3.Rotator Cuff Testing & AC Joint

Question 1

<p>DROP ARM - CODMANS - like grabbing slippery fish</p>

Answer 1

<p>ABD 90* & slowly lower arm to neutral Reason: See if ROT cuff tear or supraspinatus tendon rupture Assessment: ABD 90* & slowly lower arm to neutral Positive: Inability to perform slow, controlled ADD of arm to neutral Or severe pain</p>

Question 2

<p>EMPTY CAN - JOBES</p>

Answer 2

<p>Both arms ABD 90*Thumbs up
90* & slightly anteriorly w thumbs down

Reason:
Supraspinatus Tendinopathy

~~~
Assessment:
Both arms - 90*ABD Hor
pressure downwards
Both arms 90*ABD slightly ant
Apply pressure downwards
5 seconds
Observing for pain or discomfort
~~~

Positive:
Pain w resisted supraspinatus contraction

Clinical Impression:
Pain possibly due - supraspinatus mm or tendon tear or suprascapular nerve neuropathy</p>

Question 3

<p>HAWKINS-KENNEDY IMPINGEMENT *supraspinatus*</p>

Answer 3

<p>90* FLEX forward, ADD & MED ROT
Look for expression of pain

Reason:
Supraspinatus Tendinopathy

Positive:
Pain @ shoulder w medial ROT

Clinical Impression:
Pain possibly due - supraspinatus Tendinopathy</p>

Question 4

<p>HAWKINS-KENNEDY IMPINGEMENT - Dumn guy</p>

Answer 4

<p>90* FLEX forward, ADD & MED ROT
Look for expression of pain

Reason:
Supraspinatus Tendinopathy

Positive:
Pain @ shoulder w medial ROT

Clinical Impression:
Pain possibly due - supraspinatus Tendinopathy</p>

Question 5

<p>NEERS IMPINGEMENT</p>

Answer 5

<p>SCAPTION ( oblique angle between forward FLEX & ABD)
THUMBS DOWN & then UP

Reason:
Supraspinatus Tendinopathy
AC Joint Pathology

Assessment:
SCAPTION with Thumbs down, then up</p>

Question 6

<p>AC SHEAR - AC Pathology</p>

Answer 6

<p>form an A & C with hands

Reason:
Abnormally large amounts of movement at ACJ w compression

~~~
Assessment:
Find Spine of Scap
Find Clavicle
Interlock fingers and form an A over shoulder
Apply pressure with both hands
~~~

Positive:
Abnormally large amounts - movement - ACJ w compression

Clinical impression:
Abnormally large amounts - movement @ACJ w compression possibly due to AC joint pathology</p>

Question 7

<p>SERRATUS ANT WEAKNESS aka “PUNCH OUT”</p>

Answer 7

<p>Fist, push up into therapist hand

Reason:
SERRATUS ant mm weakness

Assessment:
Standing,
90* Shoulder FLEX</p>

Question 8

<p>SPEEDS TEST - STRAIGHT ARM - BICEP TEST</p>

Answer 8

<p>90* Forward ABD, Hand Pronated & then Supinated Reason: Bicipital Tendinopathy Assessment: 90* Forward ABD, Hand Pronated & then Supinated Pressure on arm to test for strength Positive: Pain near bicipital groove NBN - Negative but notable: Weakness w resisted supination - indicates possible rupture of distal bicipital tendon Clinical Impression: Pain due to bicipital tendinosis</p>