UE Review
Accessory Motion
Shoulder 101
Abnormal Scapular Movement
Interventions
100

The carpal bone is the axis for movement at the wrist?

What is capitate? 

100

The accessory motion of wrist flexion in open chain. 

What is palmer roll, dorsal slide? 

100

Posterior capsule tightness/restriction will result in humeral head translation in what direction? 

What is anterior translation? 

100

A patient has decreased passive & active shoulder flexion, that is not influenced by adjacent joint position, what is the restriction? 

What is posterior joint capsule restriction/tightness? 

100

How can you stretch the posterior joint capsule of the shoulder? 

What is joint mobilizations, horizontal adduction stretch, and/or sleeper stretch? 

200

The end feel of ulnar deviation? 

What is capsular/firm? 

200

The accessory motion that occurs at the proximal radio-ulnar joint during closed chain external rotation. 

What is anterior slide? 

200

What muscles act as a force couple for scapular upward rotation?

What is serratus anterior & trapezius muscles?

200

A patient presents to the clinic and based off your findings has weak serratus anterior & trapezius muscles - what position(s) will the scapula not be able to achieve in overhead motion? 

What is posterior tilt & ER?

200

A patient presents with decreased posterior tilt and external rotation of the scapula, how would you strengthen these muscle(s)?

What is serratus punches & lift offs? 

300

A palmer slip of the lateral bands of the extensor mechanism. 

What is Boutonniere deformity?

300

The accessory motion of the SC joint w/ the arm at 145 degrees of shoulder abduction.

What is posterior spin?

300

A patient only has 140 degrees of shoulder abduction, how many degrees of scapular upward rotation would you expect them to have? 

What is 70 degrees?

300

Increased anterior tilt of scapula would be caused by? 

What is tightness of pec minor?

300

Patient has pain with overhead arm motion, you deem it is due to increased anterior tilt of the scapula. What intervention would use to address increased anterior tilt of scapula? 

Therapist pec minor stretch

HEP version - supine foam thoracic stretch

400

Who works as a synergist to stabilize the wrist while closing the hand? 

What are wrist extensors? 

400

What accessory motion is happening at the SC joint during shoulder 

What is 

400

What muscles perform downward rotation of the scapula in open chain?

Who is Levator Scap, Rhomboids, Pec Minor?

400

A patient presents with forward rounded shoulder posture, their scapula is likely in what positions (4)?

What is anterior tilt, protraction, internal rotation, elevation?

400

A patient presents with forward rounded shoulder posture, especially increased IR of scapula - what intervention would address this scapular position in regards to weakness?

What is scapular rows, bilateral ER, prone I,T,Y, etc.

500

What active position of the shoulder will strain the UCL?

What is horizontal adduction & internal rotation? 

500

When reaching for an object in front of you, what accessory motion is happening at the AC joint? 

What is internal rotation? 

500

What ligament would contribute to decreased subacromial space in the glenohumeral joint?

What is the acromioclavicular ligament?

500

A patient presents with decreased upward rotation, decreased posterior tilt, increased internal rotation of scapula, and elevation of the scapula & clavicle. What is the diagnosis? 

What subacromial shoulder impingement? 

500

A high school basketball player is to undergo a meniscectomy in 2 weeks, he will be NWB for 6 weeks post-op. What intervention during pre-op rehab would benefit this patient? 

What is strengthening exercises for lats, pec major, lower trap - lat pull downs, chest press, pushing trunk up from a chair, etc.