175 Questions
What is the primary symptom associated with frozen shoulder?
Painful restriction and reduced range of motion
Which part of the shoulder is particularly affected by adhesive capsulitis?
Axillary fold of the capsule
What is a debated aspect regarding frozen shoulder?
Whether it is a condition by itself or secondary to an underlying pathology
In what age range do females tend to be affected by frozen shoulder?
45-55 years
What is one of the varied causes/contributors to frozen shoulder mentioned in the text?
Idiopathic to stroke
Adhesive capsulitis is characterized by inflammation of the glenohumeral capsule and synovium leading to adhesion formation, particularly of the axillary fold of the ______
capsule
Medical treatment of frozen shoulder or adhesive capsulitis may include steroid injection or ______
surgery
Most texts note that frozen shoulder is, in many cases, self-limiting anywhere from three months to 2 years ______ onset
post
Age – generally 40+ Gender ▪ Females tend to be affected between ages 45-55 ▪ Males affected in the 50-60 year age ______
range
Some debate as to whether frozen shoulder is a condition unto itself or secondary to an underlying pathology like chronic ______
dislocations
Frozen shoulder is a specific medical term used to describe inflammation of the glenohumeral capsule and synovium.
False
Adhesive capsulitis mainly affects males in the age range of 45-55 years.
False
Steroid injection or surgery are common medical treatments for frozen shoulder or adhesive capsulitis.
True
Frozen shoulder is always a self-limiting condition that resolves within 6 months post-onset.
False
The etiology of frozen shoulder can range from idiopathic causes to trauma like stroke.
True
What is one of the contributors to frozen shoulder mentioned in the text?
Rheumatoid arthritis
Which nerve root irritation can refer pain into the glenohumeral joint according to Anne Hartley?
C5
What is one of the pathologies mentioned to contribute to frozen shoulder?
Osteoarthritis
Which condition is considered to have an abnormal response to pain generated by sympathetic nerves?
Frozen shoulder
Frozen shoulder can be a result of which postural issue according to the text?
Thoracic hyperkyphosis
Which type of surgery may lead to shoulder dysfunction and possible frozen shoulder according to Anne Hartley?
Mastectomy
______ cause which in some cases is attributed to psychosomatic contributors.
Unknown
Anne Hartley suggests that a previous history of trauma to the c-spine, elbow, and TMJ can contribute to shoulder dysfunction and possible frozen ______.
shoulder
Micro trauma or Repetitive Strain can lead to low grade inflammation of the joint and ______.
capsule
Frozen shoulder is often accompanied by a mid-cervical joint dysfunction particularly the C5 nerve root which, if irritated, often refers pain into the glenohumeral joint and that C6-C7 nerve root compression or irritation can mimic ______ pectoris.
angina
Reflex Sympathetic Dystrophy is also known as “shoulder-hand syndrome” and is an abnormal response to pain generated by the sympathetic nerves particularly in injuries or pathologies of the ______.
hand
Postural issue like Thoracic hyperkyphosis, anterior rotation of the GH joint, head forward ______.
posture
Trauma, such as dislocations or falls, cannot lead to capsular tightening in the shoulder joint.
False
Frozen shoulder is always a self-limiting condition that resolves within 6 months post-onset.
False
Adhesive capsulitis mainly affects males in the age range of 45-55 years.
False
Micro trauma or Repetitive Strain can lead to high-grade inflammation of the joint and capsule.
False
Frozen shoulder can be a result of postural issues like Thoracic hyperkyphosis.
True
Cerebrovascular Accident is not considered a pathology that can lead to frozen shoulder.
False
Which shoulder movement is particularly restricted in adhesive capsulitis?
External rotation
What is one of the key aspects to assess for during postural assessment in individuals with suspected adhesive capsulitis?
Observing for shoulder muscle symmetry
Which joint issues need to be ruled out when testing for adhesive capsulitis?
TMJ and elbow problems
Which shoulder condition may present with limited range of motion due to pain but not necessarily capsular restriction?
Adhesive capsulitis
What is the expected ratio of arm to scapular movement during shoulder abduction according to the text?
2:1
Which muscles are particularly important to palpate for signs of atrophy in individuals suspected of having adhesive capsulitis?
