Exam Preview

Non-Surgical Shoulder Conditions: A Review for the Occupational Therapist

---

1.  What movements occur in the glenohumeral joint in the sagittal plane? Flexion and extension External and internal rotation Abduction and adduction Circumduction

2.  What is the cause of cervicothoracic postural dysfunction? Chronic poor posture Habitual repetitive movements Incompletely rehabilitated past injuries All of the above

3.  What is the cause of an internal impingement at the shoulder? Encroachment of the tissues within the subacromial space Rotator cuff tendons pinched between the humeral head and glenoid rim Hooked acromion Soft-tissue swelling

4.  What is a primary complaint of internal shoulder impingement? Mechanical “sharp” pain local to GH joint Muscle weakness and loss of ROM Painful Arc: 60° to 120° degrees All of the above

5.  What is one of the most important things an OT can do during the treatment of a weak shoulder joint? Provide full PROM even if the shoulder hurts Provide postural and “early” scapular control before other rehabilitation strategies are introduced Use pulleys and other overhead devices to achieve full AAROM Have the client lift weights as soon as possible