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Shoulder Exam - Coggle Diagram
Shoulder Exam
Part 1
Patient History/Interview
Penn Shoulder Score
Pain
Patient satisfaction
Function
MCID: 11.4 points
SPADI
Paint elicited w/ different movemnts and positions
Level of ability/disability
MCID: 8 points
DASH
encompasses entire UE
questions about function
include work & sport subscales
MCID:10.83 points
Shoulder Specific interview Questions
Age
MOI
Dominant hand?
Functional limitations
Aggravating/easing movements/positions
Symptom behavior/description
Duration of symptoms
Spasm/deformities/numbness
Weakness or "heaviness"
Observation
Anterior view
Posture
Resting position/symmetry
gross deformities
Step deformity/subluxation at AC joint
SC joint subluxation/dislocation
GH joint dislocation
Pectoralis injury
Posterior view
Posture
Resting position/symmetry
gross deformities
Scapula position vs dyskinesia
Static Scapular position
Scapular dyskinesis (KIBLER CLASSIFICATION)
Pattern 1
: Inferomedial angle of the scapula is displaced posteriorly from the posterior thorax and is prominent during dynamic observation and palpation.
Pattern 2
: Entire medial border of the scapula is displaced posteriorly from the posterior thorax and is prominent during dynamic observation and palpation
Pattern 3
: Early scapular elevation or excessive/insufficient scapular upward rotation (dysrhythmia) during dynamic observation and palpation compared with asymptomatic side
Pattern 4
(normal)
2 more items...
Mixed patterns
: Mixed conditions of abnormal patterns: (1) patterns 1+2; (2) patterns 2+3; (3) patterns 1+3; (4) patterns 1+2+3
Causes
5 more items...
Part 2
Physical Exam
AROM
PROM
Resisted movement (MMT)
Accessory joint mobility
Palpation