Marjorie has been experiencing pain in her shoulder. During a consult with a phy

Question

Marjorie has been experiencing pain in her shoulder. During a consult with a physical therapist, Marjorie reveals that she has had no memorable injuries to the joint (or significant injuries anywhere). She maintains a very low level of physical activity, making no specific effort to exercise. Marjorie assumes it is bursitis; but, after thorough examination, the PT tells Marjorie that her shoulder is depressed. “I have a sad shoulder?” Marjorie asks in disbelief. The PT explains that no, it is anatomically depressed: the scapula is literally sagging down, pulling on tendons and ligaments, and causing discomfort. The PT assures Marjorie that exercises designed to strengthen the shoulder muscles should alleviate her pain. 1)Is the PT full of it or on to something (ie, is this possible)? Explain. 2)What type of joint is, and types of movement allowed by, the shoulder? 3)Name three muscles the PT might target for strengthening.

Explanation / Answer

1.This is possible because of automatic depressions of joints and sagging down of scapula which pulls down tendons and ligaments.

2.The shoulder joint is the mobile joint and types of movements allowed by shoulder joint are adduction, abduction, flexion, extension, internal rotation, external rotation, 360° circumduction in digital plane.

3. The three muscles are:

*the core or transverse abdominus muscle,

*muscles in back of hip which includes hip extensors , abductors and external rotators,

*muscles of the lower back.

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