The Shoulder Workshop Exam

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8. Please match the shoulder motion with it's normal Range Of Motion

Flexion

Extension

Abduction

Adduction

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9. Please match the shoulder muscle with it's action.

Externally rotates the arm

aids in respiration, medial rotates the scapula protracts the scapula and draws the scapula inferiorly

Responsible for downward rotation of the scapula with the levator scapula, as well as adduction of the scapula

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11. For the massage group the mean Glenohumeral internal rotation range of motion was 31.9 degrees before massage and significantly improved to what degree after massage?

54.9 degrees

55.9 degrees

54.6 degrees

55.6 degrees

12. What is the disproportion between the large head of the humerus and the shallow glenoid cavity?

4 to 1

2 to 1

3 to 1

5 to 1

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14. How many people completed the study?

52

40

18

60

15. Did this study show that. "a decrease in the number of shoulder muscles with active myofascial trigger points is correlated with better outcome."

Yes

No

16. On the shoulder x-ray, please click on the appropriate label for the Acromioclavicular Joint.;

Label D

Label A

Label B

Label C

17. How many years clinical experience in physical therapy did the therapists have to have to be part of this trial?

At least 8 years experience

At least 4 years experience

At least 6 years experience

At least 10 years experience

18. Myofascial Trigger points can be divided into 2 categories.Please select both

Latent

Active

Acute

Chronic

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19. This Study took how many years to complete?

2

1

3

4

20. Which best describes the muscle in the image?

The muscle is Teres Minor and it is not a part of the Rotator Cuff.

The muscle is Teres Minor and it is a part of the Rotator Cuff.

The muscle is Scapular and it is not a part of the Rotator Cuff.

The muscle is Scapular and it is a part of the Rotator Cuff.

21. According to the authors, does the results of this study suggest that massage treatment for shoulder internal Range of Motion is more effective with clients that have had symptoms for less or longer duration

Less

Longer

22. The Disabilities of Arm, Shoulder and Hand (DASH) questionnaire is an internationally widely used multidimensional 30 - item self reporting measure. The scores range from 0 to 100.Which of the following statements are correct

A higher score indicates greater disability.

A lower score indicates greater disability.

23. Was B.M.I (Body Mass Index) taken into consideration?

Yes B.M.I was taken into consideration

No B.M.I was not taken into consideration

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25. The treatment group received manual compression of the MTrP's, manual stretching of the muscles, and what other form of treatment?

Intermittent cold application

Intermittent heat application

26. The Glenohumeral joint has how many degrees of unassisted flexion?

90 degrees

180 degrees

120 degrees

150 degrees

27. This muscle arises from the transverse processesof the first four cervical vertebrae and inserts intothe medial border of the scapula.

Trapezius

Pectoralis minor

Levator scapulae

Rhomboid minor

28. Which best describes the action of Subscapularis?

Internally rotates the humerus

Externally rotates the humerus

Adducts rotates the humerus

Abducts the humerus

29. During this study improvement of internal rotation Range of Motion was more obvious after massage in which muscle compared to the 2 other muscles studied.

Posterior Deltoid

Infraspinatus

Teres Minor

Supraspinatus

Teres Major

30. Please select the Rotator Cuff Muscles.You can select more than one.

Subscapularis

Teres minor

Infraspinatus

Supraspinatus

Teres Major

Pectiralis Major

Pectoralis Minor

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31. During abduction of the arm, moving it outwardand away from the trunk, the rotator cuff doeswhat to the glenohumeral joint?

Opens

Compresses

Limits

32. Which is the description used for Myofascial Trigger points in the paper?

Exquisitely tender spots in discrete bands of harden muscle that produce symptoms known as myofascial pain

33. Module 2.Which shoulder muscles were massaged during this trial. You can choose more than one.

Posterior Deltoid

Infraspinatus

Teres Minor

Teres Major

Supraspinatus

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34. Please select muscles that are not part of the Rotator Cuff.You can select more than one

Upper Trapizeus

Supraspinatus

Posterior Deltoid

Infraspinatus

Teres minor

Teres major

Subscapularis

Rhomboidus minor

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35. The massage techniques used on the massage group were?You can choose more than one

Petrissage

Rolling

Trigger point

Myofascial release

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36. The patients in the intervention group were treated by a physical therapist. What was the treatment schedule?

