Noush Quiz
20 Questions
3 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

A 55-year-old male presents with insidious onset shoulder pain, exhibiting a capsular pattern restriction and reports significant night pain disrupting sleep. Examination reveals intact rotator cuff strength but limited external rotation. Given these findings, which intervention is MOST appropriate at this stage?

  • Aggressive end-range stretching exercises combined with eccentric strengthening of the rotator cuff.
  • Administration of local anesthetic and commencement of translational manipulation under anesthesia to restore ROM.
  • Pendulum exercises with gentle GH joint distraction and Grade I/II joint mobilizations to address pain and maintain joint integrity. (correct)
  • Initiation of high-velocity, low-amplitude (HVLA) thrust mobilizations to address capsular restrictions.

    • A patient diagnosed with adhesive capsulitis is in the 'frozen' stage. Which clinical presentation is MOST indicative of this stage, guiding the physical therapist's intervention strategy?

  • Significant, intense pain even at rest, with motion limited in all directions and inability to restore motion with intra-articular injection.
  • Mild discomfort with painful end ranges of motion, primarily affecting external rotation and abduction.
  • Minimal pain with significant capsular restrictions, and gradual improvement in motion observed over time.
  • Large decrease in pain, experienced predominantly with movement, coupled with limited glenohumeral motion and marked scapular substitutions. (correct)

    • A patient is diagnosed with glenohumeral joint hypomobility secondary to immobilization following a distal radius fracture. Which of the following findings would be LEAST likely to be directly attributable to the GH joint hypomobility itself?

  • Decreased arm swing during gait.
  • Night pain and disturbed sleep during acute flares.
  • Impaired grip strength in the ipsilateral hand. (correct)
  • Protracted and anteriorly tilted scapula on the affected side.

    • A physical therapist is developing a non-operative management plan for a patient in the acute phase of glenohumeral joint hypomobility. Considering the APTA's Clinical Practice Guideline for Adhesive Capsulitis (2013), what combination of interventions would be MOST appropriate?

    <p>Modalities for pain relief, joint mobilization (Grade I/II), and pendulum exercises with passive joint distraction. (D)</p> Signup and view all the answers

    A patient in Stage 4 ('Thawing' stage) of idiopathic frozen shoulder reports minimal pain but continues to exhibit significant capsular restrictions. Which of the following exercise progressions would be MOST appropriate to restore functional range of motion, while mitigating the risk of exacerbating symptoms?

    <p>Progress from AAROM exercises to active range of motion (AROM) exercises, emphasizing proper scapulothoracic rhythm and incorporating functional movement patterns. (A)</p> Signup and view all the answers

    A patient post-rTSA presents at 8 weeks with satisfactory deltoid activation and AAROM tolerance, but exhibits compensatory scapulothoracic movements during attempted glenohumeral abduction within the scapular plane. Which intervention would be MOST appropriate?

    <p>Employ isometric stabilization exercises with multi-directional perturbations, emphasizing controlled glenohumeral positioning and scapular awareness. (B)</p> Signup and view all the answers

    A patient undergoing rehabilitation following a TSA with RTC repair is currently in the maximum protection phase. Considering the specific constraints dictated by the tendon repair, which of the following interventions is LEAST appropriate at this stage?

    <p>Application of low-load, prolonged stretch (LLPS) at end-range external rotation to address capsular restrictions impeding early ROM gains. (C)</p> Signup and view all the answers

    A patient 6 weeks post-rTSA is demonstrating consistent pain (VAS 4/10) with active assisted elevation beyond 75 degrees, accompanied by audible crepitus upon palpation of the scapulothoracic articulation. Radiographic imaging reveals no hardware complications. What is MOST likely contributing to the patient's symptomatic presentation?

    <p>Scapulothoracic dyskinesis resulting from altered biomechanics post-surgery and compensatory movement patterns to avoid deltoid activation. (C)</p> Signup and view all the answers

    A patient presents 10 weeks following a rTSA. Examination reveals 110 degrees of active elevation, 30 degrees of active external rotation, and 60 degrees of active internal rotation at the side. The patient's primary complaint is decreased functional reach overhead and difficulty with activities such as reaching into a high cupboard. Based on this presentation, what modification to the patient's exercise program would be MOST justifiable?

