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19 Cards in this Set
- Front
- Back
What is a capsular pattern?
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Limited ER (30), ABD (90), IR and FLEX (120)
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What are potential causes of adhesive capsulitis
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1) Idiopathic
2) Stiffness following trauma or immobilization |
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What is adhesive capsilitis?
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1) fibrosis of the capsule
2) non-inflammatory 3) Increased collagen to axillary fold 4) Increased serum lipids (diabetics) |
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What type of person tends to develop adhesive capsulitis?
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Females, > 40 yo, Type I diabetic
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What are the 3 phases of adhesive capsulitis?
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1) Freezing (painful) ohase
2) Frozen (stiff) phase 3) Thawing phase |
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How long does the freezing phase last w/ adhesive capsulitis?
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2 to 9 months
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How long does the frozen (stiff) phase last w/ adhesive capsulitis?
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4 to 12 months
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How long does the thawing phase last w/ adhesive capsulitis?
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1 to 9 months
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Describe the freezing (painful) phase of adhesive capsulitis
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1) Pain at rest
2) Decreased capsular mobility 3) Loss of motion even w/ anesthetic |
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Describe the frozen (stiff) phase of adhesive capsulitis
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1) Pain at end range
2) Stiffness in capsular pattern 3) Atrophy of muscles |
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Describe the thawing phase of adhesive capsulitis
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1) Gradual increase of motion
2) Variation of pain at end range |
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What are sx of adhesive capsulitis
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1) Limited ROM
2) Decreased jt. mobility (decreased ANT/INF glides) 3) Pain at rest, night, C5 derm, bicep tendon, empty end feel 4) Arthrography |
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What are some different dx for adhesive capsulitis?
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1) bicep tendintis
2) bursitis 3) impingement/supraspinatus tendinitis |
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What tx is done for adhesive capsulitis?
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1) A/PROM exercises-take to end feel and add a glide (ANT/INF)
2) Joint mobes (grades 1-5) |
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Which joint mobe grades decrease pain?
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Grades I and II
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Which joint mobe grades creates tissue resistance?
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Grades III and IV
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Which joint mobe grade is a manipulation?
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Grade V
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How long do you hold a high intensity joint mobe?
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5 to 10 sec
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How long do you hold a low intensity joint mobe?
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2 to 5 min (if elbow, could be up to 4 to 8hrs)
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