum exercises typically start for a post RC repair? -FIRST POSTOPERATIVE DAY (MAX PROTECTION PHASE) 0 MichaelMorano Fri, 03 Dec 2010 02:09:32 GMT view revision history
What oscillation grade is used in the max protection phase of a RC tear? GRADE I OSCILLATION (TO CONTROL PAIN AND INFLAMMATION) 0 MichaelMorano Fri, 03 Dec 2010 02:09:32 GMT view revision history
With RC tears, how long does the max protection phase last for medium and large RC tears? 3-4 WEEKS (MEDIUM TEARS)
6-8 WEEKS (LARGE/MASSIVE TEARS)
0 MichaelMorano Fri, 03 Dec 2010 02:09:32 GMT view revision history
What muscle group needs to be strong to stabilize the humeral head against anterior translation forces of the shoulder? SUBSCAPULARIS & LONG HEAD OF BICEPS 0 MichaelMorano Fri, 03 Dec 2010 00:43:13 GMT view revision history
What is a SLAP lesion? A TEAR IN THE SUPERIOR LABRUM 0 MichaelMorano Fri, 03 Dec 2010 00:43:13 GMT view revision history
What structures are most commonly injured do to an anterior shoulder dislocation? -BRACHIAL PLEXUS
-AXILLARY NERVE
0 MichaelMorano Fri, 03 Dec 2010 00:43:13 GMT view revision history
What kind of tissue do joint mobs stretch? NON CONTRACTILE 0 MichaelMorano Fri, 03 Dec 2010 00:15:51 GMT view revision history
What special tests can be used to diagnose impingement syndrome? -EMPTY CAN TEST
-HAWKINS TEST
-NEER TEST
0 MichaelMorano Fri, 03 Dec 2010 00:15:51 GMT view revision history
Name 3 symptoms associated with impingement syndrome? -PAINFUL ARC OF MOTION
-INFLAMMATION
-DECREASED ROM
0 MichaelMorano Fri, 03 Dec 2010 00:15:51 GMT view revision history
What muscle groups are targeted for anterior shoulder instability? ADDUCTORS AND INTERNAL ROTATORS 0 MichaelMorano Fri, 03 Dec 2010 00:15:51 GMT view revision history
AMBRI? ATRAUMATIC MULTIDIRECTIONAL BILATERAL REHAB INFERIOR 0 MichaelMorano Fri, 03 Dec 2010 00:04:52 GMT view revision history
TUBS? TRAUMATIC UNIDIRECTIONAL BANKART SURGERY 0 MichaelMorano Fri, 03 Dec 2010 00:04:52 GMT view revision history
When is the shoulder most vulnerable to an anterior shoulder dislocation? WHILE THE SHOULDER IS IN THE POSITON OF ER AND 90 DEGRESS ABDUCTION 0 MichaelMorano Fri, 03 Dec 2010 00:04:52 GMT view revision history
TRUE/FALSE

