Somo 1Palpation, mazingatio maalum kwa maumivu ya usiku, nafasi za kulala, na mifumo ya dalili zinazohusiana na mzigoSehemu hii inashughulikia palpation iliyolengwa ya rotator cuff na bursa, kutafsiri mifumo ya maumivu, na jinsi maumivu ya usiku, nafasi ya kulala, na tabia ya dalili zinazohusiana na mzigo hutofautisha maumivu ya subacromial kutoka kwa hali zingine za bega na za shingo.
Palpation of supraspinatus and infraspinatus tendonsIdentifying subacromial bursal tendernessInterpreting night pain and sleep disturbanceAdvising shoulder-friendly sleep positionsLoad-response patterns in daily and sport tasksSomo 2Tathmini ya safu ya mwendo na kinematics za scapula: ROM ya kazi dhidi ya passiv, kupunguza scapula juu, kupunguza nyuma, na vipimo vya upanuziSehemu hii inaeleza jinsi ya kutathmini safu ya mwendo ya bega ya kazi na passiv na kinematics za scapula, ikijumuisha kupunguza juu, kupunguza nyuma, na upanuzi, na jinsi ya kuhusisha matokeo ya mwendo na maumivu, utendaji, na kupanga mazoezi.
Measuring active and passive glenohumeral ROMIdentifying painful versus restricted end rangesObserving scapular upward rotation and timingAssessing scapular posterior tilt and protractionLinking movement findings to exercise selectionSomo 3Kutathmini sababu za kisaikolojia na kuepuka kwa woga: zana za kusafisha fupi na mikakati ya mahojianoSehemu hii inashughulikia mchango wa kisaikolojia kwa maumivu ya bega, ikijumuisha kuepuka kwa woga, catastrophizing, na hisia ya chini, na inaelezea zana za kusafisha fupi na mikakati ya mahojiano ya kuingiza sababu hizi katika tathmini na kupanga matibabu.
Recognizing fear-avoidance and catastrophizingBrief screening questionnaires for shoulder painOpen-ended questions to explore patient beliefsValidating distress while promoting self-efficacyIntegrating psychosocial findings into rehabSomo 4Kuchukua historia maalum kwa maumivu ya bega: mwanzo, sababu zinazochochea/punguza, maumivu ya usiku, mahitaji ya shughuli (tenisi, kazi ya kompyuta)Sehemu hii inalenga kuchukua historia iliyolengwa kwa maumivu ya bega, ikijumuisha mfumo wa mwanzo, sababu zinazochochea na zinazopunguza, maumivu ya usiku, mahitaji ya kazi na michezo, na matibabu ya awali, ili kuongoza utengenezaji wa dhana na tathmini ya kibinafsi.
Clarifying onset, trauma, and symptom progressionMapping aggravating and relieving activitiesExploring night pain and 24-hour symptom patternWork demands such as computer and manual tasksSport and overhead activity load profilingSomo 5Vipimo vya kimatibabu muhimu kwa maumivu ya subacromial na tendinopatia ya rotator cuff: painful arc, empty can/full can, resisted external rotation, Hawkins-Kennedy, Neer impingement testSehemu hii inaelezea vipimo muhimu vya kimatibabu kwa maumivu ya subacromial na tendinopatia ya rotator cuff, ikijumuisha utendaji, tafsiri, na thamani ya utambuzi wa painful arc, empty can/full can, resisted external rotation, Hawkins-Kennedy, na Neer impingement test.
Standardized test order and patient positioningPerforming and interpreting the painful arc testEmpty can and full can test technique and pitfallsResisted external rotation and lag signsHawkins-Kennedy and Neer impingement proceduresSomo 6Kutafsiri ripoti za picha (ultrasound, MRI) na kuingiza na matokeo ya kimatibabu: machozi ya sehemu fulani dhidi ya yote, ishara za tendinopatiaSehemu hii inaeleza jinsi ya kutafsiri ripoti za ultrasound na MRI kwa maumivu ya subacromial, kutofautisha machozi ya rotator cuff ya sehemu fulani dhidi ya yote, kutambua ishara za tendinopatia kwenye picha, na kuingiza matokeo haya na uchunguzi wa kimatibabu na dalili za mgonjwa.
Key ultrasound findings in rotator cuff tendinopathyMRI features of partial- and full-thickness tearsCorrelating imaging severity with symptomsCommon incidental findings and their relevanceCommunicating imaging results to patientsSomo 7Kupima nguvu na tathmini ya uvumilivu wa mzigo: nguvu ya isometric, vipimo vya resisted kwa supraspinatus na rotators za nje, maumivu dhidi ya udhaifuSehemu hii inaonyesha mbinu za kutathmini nguvu ya bega na uvumilivu wa mzigo, ikijumuisha vipimo vya isometric, vipimo vya resisted kwa supraspinatus na rotators za nje, na mikakati ya kutofautisha kizuizi cha maumivu kutoka kwa udhaifu wa kweli wakati wa uchunguzi wa kimatibabu.
Standardized isometric strength testing positionsResisted supraspinatus testing and interpretationAssessing external rotator strength and enduranceDifferentiating pain inhibition from true weaknessDocumenting strength changes over rehabilitationSomo 8Alama nyekundu na lini kurejelea: ishara za kimfumo, radiculopathy ya shingo, ugonjwa wa kuvimba, septic arthritisSehemu hii inachunguza alama nyekundu zinazohitaji rejea la kimatibabu, ikijumuisha ishara za kimfumo, radiculopathy inayoshukiwa ya shingo, arthropathy ya kuvimba, kuvunjika, na septic arthritis, na inaonyesha maamuzi kwa njia za rejea za dharura dhidi ya za kawaida.
Systemic signs suggesting serious pathologyScreening for cervical radiculopathy featuresRecognizing inflammatory and autoimmune diseaseIdentifying possible septic arthritis or fractureCriteria for urgent versus routine referralSomo 9Ukaguzi wa anatomia: rotator cuff (supraspinatus, infraspinatus, teres minor, subscapularis), bursa, acromion na arch ya coracoacromialSehemu hii inachunguza anatomia ya kazi ya rotator cuff, bursa ya subacromial, acromion, na arch ya coracoacromial, ikisisitiza jinsi muundo, mishipa ya damu, na biomekaniki inavyohusiana na maumivu ya subacromial, overload ya tendon, na mabadiliko ya kawaida ya kuzorota.
Roles of supraspinatus and infraspinatus in elevationSubscapularis and teres minor in rotation controlSubacromial bursa structure and pain generationAcromion shape and coracoacromial arch mechanicsAge-related changes in rotator cuff tissues
