Shoulder Mobility Deficits Quiz

10 Questions

What are the diagnostic criteria for Osteoarthritis (OA)?

Gradual onset, increased stiffness, and pain at end of day

What are the objective findings for Rotator Cuff Tendinopathy (RTC)?

Scapular dyskinesis, pain with overhead elevation, painful arc of movement, crepitus, and tenderness over rotator cuff and biceps insertions

What first line interventions are recommended for Osteoarthritis (OA)?

Joint mobilizations, stretching exercises, and medical interventions (oral anti-inflammatories)

What are the objective findings for Osteoarthritis (OA)?

Decreased activeand passive rangeof motion(ROM),crepitus,capsular end-feel,and painat end-range ROM.

Which outcome measure is specifically validated for Adhesive Capsulitis?

Shoulder Pain and Disability Index (SPADI)

What age group is more prevalent in Adhesive Capsulitis?

40-65

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

Osteoarthritis

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

Frozen phase

What are the common risk factors for Osteoarthritis?

Advancing age and obesity

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

Thawing phase

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).