Use only passive and no assisted ROM for 6-8 weeks for a repair of a massive cuff tear or after a traditional open repair with deltoid detachment?
TRUE 0 MichaelMorano Fri, 03 Dec 2010 00:04:52 GMT view revision history
ADL's after a full thickness RC repair? AVOID USE OF OPERATED ARM FOR FUNCTIONAL ACTIVITIES THAT INVOLVE HEAVY RESISTANCE FOR 6-12 WEEKS POST OP 0 MichaelMorano Thu, 02 Dec 2010 23:49:55 GMT view revision history
What are the guidlines for stretching a repaird full thickness RC repair? AVOID VIGOROUS STRETCHING, THE USE OF CONTRACT-RELAX PROCEDURES OR GRADE III JOINT MOBILIZATIONS FOR AT LEAST 6 WEEKS POST OP. 0 MichaelMorano Thu, 02 Dec 2010 23:49:55 GMT view revision history
Strengthening exercise guidlines after repair of a full thickness RC tear? -ISOMETRIC RESISTANCE TO SCAPULOTHORACIC MUSCULATURE (ARM SUPPORTED)
-NO WEIGHT BEARING (CLOSED CHAIN) EXERCISES OR ACTIVITIES FOR 6 WEEKS
-DELAY DYNAMIC STRENGTHENING (PRE's) FOR A MINIMUM OF 8 WEEKS
0 MichaelMorano Thu, 02 Dec 2010 23:49:55 GMT view revision history
Early shoulder motion guidlines after repair of a full thickness rotator cuff tear? -PERFORM PASSIVE OR ASSISTED ROM WITHIN SAFE AND PAIN FREE RANGES
-ONLY PASSIVE AND NO ASSISTED ROM FOR 6-8 WEEKS
-MINIMIZE ANTERIOR TRANSLATION OF THE HUMERAL HEAD AND POTENTIAL FOR IMPINGEMENT. (SEE THAT THE HUMERUS IS POSITIONDED SLIGHTLY ANTERIOR TO THE FRONTAL PLANE OF THE BODY AND IN SLIGHT ABDUCTION) *SCAPTION
0 MichaelMorano Thu, 02 Dec 2010 23:49:55 GMT view revision history
Surgical repair is not indicated in patients who are asymptomatic from an RC tear despite the persence of a tear confirmed by imaging? TRUE 0 MichaelMorano Thu, 02 Dec 2010 21:59:59 GMT view revision history
True/False

Partial thickness tears of the RC occur most often in young, active adults?
FALSE

FULL THICKNESS
0 MichaelMorano Thu, 02 Dec 2010 21:59:59 GMT view revision history
Partial thickness tear? EXTENDS INFERIORLY OR SUPERIORLY THROUGH ONLY A PORTION OF THE TENDON. 0 MichaelMorano Thu, 02 Dec 2010 21:59:59 GMT view revision history
A complete tear, which extends the entire depth of the tendon? FULL THICKNESS TEAR 0 MichaelMorano Thu, 02 Dec 2010 21:59:59 GMT view revision history
What is the Tx of a rotator cuff in the minimum protection phase? -INCREASE ROM
-NORMALIZE SHOULDER KINEMATICS
-STRENGTHEN RC AND PARASCAPULAR MUSCLES
-IMPROVE THE RC ABILITY TO TOLERATE TENSION LOADING
0 MichaelMorano Thu, 02 Dec 2010 21:49:47 GMT view revision history
What determines the length of rehab after surgery of an RC injury? DEPENDS ON THE PATIENT'S AGE, TYPE OF TEAR, AND SURGICAL REPAIR. 0 MichaelMorano Thu, 02 Dec 2010 21:49:47 GMT view revision history
Conservative Tx for a rotator cuff injury? *GOAL IS TO STRENGTHEN UNINJURED RC
-CONTROL INFLAMMATION (STEROID INJECTION)
-ACTIVITY MODIFICATION (AVOID OVERHEAD ACTIVITIES)
-MAINTAIN NORMAL SHOULDER MECHANICS
-ANT/POST CAPSULE STRETCHING
SURGERY (THE LENGTH OF REHAB DEPENDS ON THE PATIENTS AGE, TYPE OF TEAR, AND SURGICAL REPAIR.
0 MichaelMorano Thu, 02 Dec 2010 21:49:47 GMT view revision history
True/False

