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Rotator Cuff Tendinopathy and Upper Trapezius Effects

1. Rotator cuff tendinopathy is defined as a mechanical entrapment of the subacromial soft tissue underneath the acromial arch during arm elevation.

A. True B. False

2. How does the upper trapezius muscle contribute to normal scapular motion?

A. The UT muscle elevates the scapula during arm elevation. B. The UT muscle rotates the scapula during arm elevation. C. The UT muscle elevates and rotates the scapula during arm elevation. D. The UT muscle does not play a role in normal scapular motion.

3. Muscle shear modulus is linearly related to both active and passive muscle force.

A. True B. False

4. Compared to asymptomatic athletes, athletes with rotator cuff tendinopathy exhibited all of the following, except:

A. Higher UT shear modulus when passively positioned at 30 degrees of shoulder abduction. B. Higher UT shear modulus during the resting arm position at 0 degrees of shoulder abduction. C. Higher UT shear modulus during active arm holding. D. Compared to asymptomatic athletes, athletes with rotator cuff tendinopathy exhibited higher UT shear modulus under all arm positions.

5. The higher UT shear modulus values measured during the active tasks in athletes with rotator cuff tendinopathy are most likely explained by intrinsic changes in muscle mechanical properties.

A. True B. False

6. Increased UT activation has which of the following clinical consequences?

A. Decreased activation level. B. A delayed onset activation of serratus anterior and lower trapezius. C. An altered scapular kinematics related to a greater superior translation of the scapula with less efficient upward rotation and posterior tipping. D. Increased UT activation has decreased activation level, a delayed onset activation of serratus anterior and lower trapezius, and an altered scapular kinematics related to a greater superior translation of the scapula with less efficient upward rotation and posterior tipping.

7. The difference in passive tension can only be assessed using:

A. Electromyography B. Elastography C. Somatosensory evoked potentials D. Autonomic testing

8. The upper trapezius is significantly more stretched at _____ degrees of shoulder abduction.

A. 0 B. 30 C. 60 D. The UT experiences the same stretch at all degrees of shoulder abduction.

9. Active tension is related to the muscle extensibility.

A. True B. False

10. Individuals with forward shoulders may have stiffer upper trapezius.

A. True B. False

11. Athletes with UT passive shear modulus greater than _____ kPa may have higher risk of developing rotator cuff tendinopathy.

A. 11.8 B. 12.0 C. 12.2 D. 12.4

12. This cross-sectional study was able to determine that the observed changes in UT shear modulus are the cause of rotator cuff tendinopathy.

A. True B. False


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