Deltoid and rotator cuff muscles
During abduction, the arm should be able to abduct to 20 degrees with no ______ movement.
scapular
The capsular pattern of restriction in adhesive capsulitis includes severely restricted external rotation, moderately restricted abduction, and somewhat limited internal rotation and ______.
flexion
Apley’s Scratch Test is used to assess the ______ of the shoulder.
mobility
Adhesive capsulitis is characterized by inflammation of the glenohumeral capsule and synovium leading to adhesion formation, particularly of the axillary fold of the ______.
shoulder
The Humeral/Scapular ratio of movement during shoulder abduction is 2:1, with 10 degrees from the arm and 5 degrees from the ______.
scapula
C6-C7 nerve root compression or irritation can mimic angina pectoris in the context of frozen shoulder, particularly when referring pain into the ______ joint.
glenohumeral
The capsular pattern of restriction in adhesive capsulitis includes severely restricted external rotation, moderately restricted abduction, and somewhat limited internal rotation and extension.
True
Frozen shoulder can be a result of postural issues like Thoracic hyperlordosis.
False
Steroid injection is not a common medical treatment for frozen shoulder or adhesive capsulitis.
False
Apley’s Scratch Test is used to assess the muscle strength of the shoulder.
False
Frozen shoulder is always self-limiting and resolves within 6 months post-onset.
False
Adhesive capsulitis mainly affects males in the age range of 45-55 years.
False
What is the most severe restriction in the capsular pattern of restriction for adhesive capsulitis?
External rotation
Which of the following is NOT important to palpate for when suspecting adhesive capsulitis?
Trapezius
In Apley's Scratch Test, what is the ideal ratio between arm movement and scapular movement during shoulder abduction?
2:1
Which issue does Anne Hartley suggest as a contributor to shoulder dysfunction and possible frozen shoulder?
Cervical spine injuries
What can mimic angina pectoris in the context of frozen shoulder when referring pain into the glenohumeral joint?
C6-C7 nerve root irritation
Which movement should be free from scapular movement during shoulder abduction according to the Scapulothoracic Rhythm/Glenohumeral Movement test?
Abduction to 20 degrees
During abduction, the arm should be able to abduct to 20 degrees with no ______ movement according to the Scapulothoracic Rhythm/Glenohumeral Movement test
scapular
The capsular pattern of restriction in adhesive capsulitis includes severely restricted external rotation, moderately restricted abduction, and somewhat limited internal rotation and ______
flexion
In Apley's Scratch Test, what is the ideal ratio between arm movement and scapular movement during shoulder abduction? The ratio is 2:1, with 10 degrees from the arm and 5 degrees from the ______
scapula
Adhesive capsulitis is characterized by inflammation of the glenohumeral capsule and synovium leading to adhesion formation, particularly of the axillary fold of the ______
shoulder
C6-C7 nerve root compression or irritation can mimic angina pectoris in the context of frozen shoulder, particularly when referring pain into the ______ joint
glenohumeral
Which muscles are particularly important to palpate for signs of atrophy in individuals suspected of having adhesive capsulitis? Deltoid, pectoralis major, and all the rotator cuff ______
muscles
The capsular pattern of restriction in adhesive capsulitis includes severely restricted internal rotation, moderately restricted abduction, and somewhat limited external rotation.
False
Frozen shoulder is always a self-limiting condition that resolves within 6 months post-onset.
False
Apley’s Scratch Test primarily assesses scapulothoracic rhythm and glenohumeral movement.
False
Micro trauma or Repetitive Strain can lead to high-grade inflammation of the joint and capsule.
False
Adhesive capsulitis mainly affects females in the age range of 45-55 years.
False
C6-C7 nerve root compression or irritation can mimic angina pectoris in the context of frozen shoulder, particularly when referring pain into the TMJ joint.
False
During abduction, the arm should be able to abduct to 20 degrees with no __________ movement according to the Scapulothoracic Rhythm/Glenohumeral Movement test
scapular
Micro trauma or Repetitive Strain can lead to low grade inflammation of the joint and __________
capsule
Which of the following is NOT important to palpate for when suspecting adhesive capsulitis? ________
bursitis
Anne Hartley suggests that a previous history of trauma to the c-spine, elbow, and TMJ can contribute to shoulder dysfunction and possible frozen ________
shoulder
Steroid injection or surgery are common medical treatments for frozen shoulder or adhesive ________
capsulitis
Some debate as to whether frozen shoulder is a condition unto itself or secondary to an underlying pathology like chronic ________
inflammation
Adhesive capsulitis mainly affects females in the age range of 45-55 years.
