1. General Shoulder Girdle Tests

Question 1

Scapulohumeral Rhythm

Answer 1

Purpose: Coordination of Scapula and Humerus during movement Hand on clients scap, ABD arm 180* 180* ABD = 120* GHJ + 60*Scapulothoracic J Positive: Altered Scapulothoracic Rhythm. Muscle weakness in scap region - possible start - Frozen shoulder

Question 2

Apleys Scratch

Answer 2

Both hands behind clients back Reason: See if there is any limitation in upper limb Standing/Seated 1 Hand - Palmar Surface along SP’s as inf as possible 1 Hand - Dorsal surface - handcuff position, as sup as possible along SP’s Positive: Wrist deviation, pain or inability to reach, trunk Hyperextension, trunk rotation Findings: Possibly muscular/capsular. Further testing req

Question 3

PAINFUL ARC

Answer 3

180* ABD, Active Reason: To see - Subacromial bursitis, ROT cuff issue 50 - 120* = ROT Cuff 170-180* = AC Joint Positive: Pain or discomfort during movement, Calcification - Grinding & Clicking