    <p>Implement neuromuscular re-education drills targeting synergistic activation of the deltoid and upper trapezius to optimize scapulohumeral rhythm during elevation. (C)</p> Signup and view all the answers

    During a follow-up examination 14 weeks post-TSA (without RTC repair), a patient reports experiencing a sudden onset of sharp pain and instability in the operated shoulder while attempting to lift a 10-pound object. Examination reveals palpable crepitus upon gentle palpation of the long head of the biceps tendon within the bicipital groove. What is the MOST appropriate immediate course of action?

    <p>Immediately immobilize the shoulder in a sling, refer the patient for advanced imaging (MRI), and withhold further therapeutic exercise pending diagnostic results. (B)</p> Signup and view all the answers

    A 28-year-old competitive swimmer presents with multidirectional instability of the glenohumeral joint, primarily anterior and inferior. Pre-operative assessment reveals significant capsular redundancy. Considering the established surgical procedures for GH joint stabilization, which of the following approaches would be MOST judicious?

    <p>Bankart repair in conjunction with a capsular shift procedure to address the capsular redundancy, optimizing stability in multiple planes. (D)</p> Signup and view all the answers

    In the context of open Bankart repair for anterior glenohumeral instability, meticulous surgical technique often involves addressing the subscapularis muscle. Which of the following statements BEST encapsulates the contemporary surgical considerations regarding the subscapularis during this procedure?

    <p>A meticulous subscapularis split, with subsequent repair, is favored to maintain muscle integrity and minimize the risk of postoperative internal rotation deficits, while still enabling adequate visualization. (D)</p> Signup and view all the answers

    A patient, 14 weeks post-operative following a total shoulder arthroplasty (TSA), demonstrates pain-free PROM with flexion to 135 degrees, abduction to 125 degrees, ER to 65 degrees, and IR to 75 degrees in the plane of the scapula. Active elevation against gravity is 110 degrees with appropriate mechanics. MMT reveals 4+/5 strength in RTC and deltoid. According to the criteria, what is the MOST appropriate progression for this patient?

    <p>Progress to the return to function phase, emphasizing advanced strengthening and gradual return to higher-demand activities. (B)</p> Signup and view all the answers

    A patient undergoing electrothermally assisted capsulorrhaphy for glenohumeral instability reports persistent pain and stiffness six months postoperatively. MRI reveals regions of capsular fibrosis and restricted range of motion. Which cellular mechanism is MOST implicated in the observed capsular changes following this procedure?

    <p>A cascade of cytokine-mediated inflammation and fibroblast activation, resulting in excessive collagen deposition and contracture. (A)</p> Signup and view all the answers

    A patient, 10 weeks post-op from rTSA, presents with the following limitations: passive flexion to 90 degrees, abduction to 70 degrees, external rotation to 30 degrees, and internal rotation to 40 degrees. Active elevation is limited to 60 degrees against gravity with noticeable scapular hiking. MMT shows 3/5 strength for the deltoid and RTC. Which of the following interventions would be MOST appropriate at this stage?

    <p>Prioritize pendulum exercises and gentle active-assisted range of motion within pain-free limits to improve ROM alongside scapular stabilization exercises. (B)</p> Signup and view all the answers

    A high-level overhead athlete is considering capsulolabral reconstruction following recurrent anterior shoulder instability events. He is particularly concerned about the potential impact of the surgery on his proprioceptive acuity and subsequent athletic performance. Which of the following statements BEST reflects the current understanding of the relationship between capsulolabral repair and proprioception in the glenohumeral joint?

    <p>While initial post-operative proprioceptive deficits may occur, the re-establishment of capsular tension and restoration of joint mechanics can facilitate neural adaptation and functional recovery over time. (A)</p> Signup and view all the answers

    A Physical Therapist is designing a home exercise program for a patient following a TSA. The patient is currently in the 'Minimum Protection/Return to Function Phase'. Which of the following exercises would be MOST appropriate to include in the program to address both scapular and glenohumeral joint stabilization?

    <p>Closed kinetic chain exercises performed in minimal weight-bearing positions on stable and unstable surfaces. (A)</p> Signup and view all the answers

    During an arthroscopic Bankart repair, a surgeon encounters a significant glenoid bone defect along the anterior-inferior rim, exceeding 25% of the glenoid width. Concurrently, the patient exhibits Hill-Sachs lesion involving approximately 30% of the humeral head. What is the MOST appropriate surgical strategy to address the combined glenoid bone loss and humeral head defect in this patient?

