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(CN) The Shoulder

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Front
Back
Which muscles elevate the scapula? (2)   show
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show Serratus, pectoralis major & minor, latisimus, trapezius (lower fibers)  
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Which muscles protract the scapula? (3)   show
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Which muscles retract the scapula? (2)   show
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Which muscles upwardly rotate the scapula? (3)   show
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show Rhomboids, Levator scapulae, Pec major  
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Which muscles flex the shoulder? (5)   show
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Which muscles extend the shoulder? (4)   show
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Which muscles abduct the shoulder? (3)   show
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Which muscles adduct the shoulder? (3)   show
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show Teres minor, Infraspinatus, Posterior delt  
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Which muscles medially rotate the shoulder? (5)   show
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What is Ludington’s used to test for? Describe how it is performed.   show
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What is Speed’s test used for? Describe how it is performed.   show
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What is Yergason’s test used for? Describe how it is performed.   show
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show Used to indicate rotator cuff tear. Abduct arm to 90, and have pt slowly lower their arm to their side. Positive test: pt fails to lower the arm, or presence of severe pain.  
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show Indicates shoulder impingement involving the supraspinatus tendon. Flex pt's shoulder to 90 and medially rotate the arm. Positive test is indicated by pain with this passive maneuver.  
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What is the Neer test used for? Describe it.   show
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show Indicates tear of the supraspinatus tendon, impingement, or suprascapular nerve damage. Position pt with arm in 90 abduction, 30 horizontal adduction, with thumb pointed downward. Resist the pt's attempt to abduct the arm. Positive test : weakness or pain  
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show Tests for TOS. Monitor radial pulse. Pt rotates head toward test shoulder, and extends their head while therapist laterally rotates and extends the shoulder. Positive test: Diminished radial pulse.  
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show Indicates TOS. Abduct the arm to 90. Pt rotates head away from test shoulder while PT monitors radial pulse. Positive test: Absent or diminished pulse w/ head turned away.  
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What is costoclavicular syndrome? Describe the test for it.   show
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show Indicates TOS. Position both arms in 90 abduction, lateral rotation, and elbow flexion. Pt opens and closes hands for three mins. Positive test:Inability to maintain test position, weakness of the arms, sensory loss, or ischemic pain.  
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What is the Wright test AKA? What is it used for? Describe it.   show
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show Place pt in supine. PT puts one hand over posterior aspect of humeral head. Passively abduction and laterally rotate the arm over pt's head and apply anteriorly directed force to humerus. Positive test: Clunk or grinding sound.  
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show Scalenus anterior syndrome, cerviacal rib syndrome, costocalvicular space syndrome, hyperabduction syndrome  
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Causes od dynamic scapula winging?   show
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show Scapula is elevated and the inferior angle is medialy rotated  
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show The scapula is depressed, moved laterally, and the inferior angle is lateraly rotated  
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show congenitaly high or undescended scapula. Scapular muscles are poortly developed or replaced by fibrouse band. Shoulder abduction is lomited. Scapula is small and mid. rotated  
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show subacromial bursa, calcium deposit, rotator cuff tendonitis  
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painfull abduction of shoulder between 170-180 degree?   show
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what are the primary ligaments in GH joint?   show
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show It limits inferior translation in adduction  
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show it limits lateral rotation to 45 degree and 90 abduction  
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show supports the humeral head above 90 degree abduction limiting inferior translation  
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show caused by acromioclavicular dislocation, with the distal end of clavicle lying superior to the acromion process. Both coracoclavicular and acromioclavicular ligaments are torn.  
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What i sthe sulcus deformity?   show
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What is the normal ROM in GL fforward lexion?   show
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What is the normal ROM in GH Extension?   show
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What i sthe normal ROM in Lateral Rotation?   show
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show 60 - 100 degree  
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What is the normal ROM in GH Abduction?   show
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show 50-75 degree  
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show 70 -100 horizontal adduction/ 45-60 abduction  
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show 30-70 horizontal adduction/105-120 abduction/90 lateral rotation  
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What is the ROM nessesery for reaching perineum?   show
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What is the ROM nessesery for tacking in shirt?   show
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show 10-15 hor.add/110-125 forward flex/90 lat.rot.  
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show 70-80 hor. add/70-80 forward flex/45 lat.rot.  
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What is the ROM nessesery to wash opposite shoulder?   show
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