Twice weekly for a maximum of 12 weeks

Once weekly for a maximum of 12 weeks

Twice weekly for a maximum of 10 weeks

Once weekly for a maximum of 10 weeks

37. Arm flexion, The humerus is rotated out of theplane of the torso so that it points forward (anteriorly).Which muscles are involved in this motion?

Pectoralis major,

Subscapularis

Coracobrachialis

Biceps brachii

Supraspinatus

Deltoid

Latissimus dorsi

Teres major and minor

Infraspinatus

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38. Of the 3 measurements taken (internal ROM, FLEX-SF & 3 mean muscle tightness) which was the only one to decrease for the massage group at the end of the trial ?

3 mean muscle tightnes

FLEX-SF

Internal ROM

39. Please tick the various theories regarding the mechanisms of Stiff Shoulder (SS) mentioned in this paperYou can choose more than one

Adhesive capsulitis

Decreased capsular volume

Capsular contractions

Rotator interval thickening and fibrosis

Subscapularis tendon thickening

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40. The Glenohumeral joint has a loose capsule.Which direction is it most at risk of dislocation?

Inferiorly

Anteriorly

Posteriorly

Superiorly

41. Please match the muscle with its action

It fixes the scapula into the thoracic wall and aids in rotation and abduction of the shoulders.

The fibres are strongly involved in transverse extension particularly since the latissimus dorsi muscle is very weak in strict transverse extension. The posterior deltoid is also the primary shoulder hyperextensor.

Most of its actions flex and rotate the head. In regards to the shoulder, however, it also aids in respiration by elevating the sternoclavicular joint when the head is fixed.

This muscle aids in respiration, medially rotates the scapula, protracts the scapula, and also draws the scapula inferiorly.

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42. Which best describes the muscle in the image?

The muscle is infraspinatus and it is a part of the Rotator Cuff.

The muscle is infraspinatus and it is Not a part of the Rotator Cuff.

The muscle is Subscapularis and it is Not a part of the Rotator Cuff.

The muscle is Subscapularis and it is a part of the Rotator Cuff.

43. True or False.The authors of this paper believe that, The skin / subcutaneous tissue was not likely to affect results

True

False

44. True or False.This study did not intend to investigate the mechanisms of massage on internal rotation Range of Motion, but attempted to find the characteristics of patient that are responsive to massage.

True

False

45. Was there any correlations between tightness slope for each muscle and BMI ?

No there were no significant correlations between tightness slope for each muscle and BMI

Yes there was a significant correlations between tightness slope for each muscle and BMI

46. Which muscles are involved in Lateral (External) Rotation of the arm?

Posterior fibers of deltoid

Anterior fibers of deltoid

Supraspinatus

Teres minor

Teres major

Infraspinatus

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47. True or False. This study found that subjects with longer duration of symptoms, and higher functional status (high FLEX-SF scores), and more tightness in posterior deltoid have a higher possibility of being responsive to massage treatment

True

False

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49. Place the procedure in the correct order according to the paper.

First

Second

Third

Last

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50. Please match the results at the 12 week mark

18 (55%) of the 33 patients self reported improvement;

4 (14%) of the 28 patients self reported improvement

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The Shoulder Workshop Exam

1. Patients in the intervention group were instructed to perform stretches at home several times a day. Were they asked to do "static" or "dynamic" stretches?

2.

What first name or nickname would you like us to use?

2. Module 3 S.I.S. first described in 1867 by French Anatomist and Surgeon Jarjavay, is considered to be the most common cause of shoulder pain. What does S.I.S stand for? Please use correct spelling

3. Module 1.1. There are two kinds of cartilage in the shoulder joint. Articular cartilage is one, What is the other?

4. How many people from the control group didn't complete all sessions?

5. Of the diagnostic techniques mentioned in the paper, which is considered the only reliable clinical method of diagnosing Myofascial Trigger Points?

