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case study Adhesive capsulitis (what is it? (restricted in all motions in …
case study Adhesive capsulitis
step 1
observation
functional quick test
AROM
if pain, you MUST
check passive
PROM
external rotation
abduction
pain
apley's scratch
gross assessment of combined movements
look at capsular pattern
flexion
internal rotation
abduction
external rotation
palpation
bony
posterior scapula
soft tissue
tendinous insertions of rotator cuff muscles
investigate
joint mvmt /mobility
what is it?
restricted in all motions in capsular pattern
must
chief complaint
overhead reach
2 months
onset bra fastening
special test can mimic motion?
seen in older
Step 2
specific region of pain
muscle strength testing
stabilize prox
active resisted test
contraction through full ROM
identify underlying tendon
arm is irritated
take out of gravity's way
DON'T progress tear
NOT A BRAKE TEST
step 3
neurological testing
no need for dermatomes
yes to DTR's
integrity of nerve
myotomes
differential diagnosis
magee
pg 258
ruling in?
rotator cuff degen
special tests
empty can
drop arm
PROVOKES
supraspinatus
muscle weakness
AMBRI TUG
ruled out
cervical spondyloisis
radiculopathy
cervical spine
spurling's (foraminal comp)
ULTT