    <p>Perform a remplissage procedure to address the Hill-Sachs lesion, combined with bone grafting to reconstruct the glenoid defect, followed by capsulolabral repair. (A)</p> Signup and view all the answers

    A patient status post-reverse total shoulder arthroplasty (rTSA) demonstrates limited active elevation. Considering the altered biomechanics of the rTSA, which muscle's strengthening should be prioritized to MOST effectively improve active elevation?

    <p>Deltoid (B)</p> Signup and view all the answers

    When comparing Total Shoulder Arthroplasty (TSA) and Reverse Total Shoulder Arthroplasty (rTSA), which of the following statements BEST characterizes a key biomechanical difference affecting rehabilitation strategies?

    <p>TSA restores the anatomical relationship to improve the rotator cuff’s function, while rTSA primarily utilizes the deltoid to compensate for rotator cuff deficiency to achieve elevation (C)</p> Signup and view all the answers

    Flashcards

    Stage 1: Pre-adhesive Stage

    Characterized by mild synovitis, gradual pain increase, and intact RTC strength. Duration is less than 3 months.

    Stage 2: Freezing Stage

    Marked by thickened synovitis, intense pain at rest, and limited motion in all directions. Lasts 3-9 months.

    Stage 3: Frozen Stage

    Features mature fibrosis with reduced pain, but limited GH motion. Duration is 9-15 months.

    Stage 4: Thawing Stage

    Involves minimal pain and significant capsular restrictions. Gradual motion improvement over 15-24 months.

    Signup and view all the flashcards

    Non-operative Management Acute Phase

    Focus on controlling pain, edema, and maintaining joint integrity with techniques like PROM and gentle joint mobilization.

    Signup and view all the flashcards

    TSA Recovery Timeline

    Maximum Protection Phase lasts 4-6 weeks after Total Shoulder Arthroplasty (TSA).

    Signup and view all the flashcards

    rTSA Lifting Restriction

    After reverse TSA, a 1-pound lifting restriction is in place for 6 weeks.

    Signup and view all the flashcards

    Shoulder ROM Progression

    Progress to elevation of 90 degrees, ER to 45 degrees after TSA with minimal pain before moving to Moderate Protection phase.

    Signup and view all the flashcards

    Submaximal Isometrics

    Exercises like flexion, abduction and external rotation for shoulder stability, performed post-surgery.

    Signup and view all the flashcards

    Dynamic Stability Exercises

    Include low-resistance exercises for shoulder muscles, elbow, and wrist to enhance control and stability.

    Signup and view all the flashcards

    Criteria for Minimal Protection Phase

    Achieve pain free PROM/AAROM with specific flexion and rotation angles.

    Signup and view all the flashcards

    Minimum Protection Phase Duration

    This phase typically lasts 12-16 weeks post-surgery.

    Signup and view all the flashcards

    Goals of Minimum Protection Phase

    Focus on improving mobility, neuromuscular control, and functional activity.

    Signup and view all the flashcards

    Active Elevation Requirement

    Need 100-120 degrees active elevation against gravity for progression.

    Signup and view all the flashcards

    MMT Requirement for Strength

    Muscle strength must be at least 4/5 for RTC and deltoid muscles.

    Signup and view all the flashcards

    Capsulorrhaphy (Capsular Shift)

    Surgical procedure that tightens the shoulder capsule by incising and plicating redundant tissue.

    Signup and view all the flashcards

    Electrothermally Assisted Capsulorrhaphy

    A technique using laser energy to shrink specific portions of the shoulder capsule.

    Signup and view all the flashcards

    Bankart Repair

    Surgical procedure to reattach the capsulolabral complex to the glenoid after detachment from trauma.

    Signup and view all the flashcards

    Postoperative Management of Capsulorrhaphy

    Care taken after capsulorrhaphy procedure, tailored to the direction of shoulder instability.

    Signup and view all the flashcards

    Capsulo-labral Reconstruction

    Reattachment of the labrum to the glenoid for shoulder stabilization.

    Signup and view all the flashcards

    Study Notes

    Therapeutic Exercise II: The Shoulder and Shoulder Girdle (Part 1 of 2)

    • This course covers the anatomy and function of the shoulder girdle, common shoulder pathologies, and effective therapeutic exercise program design to manage musculoskeletal lesions.

