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23 Cards in this Set
- Front
- Back
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Rheumatoid Arthrititis
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Chronic inflammatory systemic disease which affects connective tissue
Characteristics- exacerbation and remission inflammatory changes of synovial membrane -adhesions -fibrosis - deformity tendon sheaths: inflammation atrophy |
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Osteoarthritis
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chronic degenerative disorde (affects articular cartilage of synovial joints)
characteristics- synovial and capsular thickening pain decreased motion, contractors of capsule and muscle Due to: mechanical and poor movement of synovial fluid over stress genetic link to hips and hands |
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GH joint arthritis Acute Stage
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Posture training
sling avoid pain provoking positions joint oscillations pendulum exercises muscle setting |
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GH jt arthritis Subacute stage
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AAROM---> active exercise in pain free ROM
wand exercises submax isometrics - ER,AB Grade 3 sustained, 3/4 oscillations, capsular stretching low load resistance ROM posture training pendulum exercises self stretching |
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GH Jt arthritis chronic stage
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home ex program
self stretching posture scapular retract/ depress strength training |
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Idiopathic frozen shoulder
freezing |
intense pain at rest
2-3 weeks after onset: restriction in motion "acute phase" last 10-36 weeks |
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frozen shoulder
frozen |
pain only with movement
adhesions atrophy of deltoid, RC, biceps, Triceps last 4-12 mons |
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frozen shoulder
thawing |
no pain
capsular restrictions can last 2-24 months spontaneous recovery: 2 year onset |
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AC Sprain grade 1
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capsule injury
pain pt tenderness discoloration min pain with movement |
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AC sprain grade 2
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AC ligament torn
minor/partial tearing of CC ligament possible bump swelling pain with arm movement pt tenderness of CC area |
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AC sprain grade 3
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AC/CC ligament torn
step deformity severe pain patient holds arm at side popping sound with movement |
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SC joint lesion hyper/hypo mobility
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hyper- usually permanent due to no muscle support
hypo- due to poor posture (FHP and RSP) contributes to thoracic outlet |
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Clavicular fractures and treatment
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middle 1/3 clavicle affected most often
direct trauma small percentage by (FOOSH) treatment 1st week- no ROM/strengthening 2 weeks- stability- gentle ROM, pendulum exercises 4-6 weeks- start AROM, limit abduction to <80 deg and limit ER, strengthening isometric to deltoid and elbow ext/flex 6-8 weeks- ROM all ranges, isometric, isotonic |
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gr 1 jobe
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> 35
intrinsic- mechanical wear RC degeneration acromion variations degenerative changes in ac jt extrinsic capsular tightness RC/scap muscles with poor control poor posture muscle imbalances RC tears |
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gr 2 jobe
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capsular or labral micro trauma
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gr 3 jobe
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hypermobility due to weakness in scapular or humeral control
faulty mechanics increased translation of humeral head instability + secondary impingement |
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gr 4 jobe
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primary instability with no impingement
muscles controlling jt weak muscle imbalances |
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internal impingement
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SS/IS contacting posterior/superior labrum
overhead athletes patient history- instability |
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TUBS
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traumatic
unilateral/unidirectional bankart lesion surgery |
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AMBRII
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atraumatic
multidirectional bilateral involvement inferior capsular shift tightens capsule RIC no hx of trauma |
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line of defense vs instability
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1- labrum
2- capsule 3- 4 cuff muscles |
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anterior instability
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avoid- ER, horiz AB, flys end range, bench end phase
focus on IRs, ADD |
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inferior instability
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- secondary to RC weakness (common in pts w/CVA)
paralysis multi direc sulcus sign problems IGHL, SGHL, posterior labrum, post cap laxity avoid- arm overhead, allowing arm to hang unsupported, military press, shldr shrugs |
