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Management of the Hemiplegic Shoulder

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1.  With a non-moving scapula and passively moving humerus, subacromial trauma occurs at _______ degrees shoulder flexion and abduction.
  1. 45
  2. 60
  3. 90+
  4. None of the above
2.  All of the following are subluxation patterns EXCEPT:
  1. Inferior
  2. Anterior
  3. Superior
  4. Posterior
3.  Bob is a 75 year old male with left side hemiplegia. He is able to maintain static sitting balance while he is seated at the edge of his bed, and he demonstrates a flat lumbar back space in his low back. It is clear that he is sitting with lumbar flexion and thoracic flexion resulting in scapular abduction and humerus internal rotation. His pelvis is in:
  1. Anterior pelvic tilt
  2. Posterior pelvic tilt
  3. Pelvic Rotation
  4. Pelvic Obliquity
4.  Which joint is the only bony attachment of the upper limb to the axial skeleton?
  1. Glenohumeral joint
  2. Scapulothoracic joint
  3. Acromioclavicular joint
  4. Sternoclavicular joint
5.  A key landmark for the scapula is the ________________.
  1. Acromion
  2. Root of the spine
  3. Inferior angle
  4. All of the above
6.  A patient sitting in anterior pelvic tilt position with lumbar extension and thoracic extension will have:
  1. Scapular abduction and humerus external rotation
  2. Scapular adduction and humerus external rotation
  3. Scapular abduction and humerus internal rotation
  4. Scapular adduction and humerus internal rotation
7.  Trunk alignment is the foundation of all head, neck, and _______ movement.
  1. Digit
  2. MCP
  3. Limb
  4. Nose
8.  Optimal alignment of the trunk includes anterior pelvic tilt, lumbar extension, and thoracic _______.
  1. Rotation
  2. Extension
  3. Flexion
  4. Hyper-extension
9.  When completing external rotation, the client should lay supine with how much shoulder abduction?
  1. 45°
  2. 60°
  3. 90°
  4. 120°
10.  McConnel Tape/ Leukotape is _____________________.
  1. Very rigid and requires 2 layers of tape to protect the skin
  2. Light flexible tape
  3. Removes congestion (edema)
  4. Applied permanently to skin

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