FACTS ABOUT THE SHOULDAAA
Name the joint in UE that has greatest ROM and where dislocation is common
Glenohumeral (GH) Joint
F-E: Sagittal plane along the medial-lateral axis
AB-AD: Frontal/Coronal plane along the anterior-posterior axis
Med-Lat Rot: Transverse plane along the vertical axis
When measuring shoulder flexion, what position should your client be in, and where should the fulcrum be placed?
Position: Supine, UE at side with palm facing towards the body; or Sitting in chair with back supported.
Fulcrum: Greater tubercle of humerus
What 3 JOINTS make up the elbow?
Humeroradial, Humeroulnar, Proximal Radioulnar
When measuring elbow extension/flexion, what position should your client be in, and where should the fulcrum be placed?
Position: Supine with UE in anatomical position. Place a towel under the humerus; be sure the olecranon process is cleared so the elbow can extend fully. OR sitting/standing with UE in anatomical position.
Fulcrum: Lateral epicondyle
Glenohumeral (GH), Sternoclavicular (SC), Acromioclavicular (AC), Scapulothoracic (ST)
Name the scapula movements.
Upward rotation, Downward rotation; Protraction, Retraction; Elevation, Depression
When measuring shoulder abduction, what position should your client be in, and where should the fulcrum be placed?
Position: Supine, UE in anatomical position, or sitting in chair with back supported
Fulcrum: (Supine) Anterior aspect of AC joint or (Sitting) Posterior aspect of AC joint
What are the norms for elbow and forearm extension-flexion, pronation, and supination? What should the end feels be for flexion and extension?
Extension-Flexion: 0-150
Pronation: 0-80
Supination: 0-90
End feel for flexion: soft; Extension: hard (olecranon process of ulna with olecranon fossa of humerus)
When measuring forearm pronation, what position should your client be in, and where should the fulcrum be placed?
Position: Sitting with elbow at 90 degrees of flexion, forearm in neutral rotation, humerus in adduction (Humerus must stay tucked in at the side during movement)
Fulcrum: Lateral aspect of the ulnar head
What is the difference between Shoulder Complex ROM and Glenohumeral (GH) movement? (*Most goniometric measurements are based on shoulder complex movement*)
Shoulder Complex ROM = movement of humerus, clavicle, and scapula together
GH ROM = movement of the humeral head on the glenoid fossa
When measuring shoulder medial rotation, what position should your client be in, and where should the fulcrum be placed?
Position: Supine, Humerus abducted to 90 degrees, elbow flexed at 90 degrees. Olecranon process should be off the supporting surface and a towel placed under the clients humerus
Fulcrum: Olecranon process of the ulna
Define Carrying Angle
Angle formed when arm is in anatomical position (5 degrees in men, 10-15 degrees in women)
When measuring forearm supination, what position should your client be in, and where should the fulcrum be placed?
Position: Sitting with elbow at 90 degrees of flexion, forearm in neutral rotation, humerus in adduction (humerus must stay tucked during movement)
Fulcrum: On anterior aspect of wrist
What are considered to be the 2 FUNCTIONAL MOTIONS of the shoulder?
Horizontal Abduction and Adduction
WTF is SCAPTION??
Movement of scapula and humerus 30 degrees in frontal plane; important to remember to position client in scaption in order to assess normal available motion!
When measuring shoulder lateral rotation, what position should your client be in, and where should the fulcrum be placed?
Position: Supine, humerus abducted to 90 degrees, elbow flexed to 90 degrees. Olecranon process should be off the supporting surface and a towel placed under the clients humerus
Fulcrum: Olecranon process of the ulna
Define Cubitus Valgus and Cubitus Varus in relation to carrying angle
Cubitus Valgus - Angle is "greater"
Cubitus Varus - Angle is "less"
Which bone in forearm is most commonly broken and makes it so you cant rotate normally?
Radius
What are the norms for shoulder flexion, extension, abduction, lateral rotation, and medial rotation? What is the typical end feel?
FIRM END FEEL
Flexion: 0/180
Extension: 0/60
Abduction: 0/180
Lateral Rotation: 0/90
Medial Rotation: 0/60
When you determine a client has Frozen Shoulder Syndrome, what joint motion is unavailable?
No available glenohumeral motion
ONLY SCAPULOTHORACIC MOTION IS AVAILABLE BEITCH
When measuring shoulder extension, what position should your client be in, and where should the fulcrum be placed?
Position: Humerus adducted, palm facing body; or sitting in chair with back supported
Fulcrum: greater tubercle of the humerus
What provides stability to the elbow?
Large, loose joint capsule and is reinforced by medial and lateral collateral ligaments
How many degrees of freedom are found in radioulnar articulations? Which movements are found here?
One degree of freedom; pronation and supination only