1. The coordinated action of a scapular upward rotation and humeral abduction is known as the:

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Aldous Franklin
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2 1. The coordinated action of a scapular upward rotation and humeral abduction is known as the: a. Carrying angle of the arm b. Scapulohumeral rhythm c. Glenohumeral capsular pattern d. Abduction resistance pattern 2. Supraspinatus tears are so common primarily because of: a. The muscle s angle of pull b. The ratio of tendon size to muscle size c. High force loads placed on the muscle d. Subacromial impingement 2

3 3. A hooked acromion is a description of: a. The hook pattern of motion during abduction b. A bony extension that extends from the coracoid process c. A change in shape of the acromion process d. Bone spurs that develop under the supraspinatus muscle 4. A SLAP lesion refers to damage to which anatomical structure? a. The glenoid labrum b. Inferior glenohumeral ligament c. Subscapularis muscle d. Acromion process 3

4 5. If your client has a supraspinatus tear, it would be most painful with which evaluation procedure? a. Passive medial rotation b. Active medial rotation c. Resisted abduction d. Resisted lateral rotation 6. Active engagement techniques are particularly helpful for treating rotator cuff muscles because they: a. Help decrease inflammation b. Allow greater penetration of pressure c. Reduce scar tissue in damaged tendons d. Increase circulation to poorly vascularized tendons 4

5 Rotator Cuff Pathologies Structure/Biomechanics Review of 4 rotator cuff muscles Static and Dynamic Stabilizers Scapulohumeral rhythm Pathophysiology Partial and Full Thickness Tears of Supraspinatus What causes supraspinatus tears? Sub-acromial impingement Three types of acromion process and the significance of the hooked acromion Tissues likely affected in sub-acromial impingement Internal (articular side) impingement Relationship with SLAP (Superior Labrum Anterior Posterior) lesions Associations with joint capsule pathology Aggravating factors such as fluoroquinolone antibiotics Subscapularis tears and relationship to biceps tendon dysfunction Posterior rotator cuff pathology (tendinosis and tears) Subacromial bursitis Calcific tendinitis

6 Assessment Principles Strong reliance on range-of-motion and resistance testing Special Orthopedic Tests Treatment Principles Access challenges for supraspinatus Relationship with myofascial trigger points and other soft-tissue pathology Active engagement methods greatly enhance treatment effectiveness Deep friction, stripping, static compression and when these techniques are most beneficial

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12 1. The coordinated action of a scapular upward rotation and humeral abduction is known as the: a. Carrying angle of the arm b. Scapulohumeral rhythm c. Glenohumeral capsular pattern d. Abduction resistance pattern 10

13 2. Supraspinatus tears are so common primarily because of: a. The muscle s angle of pull b. The ratio of tendon size to muscle size c. High force loads placed on the muscle d. Subacromial impingement 3. A hooked acromion is a description of: a. The hook pattern of motion during abduction b. A bony extension that extends from the coracoid process c. A change in shape of the acromion process d. Bone spurs that develop under the supraspinatus muscle 11

14 4. A SLAP lesion refers to damage to which anatomical structure? a. The glenoid labrum b. Inferior glenohumeral ligament c. Subscapularis muscle d. Acromion process 5. If your client has a supraspinatus tear, it would be most painful with which evaluation procedure? a. Passive medial rotation b. Active medial rotation c. Resisted abduction d. Resisted lateral rotation 12

15 6. Active engagement techniques are particularly helpful for treating rotator cuff muscles because they: a. Help decrease inflammation b. Allow greater penetration of pressure c. Reduce scar tissue in damaged tendons d. Increase circulation to poorly vascularized tendons 13

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1. Which ethnic group is most susceptible to developing carpal tunnel syndrome? a. Hispanic b. African American c. Caucasian d.

1 1. Which ethnic group is most susceptible to developing carpal tunnel syndrome? a. Hispanic b. African American c. Caucasian d. Asian 2. Which of the following statements is most accurate about the median