Shoulder Mobility Deficits Quiz
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Questions and Answers

What are the diagnostic criteria for Osteoarthritis (OA)?

  • Gradual onset, increased stiffness, and pain at end of day (correct)
  • Scapular dyskinesis, pain with overhead elevation, and crepitus
  • Pain at the top and lateral aspect of the shoulder, weakness, and history of repetitive overhead activity
  • Inflammation, partial tearing, and full tear
  • What are the objective findings for Rotator Cuff Tendinopathy (RTC)?

  • Joint pain worsened by movement
  • Decreased active and passive range of motion (ROM), crepitus, capsular end-feel, and pain at end-range ROM
  • Scapular dyskinesis, pain with overhead elevation, painful arc of movement, crepitus, and tenderness over rotator cuff and biceps insertions (correct)
  • Pain at the top and lateral aspect of the shoulder, weakness, history of repetitive overhead activity, and prior trauma
  • What first line interventions are recommended for Osteoarthritis (OA)?

  • Improving force production, normalizing movement, and addressing mechanics that contributed to the pathology
  • Joint mobilizations, stretching exercises, and medical interventions (oral anti-inflammatories) (correct)
  • Joint mobilizations, stretching exercises, and medical interventions (corticosteroid injection)
  • Patient education, improving tissue tolerance through loaded active exercises, and oral anti-inflammatories
  • What are the objective findings for Osteoarthritis (OA)?

    <p>Decreased activeand passive rangeof motion(ROM),crepitus,capsular end-feel,and painat end-range ROM.</p> Signup and view all the answers

    Which outcome measure is specifically validated for Adhesive Capsulitis?

    <p>Shoulder Pain and Disability Index (SPADI)</p> Signup and view all the answers

    What age group is more prevalent in Adhesive Capsulitis?

    <p>40-65</p> Signup and view all the answers

    Which condition is associated with risk factors including genetics, female sex, past trauma, advancing age, and obesity?

    <p>Osteoarthritis</p> Signup and view all the answers

    Which phase of Adhesive Capsulitis is characterized by substantial ROM deficits and less pain?

    <p>Frozen phase</p> Signup and view all the answers

    What are the common risk factors for Osteoarthritis?

    <p>Advancing age and obesity</p> Signup and view all the answers

    What are the key phases that occur in individuals with Adhesive Capsulitis?

    <p>Thawing phase</p> Signup and view all the answers

    Study Notes

    • The text discusses the diagnosis and treatment of two shoulder conditions: Osteoarthritis (OA) of the glenohumeral joint (GHJ) and Rotator Cuff Tendinopathy (RTC).
    • Osteoarthritis (OA):
      • Characterized by joint pain worsened by movement.
      • Diagnostic criteria: advanced age, previous trauma, gradual onset, increased stiffness, joint pain with activity, and pain at end of day.
      • Objective findings: decreased active and passive range of motion (ROM), crepitus, capsular end-feel, and pain at end-range ROM.
      • Interventions: patient education, joint mobilizations, stretching exercises, and medical interventions (corticosteroid injection and surgery).
    • Rotator Cuff Tendinopathy (RTC):
      • Often occurs in middle-aged individuals.
      • Diagnostic criteria: pain at the top and lateral aspect of the shoulder, weakness, history of repetitive overhead activity, and prior trauma.
      • Objective findings: scapular dyskinesis, pain with overhead elevation, painful arc of movement, crepitus, and tenderness over rotator cuff and biceps insertions.
      • Interventions: patient education, joint mobilizations, stretching exercises, and medical interventions (oral anti-inflammatories, corticosteroid injection, and surgery).
      • Stages: inflammation, partial tearing, and full tear.
    • Common impairments and tests for both conditions: patient education, improving joint mobility, and neurological tests (Full Thickness: External Rotation Lag Sign, Internal Rotation Lag Sign, and Partial Thickness: Painful arc, Neer’s test, Hawkin’s-Kennedy Test, Infraspinatus Muscle Test, and Belly Press Test).
    • Interventions for both conditions: improving tissue tolerance through loaded active exercises, improving force production, normalizing movement, and addressing mechanics that contributed to the pathology.
    • Outcome measures for both conditions: Patient Specific Functional Scale (PSFS), QuickDASH, Shoulder Pain and Disability Index (SPADI), and Penn Shoulder Scale (PSS).

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    Description

    Test your knowledge on shoulder mobility deficits, focusing on conditions such as adhesive capsulitis and osteoarthritis. Explore subjective information, outcome measures, and diagnostic insights related to these conditions.

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