Lecture #21 (Scapulothoracic Rehab) Flashcards

1
Q

What is the purpose of the scapula?

A

To position the GH joint into proper mechanics so shoulder and the hand can be used to work

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2
Q

What is scapula dyskinesis?

A

A muscular imbalance/loss of coordination/loss of rhythm due to force couple imbalances and proprioception deficiets

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3
Q

What are two force couples of the scapula?

A

1) serratus anterior-upper & lower trap-pec minor (rotation an dstability for sliding)
2) rhomboids- middle trap- levator (sliding and stability for rotation)

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4
Q

What is the main cause of shoulder dysfunction (such as impingement, anterior instability, and pain)?

A

Scapular mechanics

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5
Q

What muscles are tight in upper cross syndrome? What muscles are weakened?

A
Tight= Upper trap/levator scap and pec major/minor
Weak= Deep neck flexors and rhomboics/middle & lower trap
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6
Q

What is weak when the levator is tight? How does it rotate the scap?

A

Weak serratus anterior and lower trap; downward rotatin/eelevation of the scap

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7
Q

What is weak with a tight upper trap? How does it rotate the scapula?

A

Weak lower trap, middle trap, and rhomboids; upwardly rotates the scapula and elevates it; need serratus anterior to stabilize

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8
Q

What is weak with a tight pec minor? How does that rotate the scapula?

A

Weak rhomboids and middle trap; anterior tilting and protraction of the scapula (rounding); need upper and lower trap to stabilize

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9
Q

What force couple weakness results in winging of the scapula?

A

Serratus anterior, middle trap, and rhomboids (they are weak and thus cannot pull the medial border of the scapula back down)

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10
Q

What is a SICK scapula?

A

S-scapular malposition
I-inferior medial scapular winging
C- coracoid tenderness
K- scapular dyskinesis

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11
Q

What are Sarah Meeks exercises?

A

The ones done on a foam roller to keep the scapulas suspended in the air

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