An abducted shoulder will increase the blood flow to the supraspinatus tendon?
TRUE 0 MichaelMorano Thu, 02 Dec 2010 21:49:47 GMT view revision history
What are the three clinical presentations of a rotator cuff tear? -PAINFUL ARC
-DECREASED STRENGHT AND ROM
-FUNCTIONAL DISABILITIES
0 MichaelMorano Thu, 02 Dec 2010 21:39:20 GMT view revision history
How long does it take to recover from a full thickness RC tear? 6 MONTHS 0 MichaelMorano Thu, 02 Dec 2010 21:39:20 GMT view revision history
What are the two classifications of rotator cuff tears? -PARTIAL THICKNESS
-FULL THICKNESS
0 MichaelMorano Thu, 02 Dec 2010 21:39:20 GMT view revision history
SAD SUB-ACROMIAL DECOMPRESSION 0 MichaelMorano Thu, 02 Dec 2010 21:39:20 GMT view revision history
What kind of joint mobs need to be performed for shoulder impingement? *STRETCH SHORTENED TISSUES
*INFERIOR JOINT MOBS
*STRETCH INTERNAL ROTATORS OF THE SHOULDER
0 MichaelMorano Thu, 02 Dec 2010 20:03:48 GMT view revision history
Scapular stabilization muscles? -UPPER AND LOWER TRAPS
-LEVATOR SCAPULA
-RHOMBOID MAJOR
-PECT MINOR
-MIDDLE AND LOWER SERRATUS ANTERIOR
0 MichaelMorano Thu, 02 Dec 2010 19:43:38 GMT view revision history
What muscles need to be targeted with an impingement syndrome? *SHOULDER EXTERNAL ROTATORS (INFRASPINATUS & TERES MINOR)

*NORMALIZE THE FORCE COUPLE BETWEEN THE DELTOID AND ROTATOR CUFF
0 MichaelMorano Thu, 02 Dec 2010 19:43:38 GMT view revision history
Extrensic factors of shoulder impingement? -POSTERIOR CAPSULE TIGHTNESS
-POOR NERUOMUSCULAR CONTROL OF THE ROTATOR CUFF OR SCAPULAR MUSCLES
-FAULTY SCAPULOTHORACIC POSTURE WITH MUSCLE IMBALANCES
-PARTIAL OR COMPLETE TEAR OF THE TISSUES IN THE SUPRAHUMERAL SPACE
0 MichaelMorano Thu, 02 Dec 2010 19:43:38 GMT view revision history
Intrinsic factors of shoulder impingement? -DIRECTLY ASSOCIATED WITH ENCROACHMENT OF THE SUBACROMIAL SPACE

-INCLUDES:
*VASCULAR CHANGES IN THE ROTATOR CUFF TENDON
*STRUCTURAL VARIATIONS IN THE ACROMION
*HYPERTROPHIC DEGENERATIVE CHANGES OF THE AC JOINT, CORACOAROMIAL ARCH, OR HUMERAL HEAD

(ALL OF THESE FACTORS DECREASE THE SUPRAHUMERAL SPACE AND OFTEN HAVE TO BE DEALT WITH SURGICALLY)
0 MichaelMorano Thu, 02 Dec 2010 19:43:38 GMT view revision history
What is believed to be the cause of primary shoulder impingement? OCCURS AS A RESULT OF MECHANICAL WEAR OF THE ROTATOR CUFF AGAINTS THE ANTEROINFERIOR ONE THIRD OF THE ACROMION IN THE SUPRAHUMERAL SPACE DURING ELEVATION ACTIVITIES OF THE HUMERUS. 0 MichaelMorano Thu, 02 Dec 2010 18:26:26 GMT view revision history
Neer's Classification of Rotator Cuff Disease (Stage 3)? BONE SPURS AND TENDON RUPTURE (PATIENT USUALLY > 40 YEARS OF AGE) 0 MichaelMorano Thu, 02 Dec 2010 18:26:26 GMT view revision history
Neer's Classification of Rotator Cuff Disease (Stage 2)? TENDINITIS/BURSITIS AND FIBROSIS (PATIENT USUALLY 25-40 YEARS OF AGE) 0 MichaelMorano Thu, 02 Dec 2010 18:26:26 GMT view revision history
Neer's Classification of Rotator Cuff Disease (Stage 1)? EDEMA, HEMORRHAGE (PATIENTS USUALLY > 25 YEARS OF AGE) 0 MichaelMorano Thu, 02 Dec 2010 18:26:26 GMT view revision history

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