FROZEN SHOULDER MANAGEMENT AND MANUAL TREATMENT STRATEGIES Self-Assessment Answers and Rationales 1. The correct answer is A. is for external rotation. This impairment is caused by thickening of the anterior capsular tissues, leading to significant pain in many patients. Radiographs of shoulders with idiopathic FS and adhesive capsulitis are often negative and unremarkable. FROZEN SHOULDER MANAGEMENT AND MANUAL TREATMENT STRATEGIES Final Examination Questions Select the best answer for each question and complete your test online at EliteLearning.com/Book 81. Plateaus in patient mobility improvement: a. Are defined by two weeks of unchanged motion in a compliant patient. b. Must be treated with MUA within four months. c. Will fail further physical therapy. d. Require mechanical stretch devices. 82. Idiopathic frozen shoulder symptoms typically resolve around: a. 15 months. b. Symptoms never fully resolve. Rationale: In both idiopathic FS and adhesive capsulitis conditions, the first and most pronounced loss of mobility
87. Proximal control with join mobilization: a. Places therapist's fingertips settling on top of the humeral head. b. Features applying manual contact directly on the shoulder joint. c. Increases the risk of applying a torque moment to the shaft of the humerus. d. Isolates motion to be only at the distal segment of the shoulder. 88. Which of the following interventions are recommended FS treatment? a. Laser. b. Ultrasound. c. Electrical stimulation. d. A&B. 89. The following is a positive indicator of eventual patient recovery: a. Discharge with 115° of elevation. b. Gifts from patients. c. Progressive ROM increases of 5° weekly. d. None of the above. 90. The following is a positive indicator of eventual patient recovery: a. Discharge with 115° of elevation. b. Gifts from patients. c. Progressive ROM increases of 5° weekly. d. None of the above. 91. What is the appropriate number for clinical visits in the settled stage of FS and adhesive capsulitis: a. 6-12. b. 20. c. 6-24. d. 12-20. 92. Dependent on patient tolerance, the optimal sleep position for a painful, stiff shoulder is: a. Sidelying. b. Supine. c. Use of a recliner. d. Supine with a 3 pillow “V” configuration. 93. Increased ROM deficits in patients with diabetes are seen in: a. External rotation. b. Elevation. c. Internal rotation. d. A&B.
c. 3.8 months. d. 3-6 months. 83. A combined treatment program that is most effective for shoulder stiffness is: a. Non-steroidal anti-inflammatory drugs (NSAIDS) and injection. b. ROM exercises in a home exercise program. c. MUA and physical therapy. d. Joint mobilization, home exercise program and adjunct modalities. 84. Rundquist and Ludewig conducted the seminal study that determined: a. Effects of skillful neglect on idiopathic FS. b. Optimal position for joint mobilization. c. The evidence-based order for restricted mobility treatment. d. The finding of reduced capsular volume on arthrogram. 85. In joint mobilization progression sequences, which position is noted in Phase 6? a. Posterior glides at neutral. b. Acromio-clavicular glides. c. Inferior glides with external rotation. d. Distraction mobilization. 86. Which is true regarding prevalence of frozen shoulder and adhesive capsulitis: a. Women are less prone to shoulder stiffness symptoms.
b. Men are less prone to shoulder stiffness symptoms. c. Women tend to have less capsular hyper-mobility across decades. d. Frozen shoulder is less common in patients with diabetes or thyroid disease.
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