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1. All of the following comprise the capsuloligamentous complex, EXCEPT?
A. Glenohumeral capsule
B. Acromioclavicular ligament
C. Coracohumeral ligament
D. Glenohumeral ligaments
2. Recent evidence implicates depressed serum cytokine levels as causing or resulting in a sustained intense and protracted inflammatory/fibrotic response affecting the synovial lining and capsuloligamentous complex in patients with adhesive capsulitis.
A. True
B. False
3. Patients with the diagnosis of shoulder pain associated with adhesive capsulitis typically present with which of the following?
A. A gradual and progressive onset of pain
B. Pain at end ranges of movements
C. Restricted ROM in elevation and rotation that occurs for at least 1 month and has either reached a plateau or worsened
D. Functional activities become increasingly difficult
E. All of the above
4. Which diagnostic classification do the following criteria indicate: patient's age is less than 40, history of shoulder dislocation, and excessive glenohumeral accessory motions in multiple directions?
A. Shoulder stability and movement coordination impairments/dislocation of shoulder joint, or sprain strain of shoulder joint
B. Shoulder pain and mobility deficits/adhesive capsulitis
C. Shoulder pain and muscle power deficits/rotator cuff syndrome
D. None of the above
5. Intervention strategies for high irritability shoulder pain and mobility deficits include which of the following?
A. Heat for pain modulation
B. End-range joint mobilization procedures
C. Pain-free passive ROM exercises
D. A and C
E. None of the above
6. Reactivity is a term used by rehabilitation practitioners to reflect the tissue's ability to handle physical stress, and is presumably related to physical status and the extent of inflammatory activity that is present.
A. True
B. False
7. Arthrographic findings associated with adhesive capsulitis include a joint capsule capacity of less than 10 to 12 mL and variable filling of the axillary and subscapular recess.
A. True
B. False
8. There are several outcome measures designed to assess patients with shoulder disorders. These tools can be classified as all of the following, EXCEPT?
A. Shoulder joint specific
B. Shoulder disease specific
C. Thoracic outlet specific
D. Upper limb specific
9. Clinicians should measure all of the following to assess the key impairments of body function and body structures in patients with adhesive capsulitis, EXCEPT?
A. Shoulder muscular endurance
B. Pain
C. Active shoulder ROM
D. Passive shoulder ROM
10. Studies performed involving use of corticosteroid injections, implicate which of the following as initial barriers to joint motion?
A. Fibrosis
B. Pain and muscle guarding
C. Adhesions
D. All of the above
11. Intra-articular corticosteroid injections combined with shoulder mobility and stretching exercises were found no more effective in providing short-term (4-6 weeks) pain relief and improved function compared to shoulder mobility and stretching exercises alone.
A. True
B. False
12. Clinicians should utilize patient education that includes which of the following?
A. Describes the natural course of the disease
B. Promotes activity modification to encourage functional, pain-free ROM
C. Matches the intensity of stretching to the patient's current level of irritability
D. All of the above
13. Several studies have examined the effect of joint mobilization in patients with adhesive capsulitis, and although there is evidence that it may be beneficial, there is little evidence to support superior efficacy over other interventions.
A. True
B. False
14. Tanaka et al attempted to identify the preferred management for limited glenohumeral motion. Which of the following statements is true regarding the 110 patients enrolled in the study?
A. The frequency of use of joint mobilization directly correlated with improved motion and time to plateau.
B. Greater compliance with the HEP had greater influence on motion return and time to motion plateau than frequency of joint mobilization.
C. Greater improvement in motion was observed in females
D. All of the above
15. The effect of adding specific scapulothoracic strengthening exercises to a physical therapy program was investigated. Both groups significantly improved in all outcome measures, with the group treated with scapular strengthening showing statistically greater active elevation ROM at 12 weeks.
A. True
B. False
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