    Road Map

    • Students should be able to describe the anatomy and function of the shoulder girdle.
    • Students should understand common shoulder pathologies (e.g., hypomobility, hypermobility, soft tissue overuse conditions) that benefit from therapeutic exercise.
    • Students should be able to effectively teach and progress/regress a therapeutic exercise program to manage musculoskeletal, soft tissue, and joint lesions, based on tissue healing stages.
    • Students should be able to list common surgical procedures and precautions for shoulder pathologies, including hypomobility and instability.
    • Students should understand the goals and appropriate interventions for post-operative shoulder and shoulder girdle dysfunction in each phase of rehabilitation.
    • Students should demonstrate exercise progressions to improve range of motion (ROM), muscle performance, and functional use of the shoulder and shoulder girdle.

    Outline

    • Structure and Function of the Shoulder Girdle
    • Hypomobility: Non-operative management and TSA
    • Hypermobility: Instability of the GH joint
    • Painful Biomechanical Shoulder Syndromes

    Structure and Function of the Shoulder Girdle

    • Joints of the shoulder girdle complex
    • Shoulder girdle function
    • Force couples of the shoulder complex
    • Balance, mobility, and stability are crucial for the shoulder complex.
    • Specific aspects of glenohumeral joint stability

    Shoulder Girdle Complex

    • Synovial Joints
      • Glenohumeral (GH) joint
      • Acromioclavicular (AC) joint
      • Sternoclavicular (SC) joint
    • Functional Articulations
      • Scapulothoracic articulation (ST)

    Anatomy Review

    • The glenohumeral joint, acromioclavicular joint, and sternoclavicular joint comprise the shoulder girdle complex.
    • The key anatomical parts are the clavicle, scapula, humerus, sternum and related structures.

    Glenohumeral Joint

    • Incongruous ball and socket joint
    • Triaxial
    • Lax joint capsule
    • Supported by:
      • rotator cuff (RTC)
      • glenohumeral ligaments
      • coracohumeral ligaments
    • Glenoid fossa: shallow, deepened by fibrocartilaginous lip (labrum)
    • Humeral head is larger than glenoid fossa
    • Function: deepens fossa for joint congruency and creates a negative intraarticular vacuum effect. Serves as attachment site for capsule.

    Glenohumeral Joint: Stability

    • Provided by static and dynamic restraints.
    • Static restraints: bony anatomy, ligaments, glenoid labrum, adhesive/cohesive forces
    • Dynamic restraints: RTC tendons blend with ligaments and glenoid labrum, providing stability through contraction.
    • Coordinated response of the RTC muscles (supraspinatus, infraspinatus, teres minor, subscapularis)

    Long Head of the Biceps & Long Head of the Triceps

    • Important in GH joint stability.
    • Long head of biceps: stabilizes against humeral elevation and contributes to anterior stability.
    • Long head of triceps: provides support for inferior shoulder.

    Acromioclavicular Joint

    • Plane, triaxial joint
    • May or may not have a disc
    • Reinforced by superior and inferior AC ligaments
    • Stability: supported by the coracoclavicular ligament.
    • No direct dynamic support

    Acromioclavicular Joint: Arthrokinematics

    • Acromion: concave facet
    • Clavicle: convex facet
    • Scapular motions affecting the AC joint: upward/downward rotation, winging of the vertebral border, tipping of the inferior angle.

    Sternoclavicular Joint

    • Incongruent, triaxial, saddle-shaped joint with a disc.
    • Stability provided by: anterior and posterior SC ligaments, interclavicular ligaments, costoclavicular ligaments.
    • Movement of the clavicle results from scapular motions (e.g., elevation, depression, protraction, retraction).

    Clavicular Elevation and Rotation

    • Posterior rotation of the clavicle occurs as an accessory motion when the humerus is elevated above 90 degrees, and the scapula is upward rotating.
    • Coracoclavicular ligament becomes taut to provide passive stability.

    Scapulothoracic Articulation

    • Motions of the scapula: elevation, depression, adduction, abduction, upward/downward rotation, protraction, and retraction.

    Subacromial Space/Suprahumeral Space

    • Coracoacromial arch: formed by acromion and coracoacromial ligament.
    • Contents: subacromial/subdeltoid bursa, supraspinatus tendon, and part of the muscle, long head of biceps tendon.
    • Compromise of this space = impingement syndrome.

