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LCCW ADJUNCTIVE CARE 3 - CUMULATIVE FINAL (WITH PRACTICE QUESTIONS) ALREADY GRADED A+
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LCCW ADJUNCTIVE CARE 3 - CUMULATIVE FINAL (WITH PRACTICE QUESTIONS) ALREADY GRADED A+
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LCCW ADJUNCTIVE CARE 3 - CUMULATIVEFINAL (WITH PRACTICE QUESTIONS)
ALREADY GRADED A+
Normal function of the shoulder requires the coordinated movements of the...
Answer - SC joint
AC joint
GH joint
Scapulothoracic articulation
Motion interface between rotator cuff & overlying coracoacromial arch
Secondary function of the shoulder is a ____________ which forces from the
larger, stronger muscles of the ________ & ________, are passed to the
muscles of the arm, forearm & hand. Answer - Funnel
Legs
Trunk
(Generating power in throwing motions or serving motions)
The large humeral head articulating with a small glenoid socket allows
_________________ at the expense of ___________. Answer - Extremes of
motion
Stability
The scapula is mobile on the _______________. Answer - Thoracic wall
Stability of the shoulder depends on the _______________ that cross it.
Answer - Soft tissue structures
,Static stabilizers of the shoulder Answer - Superior GH ligament
Middle GH ligament
Inferior GH ligament
Ligaments and capsules of the shoulder limit ____________ and ____________
of the humeral head on the glenoid. Answer - Translation
Rotation
Superior GH ligament is an ___________ stabilizer. Answer - Inferior
Middle GH ligament provides stability against _________________ with arm in
____________ & ___________ under 90 degrees. Answer - Anterior
translation
External rotation
Abduction
Inferior GH ligament is the most important _____________ with the shoulder
in 90 degrees of _________ & __________, which is the most unstable position
of the shoulder. Answer - Anterior stabilizer
Abduction
External rotation
Principles of Rehabilitation Answer - 1. Pain control & regain coordinated
motion
2. Strengthen & re-educate
3. mm re-education through "learned motor patterns"
,4. Patterns position shoulder complex in "pre-determined" ways & activate mm
in precise synchronization
Examples of pain control Answer - Ice
Rest
Stabilization
Elevation
Stim-TENS
Natural supplements
Decrease inflammation
__________________ is the most important factor in determining the success
or failure of rehabilitation. Answer - Establishing the correct dx
To establish the correct dx, ___________ is key. Answer - History
Components of Hx important in establishing the correct dx include... Answer -
Age
Presenting complaint (pain, instability, weakness, crepitus & stiffness)
Onset of sx
Duration of sx
Response to previous trx
General health
Structural injury to rotator cuff is common in patients over _______. If the
patient is over ______, assume rotator cuff tear unless proven otherwise.
Answer - 40
60
, Young patient with rotator cuff symptoms is most likely only ___________,
rather than a structural injury. Pathology and sx are frequently secondary to
_____________. Answer - Irritation (tendinosis)
Occult primary pathology
Occult primary pathology causing rotator cuff symptoms in young patients
includes... Answer - GH instability
Tear of superior labrum
Scapulothroacic dyskinesia
Core instability
Poor biomechanics
Structural injury to the rotator cuff is most common with ___________ or
_________. Answer - Trauma
Acute overuse
Night pain & _________ position (AKA zero position) are due to primary rotator
cuff pathology. Answer - Saha
Pain of the rotator cuff is decreased with arm below __________ and raised
between ____________ active elevation & abduction. Answer - Breast level
90-120 degrees
Crepitus is common in ______________________ or thickening of the cuff
during ________________ & scarring of subacromial space. Answer - Chronic
full-thickness cuff tears
Chronic tendinosis
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