PTHY6401KinesiologyI

ExamIIStudyGuide,Fall2010 ShoulderGirdle Infoaboutthetest:~50questions,allscantronbubblesheet Labcontent(15)thatwillbeonlectureexam:

1. KnowtheMMTGradingScale;bothwordandnumberscale(Reese) 2. Knowthelandmarksusedforperformingshouldergirdlegoniometry(Reese&Bandy) 3. KnowNormal/AverageROM(indegrees)forthegoniometricAROMmeasuresattheshoulder. 4. Knowtheproceduresforperformingscapular&shoulderMMT(Reese);ie.patientposition,matchmuscles withmovements,wheretoapplyresistance,etc.. 5. Knowtheanatomy/locationoftheshouldergirdlestructureslistedonthepalpationsectionofthelab handout.Knowtheapproachyoutaketothesestructures(ie.ptposition,processforfindingdifficult structures) 6. KnowtheabbreviationsandsymbolsfromtheKinesiologyAbbreviationList(fromUnit1material). 7. Describetheplaneofthescapula.DescribethemovementcalledScaption. 8. Nameandclassifyeachjointoftheshouldergirdle;knowtheosteokinematicmovementsthatoccuratthe glenohumeral,acromioclavicular,sternoclavicularandscapulothoracicarticulations. 9. KnowtheligamentsthatsupporttheACjointandGHjoint. 10. KnowtheapplicationofConvexConcaveRuletotheglenohumeralandsternoclaviculararticulationsAND APPLYtherulestodescribetheassociationbetweenanosteokinematicandarthrokinematicmovementat theglenohumeraljointonly.Example:Asthehumerusabductsonthescapula,whichwaydoesthe humeralheadrollandslide?Answer:rollssuperiorly,slidesinferiorly.Whataboutthearthrokinematicsof internalandexternalrotation(withthearmheldattheside)?PlaceemphasisonnotesifNeumannCh5 offersadifferentopinion. 11. Whatistheglenoidlabrumandwhatpurposedoesitserve? 12. Knowthecontentsofthesubacromialspace;includingwhatcomposestheroofandfloor.Howdowe typicallyavoidorreducethecompressiveforcesoccurringinthesubacromialspaceduringoverhead movementssuchasabductionorscaption? 13. Knowthelocationandfunctionofthesubacromial&subdeltoidbursae. 14. Knowthespecificconcentricaction(s)andinnervation(nervesupply)ofthemusclesoftheshouldergirdle. Also,understandhoweachmusclewouldfunctioneccentrically. 15. Forthescapularmuscles,analyzewhichmuscleswouldhavetobestabilizingthescapulasothatmuscles likerotatorcuff,deltoid,biceps/tricepscancauseosteokinematicmovementofthehumerus.Also, conceptualizehowtheshouldergirdlemusclesfunctiontogetherasforcecouples(know3ormore examplesofforcecouplesattheshouldergirdle) 16. Whatarethefunctionsoftherotatorcuffasawhole. 17. Explainthestaticanddynamicstabilityoftheglenohumeraljoint;whatstructuresplayapartinthese functions? 18. Knowthecontributionoftheglenohumeraljointandthescapulaintheperformanceofabduction(ie. scapulohumeralmotion/rhythm).

19. ReadalloftheSpecialFocussectionsinNeumannchapter5andbepreparedtoanswerquestionsfromthe contentofthosesections(conceptsmayoverlapwithotheritemsonthisreviewsheet).TheClinical Connection51isreallygreatinfobutisoptionalforpurposesoftheexam. 20. Figure556,pg162:knowtheorder(ascending&descending)oftorqueoutputfortheshouldermuscle groups.Knowledgeofspecifictorquenumbersnotnecessary. 21. Beabletobrieflydefine/describeeachofthesepathologies:shoulderimpingement,shoulderdislocation, shoulderseparation,shouldersubluxation,thoracicoutletsyndrome. 22. MovementAnalysis:Analyzescapular&shoulderosteokinematicsANDmusclescontractingduringthe performanceofcommonUEmovements/exercises;describethemuscleactivityoccurringanddescribethe musclecontractionsaseitherisometric,concentric,oreccentric(concentratingonprimemovers,not synergists).