False
Frozen shoulder can be a result of postural issues like Thoracic hyperkyphosis.
True
Steroid injection is not a common medical treatment for frozen shoulder or adhesive capsulitis.
False
The expected ratio of arm to scapular movement during shoulder abduction is 2:1.
True
Frozen shoulder is always a self-limiting condition that resolves within 6 months post-onset.
False
Some debate as to whether frozen shoulder is a condition unto itself or secondary to an underlying pathology like chronic inflammation.
True
What is a common characteristic of the pain experienced in the Freezing Stage of idiopathic frozen shoulder?
Constant and severe, particularly at night
What is a potential consequence of secondary to bursitis or tendonitis in terms of pain relief?
Pain initially subsides with rest
What is a key sign during the Thawing Stage of idiopathic frozen shoulder that indicates muscle weakness due to disuse atrophy?
Recruitment of secondary muscles for movement
In individuals with adhesive capsulitis, what may be a common feature during the early stages of movement limitation?
Scapula moving prematurely during abduction
What is a distinguishing factor between the pain experienced in idiopathic frozen shoulder and adhesive capsulitis?
Pain is felt when capsule is stretched in frozen shoulder but not in adhesive capsulitis
During the Thawing Stage of idiopathic frozen shoulder, what might be an indication of resolution regarding pain?
'Pain begins to subside'
Frozen shoulder is often accompanied by a mid-cervical joint dysfunction particularly the C5 nerve root which, if irritated, often refers pain into the glenohumeral joint and that C6-C7 nerve root compression or irritation can mimic ______ pectoris.
angina
During abduction, the arm should be able to abduct to 20 degrees with no ______ movement according to the Scapulothoracic Rhythm/Glenohumeral Movement test.
scapular
Anne Hartley suggests that a previous history of trauma to the c-spine, elbow, and TMJ can contribute to shoulder dysfunction and possible frozen ______.
shoulder
Apley’s Scratch Test primarily assesses scapulothoracic rhythm and glenohumeral movement. What is the ideal ratio between arm movement and scapular movement during shoulder abduction?
2:1
What is a distinguishing factor between the pain experienced in idiopathic frozen shoulder and adhesive capsulitis?
localized
Which muscles are particularly important to palpate for signs of atrophy in individuals suspected of having adhesive capsulitis? Deltoid, pectoralis major, and all the rotator cuff ______
muscles
Pain during muscle contraction is a common symptom of idiopathic frozen shoulder
False
Frozen shoulder is always self-limiting and resolves within 6 months post-onset
False
Frozen shoulder primarily affects the age range of 45-55 years in males
False
Steroid injection is a common medical treatment for adhesive capsulitis
True
Pain in the Freezing Stage of idiopathic frozen shoulder is constant and severe
True
Postural issue like Thoracic hyperlordosis can lead to frozen shoulder
False
Frozen shoulder is often accompanied by a mid-cervical joint dysfunction particularly the C5 nerve root which, if irritated, often refers pain into the glenohumeral joint and that C6-C7 nerve root compression or irritation can mimic ______ pectoris.
angina
In Apley's Scratch Test, what is the ideal ratio between arm movement and scapular movement during shoulder abduction? The ratio is 2:1, with 10 degrees from the arm and 5 degrees from the ______
scapula
During abduction, the arm should be able to abduct to 20 degrees with no ______ movement according to the Scapulothoracic Rhythm/Glenohumeral Movement test
scapular
What is one of the contributors to frozen shoulder mentioned in the text?
trauma
Anne Hartley suggests that a previous history of trauma to the c-spine, elbow, and TMJ can contribute to shoulder dysfunction and possible frozen ______.
shoulder
Postural issue like Thoracic hyperkyphosis, anterior rotation of the GH joint, head forward ______.
posture
Decreasing pain with cool/cold hydrotherapy is recommended during the Frozen stage of frozen shoulder treatment.
True
Swedish and lymphatic drainage techniques are used to eliminate metabolites and localize swelling in the Restricted stage of frozen shoulder treatment.
False
Maintaining ROM with high-grade joint play is crucial for frozen shoulder treatment in the Frozen stage.
False
Reducing chronic muscle contractions is essential in the treatment of frozen shoulder.
True
Treating the opposite limb, back, chest, and neck is unnecessary for compensation during frozen shoulder treatment.
False
Addressing any surgical scarring from mastectomy is not relevant in the treatment of frozen shoulder.