    Shoulder Girdle Function

    • Review Force Couples: deltoid-rotator cuff, trapezius/serratus anterior, and anterior/posterior rotator cuff.
    • Understanding why each force couple is important, and what happens if there is an imbalance.

    Deltoid-RTC Relationship

    • Deltoid leads to upward translation of the humerus (impingement).
    • Downward force/translation/stabilization produced by infraspinatus, teres minor and subscapularis.
    • Supraspinatus: significant stabilizing, compressive and slight upward translation effects on humerus with UE elevation.

    Trapezius/Serratus Anterior

    • Work together to create upward rotation of the scapula.
    • Assists in elevation of the UE.
    • Lack of function results in increased impingement.

    Anterior/Posterior RTC

    • Helps keep the humeral head properly positioned in the glenoid.
    • Includes subscapularis, infraspinatus, and teres minor.
    • Opposes anterior-posterior glenohumeral joint translation.

    Shoulder Girdle Function: Failure

    • Interruption of deltoid-RTC coordination
    • Soft tissues overuse or compression
    • Lead to shoulder dysfunction

    Scapulohumeral Rhythm

    • 3 phases that assist with 180 degrees of elevation.
    • General 2:1 ratio (GH joint vs. scapula).
    • Discrepancies in ratio 1:1 vs 2:1

    Scapulohumeral Rhythm (Phases)

    • Phase 1 (0-30° of abduction/ 0-60° flexion): primarily GH motion, scapula finding stable position.
    • Phase 2 (30-90°): improved joint congruency as the length-tension relationship of muscles is maintained, nearing 1:1 ratio.
    • Phase 3 (last 90°): dominated by glenohumeral motion; GH joint must ER to clear the subacromial arch.

    Review Questions

    • How does forward head and shoulder position affect the scapula and glenohumeral joint position?
    • What are the various motions of the scapula?
    • What are the major downward and upward rotators of the scapula?
    • What is the importance of the long head of biceps and triceps?
    • Why is ER of the humerus with shoulder elevation important?

    Shoulder Pathology and Management

    • The section outlines common shoulder disorders and surgical approaches.
    • It covers non-operative and surgical management of each condition.
    • Specific pathologies discussed include hypomobility and instability and painful shoulder syndromes.
    • The interventions and procedures for each condition are detailed.

    Shoulder Pathologies - General Interventions

    • Hypomobility: Restore mobility/range of motion
    • Hypermobility: Restore stability (strength)
    • Painful Disorders: Restore proper biomechanics.

    GH Joint Pathologies: Management

    • Initial treatment: conservative approaches to avoid surgery.
    • Treatment involves pharmacology, physical therapy, and therapeutic exercise.
    • Surgical intervention may be considered if symptoms worsen.

    Joint Hypomobility: Non-operative Management

    • Hypomobility can occur in any of the shoulder complex joints: glenohumeral (GH) joint, acromioclavicular (AC) joint, sternoclavicular (SC) joints.
    • Possible causes of restricted GH joint mobility include rheumatoid arthritis, prolonged immobilization, traumatic arthritis, osteoarthritis, and idiopathic frozen shoulder.

    GH Joint Hypomobility: Interventions

    • Acute Phase (Protection): Control pain, edema, muscle guarding, maintain soft tissue and joint integrity and mobility (e.g., pendulum exercises, PROM, passive joint distractions, Grade I/II joint mobilizations, gentle muscle setting).
    • Subacute Phase (Controlled Motion): Control pain, edema, joint effusion, functional activities, AAROM to AROM progression, gradually increasing joint and soft tissue mobility, passive joint mobilization, self-mobilization, manual stretching, self-stretching.
    • Chronic Phase (Return to Function): progressively incrementing flexibility and strength, functional activities (sport-specific training, work-specific training).

