SHOULDER REHAB

A detailed and educational illustration depicting the anatomy of the shoulder and common rehabilitation exercises, with vibrant colors and clear labels for muscle groups and bones involved in shoulder rehab.

Shoulder Rehab Knowledge Challenge

Test your understanding of shoulder rehabilitation with this comprehensive quiz designed for physical therapy students and professionals. With 25 multiple-choice questions covering various aspects of shoulder injuries, treatments, and anatomy, you'll enhance your knowledge and readiness to tackle shoulder rehab cases.

Key features of the quiz:

25 thought-provoking questions
Focused on real-world scenarios
Enhance your understanding of shoulder anatomy and injuries
Designed for PT students and practitioners

25 Questions6 MinutesCreated by RehabWizard420

A patient has been coming to your PT clinic for the past 3 months S/P a humeral head fracture. She is now in mod protection phase. What is the PRIMARY concern we need to address during this phase of treatment?

Contracture formation and adhesive capsulitis

Weak GH neuromuscular activation

Loss of function in ADLs

Edema and erythema

Lily had a rotator cuff tear that was a partial tear greater than 1 cm but less than 5 cm. This severity of RC tear is considered a:

STAGE 1

STAGE 2

STAGE 3

STAGE 4

As a PTA, what should we focus on MOST when working with a shoulder impingement patient?

Work on scapulohumeral rhythm and scapulothoracic stabilization, as well as making sure their posture is stabilized.

Stretch the muscles that are causing the impingement so that the patient feels less pain.

Perform the Hawkin’s Kennedy test before treatment in order to see if the shoulder is impinged.

Help the patient learn scapular coordination using a four-wheeled walker to avoid dislocating his shoulder.

John has been playing basketball for years. He’s been playing very vigorously this past week and has had some excruciating pain in his shoulder. After going to the MD, he was diagnosed with shoulder impingement. The MD tells him that the impingement has gotten to a point where a surgical procedure needs to be done due to a bone spur. Which procedure is he MOST likely going to get?

Arthroplasty

Acromioplasty

Acromiolectomy

Chondroplasty

During stage 3 of adhesive capsulitis, the main focus of rehab is:

Grade III and IV mobilizations for increasing mobility and inhibit muscle spasm

Continue to increase ROM and muscle performance

Protect the shoulder structures like the ligaments and capsule

Grade I and II joint mobilizations for pain relief and edema

What are the two most unstable motions of the GH joint and is contraindicated S/P GH instability surgical repair?

ER, IR

Flexion, abduction

Extension, ER

IR, flexion

All of these are probable causes of labral tears EXCEPT:

FOOSH

Direct blow to the shoulder

Pushing an object too hard

A sudden pull to the arm

Your patient has had a reverse shoulder arthroplasty. According to arthrokinematics, the movement of this joint will be concave on convex.

True

False

After a shoulder dislocation, treatment during the MAX protection phase would include all of the following EXCEPT:

Modalities

Dynamic Training

PROM

Isometric contraction

A patient is using a kettlebell and pulling it up over her head and lowering it back down to her hip. She does ten reps of this to work on stabilizing her shoulder. Which scapular muscles are working here and which type of contraction is she doing while LOWERING the kettlebell?

Upward rotators, eccentric contraction

Downward rotators, eccentric contraction

Upward rotators, concentric contraction

Downward rotators, concentric contraction

Dynamic stability of the scapula include all of these EXCEPT:

Neuromuscular control

Proprioceptive input

Skilled motor response

Muscle flexibility

Donnie Darko had a surgical repair of his supraspinatus tendon 2 weeks ago. He has been coming to therapy for rehab and today his pain level is about a 5/10. Today’s rehab will MOST LIKELY include:

Strength training of the deltoid

Working on functional activities like reaching the top shelf

Stretching the joint capsule with joint mobs

Passive ROM on the shoulder

When working with someone who has a slap labral tear, what is the active movement the patient should avoid the MOST?

Elbow extension

Elbow flexion

Shoulder abduction

Shoulder rotation

Anterior tilting of the scapula can be due to muscle tightness. Which muscle will you MOST likely work on to fix this?

Serratus Anterior

Pec Major

Coracobrachialis

Pec Minor

To promote healing of a supraspinatus tear, the shoulder must be held in:

Abduction of 45 degrees

Adduction against the body

ER of 35 degrees

Flexion of 15 degrees

During frozen shoulder, the shoulder begins to lose ROM in a capsular pattern. The correct order of this capsular pattern is:

Abduction, ER, flexion, IR

Extension, abduction, ER, IR

ER, IR, abduction, adduction

Flexion, IR, extension, ER

A new patient in your clinic comes in to rehab a labral tear. His chart says he has a Bankhart labral tear. What other injury would you MOST expect this patient to have?

Torn bicep tendon

Shoulder dislocation

Lateral epicondylitis

Fractured humerus

A patient comes in after a long recovery from a shoulder dislocation. He has very little scapula stability due to immobility and weakness of muscles. What scapular stabilizing muscles would you assume to be weak?

Rhomboid major and minor

Mid and low trapezius

Serratus Anterior and pec minor

All of the above

You are working on a patient with a shoulder impingement that causes pain with any overhead movements. You must work on strengthening the muscles that are responsible for this impingement. Which muscles are you LEAST going to work on?

Pec Major

Serratus Anterior

Rotator Cuff

Rhomboids

Frozen shoulder is due to the tightening of the rotator cuff ligaments which causes the humeral head to be “stuck” into the glenoid fossa.

True

False

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