5010 Special Tests (Shoulder)

Question 1

Provocation/Special tests for…

Answer 1

Reproduce same symptoms

Test for joint stability

Question 2

Provocation/Special Tests Palpate for…

Answer 2

AC joint- sprain or DJD
SC joint- sprain
Supraspinatus Tendon- tendonitis (flat broad region in from of accordion process). Health= feel nothing
Infraspinatus tendon- tendonitis, sitting 90° flex, horrid add, and ER. Find post/late corner of accordion and drop inferiorly 1cm.
Biceps tendon- tendonitis

Question 3

Provocation/Special Tests: Resisted Isometric Testing

4 Findings

Answer 3

Strong, no pain
Strong, painful
Weak, painful
Weak, no pain

Question 4

Impingement Syndrome Tests

Answer 4

Neer (Overhead)
Hawkins-Kennedy
Coracoid
Posterior (Internal)

Question 5

Neer (Overhead) Impingement Test

Answer 5

Sitting: stabilize spine of scap to prevent post tipping & trunk extension. Passively IR shoulder and elevate/flex in plane of scap. End-range over-pressure reproduces pain as subacromial structures are compressed.
Thumb down (IR)= surpaspinatus
Thumb up (ER)= long head of biceps

Question 6

HAwkins-Kennedy Impingement Test

Answer 6

Sitting, elevate shoulder to 90° in plane of scap. Perform passive medial rotation to end range. Pain at overpressure indicates compression of supraspinatus against acromion???

Question 7

Coracoid Impingement Test

Answer 7

Same as Hawkins-Kennedy but performed with horizontal adduction across midline.
Test of lesser tubercle impinging against medial coracoid process.

Question 8

Posterior (Internal) Impingement Test

Answer 8

Supine, 90° ABD, 10° horizontal ADD,passively ER shld.

If “pinching pain” = + test