KIN428 Lecture Notes - Lecture 10: Thoracic Outlet Syndrome, Suprascapular Nerve, Brachial Plexus

• School: University of Waterloo
• Department: Kinesiology
• Course: KIN428
• Professor: Clark Dickerson

Document Summary

2015-11-18 (cid:1) (cid:1) (cid:1) (cid:1) (cid:1) (cid:1) (cid:1) (cid:1) (cid:1) Shoulder disorders iv frozen shoulder & neurovascular. Inflammatory disorder, characterized by pain, range of motion, shoulder stiffness, shrinkage of capsule, types (primary = idiopathic, secondary = traumatic/post-surgical. Adhesive capsulitis anatomy: inflammation and thickening of the shoulder capsule. Demographics: women are more at risk, 36% in type 1 diabetics. Autoimmune, inflammatory, paralytic, degenerative, traumatic, psychogenic, fibrogenic. Age (40-60 yrs), prior injuries, non-shoulder surgery, immobility, diabetes, thyroid disorders, neurological conditions, personality. Rom, pain with movement particularly near end range, pain night. Gh translation, painful/stiff shoulder, arthritis, muscle atrophy, intra-articular lesion due to manipulations, persistent disability. Eliminate pain source (if cervicle disc related), treat stiffness, prevent of initiation. Supervised neglect supportive therapy, passive strengthening, mobilization, within pain limits, Pain relievers nsaid, oral steroids, intr-articular steroid injection. Physiotherapy with nsaids relieve pain, maintain/improve rom. Intra-articular na+ hyaluronate injection - volume of capsule. Suprascapular nerve block freeze nerve, pain, injecting load anaesthetic to nerve.