    GH Arthroplasty: Post Operative Management

    • Maximum Protection Phase: Day 1-6 weeks, Hospitalization overview, Control pain and inflammation, Maintain adjacent joint mobility, Restore and maintain shoulder mobility, Minimize muscle inhibition, guarding and atrophy.
    • Precautions: PROM/AAROM only, rTSA: ER to neutral, TSA: ER <30 degrees, Avoid extension/horizontal abduction beyond neutral, No combined extension/adduction/IR, avoid lifting w/ the arm, and No driving for 4-6 weeks.
    • Gentle Post-op AAROM Exercise (Gear Shift Exercise)

    GH Arthroplasty: Post Operative Management

    • Criteria for Progression to Moderate Protection/Controlled Motion Phase: Pain-free PROM/AAROM, Flexion to 130-140 degrees, Abduction to 120 degrees, ER to 60, IR to 70 degrees in the scapular plane, Active elevation, and MMT of 4/5 for RTC and deltoids.
    • Minimum Protection/Return to Function Phase: 12-16 weeks, continue improving or maintaining shoulder mobility, improve neuromuscular control and muscle performance, and return to most functional activities.
    • rTSA Special Considerations, No WB through the arm, Pain free submaximal isometrics, Dynamic low resistance exercises, and Late in phase progresses to scapular and shoulder muscle strengthening. Isometric stability exercises.

    Shoulder Instability (Hypermobility):

    • Atraumatic hypermobility: Generalized connective tissue laxity, repetitive microtrauma.
    • Traumatic hypermobility: high force events compromise stabilizing structures, often resulting in dislocation (unidirectional or multidirectional).
    • Causes: Physiologic laxity of connective tissue, repetitive microtrauma due to non-uniform loading of the joint, and the humeral head continuing to dislocate, leading to degeneration of tissue eventually.
    • Anterior Dislocation: Excessive humeral head translation due to the forces against the arm in abduction and external rotation.
    • Posterior Dislocation: Repetitive or forceful forces against a forward-flexed, adducted, internally rotated humerus.
    • Inferior Dislocation: Primarily caused by RTC weakness, most commonly hemiplegia.
    • Multidirectional Instability: GH joint stability compromised in more than one direction.

    Recurrent Dislocations

    • Significant ligamentous and capsular laxity: any motion that reproduces original instability.
    • Voluntary dislocations: worse prognosis, minimal discomfort, and can dislocate without apprehension.

    Closed Reduction of Anterior/Posterior Dislocations: Management

    • Acute Phase (protection): Protect healing tissue, promote tissue health.
    • Subacute Phase (controlled motion): Provide protection, increase shoulder mobility, increase stability/strength of RTC and scapular muscles.
    • Chronic Phase (return to function): Restore functional control, return to activity.
    • Important guidelines for posterior dislocations: Avoid humeral flexion with adduction and IR, and consider contraindications.

    Muscle Activation Evidence (Exercises):

    • Shoulder external/internal rotation/abduction, and scapular movements.
    • Specific exercises for serratus anterior, lower trapezius, rhomboids, and levator scapulae, are highlighted.

    Painful Shoulder Syndromes: (Nonsurgical approach)

    • Impingement: Mechanical compression/irritation of the RTC and subacromial bursa. Painful arc with overhead reaching, positive impingement tests.
    • Intrinsic Factors: vascular changes, tissue tension overload, and collagen disorientation/degeneration.
    • Extrinsic Factors: Mechanical wearing of the RTC against the anterior/inferior 1/3 of the acromion caused by issues in the anatomy or biomechanical factors.
    • Acromion shape: Type III = extrinsic impingement, Type I/II = mostly intrinsic.
    • Faulty posture: Slouching, forward head, thoracic kyphosis, alters scapular/humeral muscle relationship and mechanics, leading to impingement/pain.
    • Tendonitis/Bursitis: pain/inflammation of tendons/bursa of the rotator cuff, bicipital groove, subdeltoid/subacromial bursa.

    Review (Important Questions)

    • What are typical patient complaints with GH impingement?
    • What are appropriate exercises for subdeltoid, proximal bicipital, or supraspinatus tendonitis in the acute phase of healing?
    • What are patient complaints with shoulder impingement?
    • What are specific exercises that would be appropriate for acute phase or subacute phase healing for these conditions?

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    Therapeutic Exercise II: The Shoulder and Shoulder Girdle Part 1 of 2 PDF

    Description

    This quiz focuses on the assessment and management of common shoulder conditions, specifically adhesive capsulitis and glenohumeral joint hypomobility. It covers clinical presentations, appropriate interventions, and guidelines for non-operative management. Test your knowledge and improve your clinical reasoning skills in physical therapy practice.

    More Like This

    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser