How this injured structure will alter the force couple

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Reference no: EM133231676

Case: Maria is a 43 yo female medical assistant presenting to your outpatient OT clinic for lymphedema management s/p right axillary lymph node dissection 8 weeks ago. She is doing reasonably well since surgery and denies pain. When you ask her about her activity limitations, she mentions to you in passing that she is having some difficulty reaching up to the higher shelves in her home and her office. At the end of the session, she is putting her clothes back on and you notice her right scapula is noticeably projected off her rib cage as pictured below. There is a supplementary article attached here Gooding 2014.pdf Download Gooding 2014.pdf to help you with this discussion.

Question 1) What do you suspect is the involved structure (muscle) causing this scapular positioning?

Question 2) Describe how this injured structure will alter the force couple of the shoulder girdle with elevation of the arm overhead. Use two citations specifically for this portion of the question.

Question 3) Discuss potential activity modifications, adaptive equipment, one armed ADL strategies, exercises, modalities, etc that you think could be helpful in Maria's treatment. Share your clinical knowledge and experience with your peers.

Reference no: EM133231676

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