6. After 6 weeks improvement was reported by how many of the 33 patients in the intervention group?

7. Which Rotator Cuff muscle gets its innovation from the "Axillary Nerve" ?

8. Please match the shoulder motion with it's normal Range Of Motion

9. Please match the shoulder muscle with it's action.

10. Which type of myofascial trigger point did Simons et al., describe as."causes a clinical pain complaint. It is always tender, prevents full length of muscle, weakens the muscle,...

11. For the massage group the mean Glenohumeral internal rotation range of motion was 31.9 degrees before massage and significantly improved to what degree after massage?

12. What is the disproportion between the large head of the humerus and the shallow glenoid cavity?

13. How many massage clients were lost to follow up?(Opted to not continue with assessment)

14. How many people completed the study?

15. Did this study show that. "a decrease in the number of shoulder muscles with active myofascial trigger points is correlated with better outcome."

16. On the shoulder x-ray, please click on the appropriate label for the Acromioclavicular Joint.;

17. How many years clinical experience in physical therapy did the therapists have to have to be part of this trial?

18. Myofascial Trigger points can be divided into 2 categories.Please select both

19. This Study took how many years to complete?

20. Which best describes the muscle in the image?

21. According to the authors, does the results of this study suggest that massage treatment for shoulder internal Range of Motion is more effective with clients that have had symptoms for less or longer duration

22. The Disabilities of Arm, Shoulder and Hand (DASH) questionnaire is an internationally widely used multidimensional 30 - item self reporting measure. The scores range from 0 to 100.Which of the following statements are correct

23. Was B.M.I (Body Mass Index) taken into consideration?

24. The capsule that encircles the glenohumeral joint isstrengthened by the (what) ligament?

25. The treatment group received manual compression of the MTrP's, manual stretching of the muscles, and what other form of treatment?

26. The Glenohumeral joint has how many degrees of unassisted flexion?

27. This muscle arises from the transverse processesof the first four cervical vertebrae and inserts intothe medial border of the scapula.

28. Which best describes the action of Subscapularis?

29. During this study improvement of internal rotation Range of Motion was more obvious after massage in which muscle compared to the 2 other muscles studied.

30. Please select the Rotator Cuff Muscles.You can select more than one.

31. During abduction of the arm, moving it outwardand away from the trunk, the rotator cuff doeswhat to the glenohumeral joint?

32. Which is the description used for Myofascial Trigger points in the paper?

33. Module 2.Which shoulder muscles were massaged during this trial. You can choose more than one.

34. Please select muscles that are not part of the Rotator Cuff.You can select more than one

35. The massage techniques used on the massage group were?You can choose more than one

36. The patients in the intervention group were treated by a physical therapist. What was the treatment schedule?

37. Arm flexion, The humerus is rotated out of theplane of the torso so that it points forward (anteriorly).Which muscles are involved in this motion?

38. Of the 3 measurements taken (internal ROM, FLEX-SF & 3 mean muscle tightness) which was the only one to decrease for the massage group at the end of the trial ?

39. Please tick the various theories regarding the mechanisms of Stiff Shoulder (SS) mentioned in this paperYou can choose more than one

40. The Glenohumeral joint has a loose capsule.Which direction is it most at risk of dislocation?

41. Please match the muscle with its action

42. Which best describes the muscle in the image?

43. True or False.The authors of this paper believe that, The skin / subcutaneous tissue was not likely to affect results

44. True or False.This study did not intend to investigate the mechanisms of massage on internal rotation Range of Motion, but attempted to find the characteristics of patient that are responsive to massage.

45. Was there any correlations between tightness slope for each muscle and BMI ?

46. Which muscles are involved in Lateral (External) Rotation of the arm?

47. True or False. This study found that subjects with longer duration of symptoms, and higher functional status (high FLEX-SF scores), and more tightness in posterior deltoid have a higher possibility of being responsive to massage treatment

48. The treatments started with inactivation of Active Myofascial Trigger Points.What technique was used?

49. Place the procedure in the correct order according to the paper.

50. Please match the results at the 12 week mark