False
During the Freezing stage, to decrease pain with cool/cold hydrotherapy, reflex techniques, grade 1 joint play, full diaphragmatic breathing, the goal is to address the __________ musculature of the shoulder, back, and anterior chest.
compensating
In the Frozen and thawing stage, to address any surgical scarring from mastectomy, dislocation repair with hydrotherapy, fascial techniques, frictioning, and stretching, the goal is to reduce chronic contraction of muscles and fascia with fascial, frictions, passive forced stretching and __________.
hydrotherapy
During the Restricted stage, to maintain and increase ROM of the affected joint with high grade joint play and PF-ROM to stretch the anterior, inferior, and posterior capsule respectively, the goal is to address any __________ contraction of muscles and fascia.
chronic
In Frozen shoulder treatment, to reduce compensatory hypertonicity with deep Swedish techniques, TrP therapy, stretching, and hydrotherapy, the goal is to eliminate metabolites and localize swelling with Swedish and lymphatic drainage techniques and reduce muscle spasms to compensating muscles of the shoulder, back, and anterior chest with hydrotherapy and soothing, rhythmical effleurage and __________.
petrissage
When treating Frozen shoulder, to address distal musculature with gentle muscle squeezing and stroking without increasing venous and lymphatic return that may congest the site, the goal is to maintain ROM with low grade joint play to the affected joint and joint play to joints above and below the GH joint, along with mid-range pain-free passive free movement __________.
7-10x
To reduce chronic muscle contractions in Frozen shoulder treatment, the goal is to treat the opposite limb, back, anterior chest, and neck for __________.
compensation
What is a key goal during the Frozen stage of treatment for idiopathic frozen shoulder?
Reduce chronic muscle contractions and fascial restrictions
In the treatment of restricted (Frozen and thawing stage) frozen shoulder, what is emphasized to address chronic contraction of muscles and fascia?
Deep Swedish techniques and TrP therapy
Which technique is NOT recommended during the Freezing stage for idiopathic frozen shoulder?
High grade joint play to affected joint
What is a key approach to maintaining and increasing range of motion (ROM) of the affected joint in frozen shoulder treatment?
Low grade joint play to the affected joint
Which method is used to address distal musculature without congesting the injury site in idiopathic frozen shoulder treatment?
Lymphatic drainage techniques
During the Thawing stage of idiopathic frozen shoulder, what is crucial to help reduce compensatory hypertonicity?
Stretching techniques
Which precaution should be taken in clients with post-surgical implants such as pins, plates, or pacemakers?
Avoid heavy hydro application
What is a key consideration when treating clients with osteoporosis?
Modify heavy hydro application
When is it recommended to see clients 2 or 3 times per week for 1⁄2 hour during treatment?
During inflammation
What is the approximate duration of regular treatment and compliance to self-care for clients with certain conditions?
Four to six months
What could happen if treatment is overaggressive in clients with tendonitis or bursitis?
Relapse to inflammatory stage
Anne Hartley suggests that a previous history of trauma to the c-spine, elbow, and TMJ can contribute to shoulder dysfunction and possible frozen ______.
shoulder
During abduction, the arm should be able to abduct to 20 degrees with no ______ movement according to the Scapulothoracic Rhythm/Glenohumeral Movement test.
winging
C6-C7 nerve root compression or irritation can mimic angina pectoris in the context of frozen shoulder, particularly when referring pain into the ______ joint.
shoulder
Micro trauma or Repetitive Strain can lead to high-grade inflammation of the joint and ______.
capsule
Steroid injection or surgery are common medical treatments for frozen shoulder or adhesive ______.
capsulitis
During treatment of frozen shoulder, it is recommended to maintain the arm in external rotation and slight abduction for comfort.
False
In frozen shoulder treatment, Petrissage is specifically applied to the deltoid muscle.
False
Unidirectional effleurage is a technique used in both acute and subacute stages of frozen shoulder treatment.
False
During treatment of frozen shoulder, turning the client supine is a technique used in both the acute and chronic stages.
True
Joint play involving anterior glide is performed to the upper thoracic spine in the treatment of frozen shoulder.
False
Active pendulum exercises through flexion, abduction, and adduction are specifically recommended during the Thawing Stage of idiopathic frozen shoulder.
