CA Physical Therapy Summary EBook

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Evaluation and Treatment of Rotator Cuff Impairments: Summary

Evaluation and Treatment of Rotator Cuff Impairments 2 Contact Hours

ACCESS THE FULL VIDEO PRESENTATION Scan the QR CODE ► to start video or visit https://uqr.to/rotorcuff

Author James Menz, MS, CES

Jim began his teaching career in 2001 in Delaware. He created curriculum for personal training and massage courses at vocational schools before earning his master’s degree and teaching at the college level. Jim has traveled the country presenting continuing education for allied health professionals and is the author of “Heart Great Training: The Personal Trainer’s Guide to the Cardiovascular System.” Jim serves as the chair of Health Sciences at Missouri Valley College. In his spare time, Jim is an amateur drummer aspiring to someday achieve fame and incalculable wealth.

LEARNING OUTCOMES ● Identify the orientation, major bony landmarks, and translation and rotation movements of the scapula ● Define the muscles of specific scapula movements and basic concepts of biomechanics ● Identify the locations and functions of the muscles of the rotator cuff

● Define impingement and recall the functional and occupational limitation consequences of joint misalignment ● Identify specific muscular imbalances that produce misalignments that lead to limitations in functional activities for patients ● Recognize a corrective protocol to address muscle imbalances and improve patient outcomes

SELF-ASSESSMENT QUESTIONS

2. Which of the rotator cuff muscles is an internal rotator of the humerus?

1. Which muscle is not an upward rotator of the scapula?

a. Teres minor b. Infraspinatus c. Supraspinatus d. Subscapularis

a. Upper trapezius b. Levator scapula c. Lower trapezius d. Serratus anterior

THE CORRECT ANSWER IS B. Rationale: Remember that scapular

THE CORRECT ANSWER IS D. Rationale: Recall TISS, which represents the location of the rotator cuff muscles from back to front: Teres minor, infraspinatus, supraspinatus, subscapularis. The subscapularis inserts on the anterior humerus and rotates it internally (medially). Chronic internal rotation of the humerus shortens this muscle, reducing its ability to stabilize the humerus on the glenoid fossa.

rotation is determined by the direction of the acromion process, which is the superior lateral aspect of the bone. The levator scapula inserts at the superior angle, which is on the medial edge. Pulling up on the medial corner rotates the acromion process downward.

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