True
During treatment of frozen shoulder, turning the client ______ is a technique used in both the acute and chronic stages.
supine
The capsular pattern of restriction in adhesive capsulitis includes severely restricted external rotation, moderately restricted abduction, and somewhat limited internal rotation and ______.
flexion
Joint play involving anterior glide is performed to the upper thoracic spine in the treatment of frozen ______.
shoulder
Frozen shoulder can be a result of postural issues like Thoracic ______.
hyperkyphosis
Anne Hartley suggests that a previous history of trauma to the c-spine, elbow, and TMJ can contribute to shoulder dysfunction and possible frozen ______.
shoulder
Reducing chronic muscle contractions is essential in the treatment of frozen ______.
shoulder
What technique can be applied for frozen shoulder treatment to address the periscapular muscles like trapezius and rhomboids?
Specific massage to periscapular muscles
Which technique is NOT recommended during the chronic stage of frozen shoulder treatment?
Joint play with grade II inferior glide
What is a potential consequence if passive stretch for subscapularis in frozen shoulder includes excessive external rotation?
Risk of infraspinatus tendon injury
During the subacute stage of frozen shoulder, what is a common technique used to mobilize the scapulothoracic articulation?
Active pendulum exercises
In frozen shoulder treatment, what does Petrissage specifically target?
Pectoralis minor muscle
Which technique is utilized in both acute and chronic stages of frozen shoulder treatment?
Unidirectional effleurage
During treatment of frozen shoulder, turning the client ______ is a technique used in both the acute and chronic stages.
supine
In Frozen shoulder treatment, to reduce compensatory hypertonicity with deep Swedish techniques, TrP therapy, stretching, and hydrotherapy, the goal is to eliminate metabolites and localize swelling with Swedish and lymphatic drainage techniques and reduce muscle spasms to compensating muscles of the shoulder, back, and anterior chest with hydrotherapy and soothing, rhythmical effleurage and ________.
friction therapy
Frozen shoulder is a specific medical term used to describe inflammation of the glenohumeral capsule and ______.
synovium
What is a key goal during the Frozen stage of treatment for idiopathic frozen shoulder?
pain relief
During abduction, the arm should be able to abduct to 20 degrees with no ______ movement according to the Scapulothoracic Rhythm/Glenohumeral Movement test.
scapular
Steroid injection or surgery are common medical treatments for frozen shoulder or adhesive ______.
capsulitis
Which exercise involves the client standing with the affected side to the wall and slowly walking fingers up the wall into abduction?
Wall Crawl
In which exercise would a 1-meter long pole be grasped at both ends with elbows straight, starting with forward flexion?
Wand Exercises
What is a key component in the strengthening exercises mentioned in the text for muscles affected by disuse atrophy?
Swimming
Which technique involves having the client bend forward and loosely swing the arm forward and backward?
Wand Exercises
What is the purpose of using wand exercises behind the back according to the text?
To push the pole into extension
What is a recommended technique to address muscle spasms in compensating muscles during frozen shoulder treatment?
Frictioning
During the subacute stage of frozen shoulder, what is a common technique used to mobilize the scapulothoracic articulation?
wall crawl
Frozen shoulder can be a result of postural issues like Thoracic hyperkyphosis.
micro trauma
What is a key component in the strengthening exercises mentioned in the text for muscles affected by disuse atrophy?
theraband
Some debate as to whether frozen shoulder is a condition unto itself or secondary to an underlying pathology like chronic ______
inflammation
During the Freezing stage, to decrease pain with cool/cold hydrotherapy, reflex techniques, grade 1 joint play, full diaphragmatic breathing, the goal is to address the __________ musculature of the shoulder, back, and anterior chest.
periscapular
What is a recommended technique to address muscle spasms in compensating muscles during frozen shoulder treatment?
petrissage
Wall Crawl involves the client slowly walking fingers up the wall into adduction.
False
In Wand Exercises, the pole is pushed into flexion when bringing hands up over head.
True
Theraband, pulleys, and swimming are not used for strengthening muscles affected by disuse atrophy.
False
Hydrotherapy is not part of self-care remedial exercises.
False
Postural re-education is not emphasized in self-care remedial exercises.
False
During Codman Pendulum Swings, the client progresses from forward and backward swings to circles without changing the size of the swings.
False
Learn about frozen shoulder, an umbrella term for conditions causing pain and restricted movement in the shoulder, and adhesive capsulitis, an inflammation leading to adhesion formation in the shoulder joint. Explore the debate on whether frozen shoulder is a standalone condition or secondary to other pathologies.
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