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special tests > all upper limb special tests > Flashcards

all upper limb special tests Flashcards

1
Q

What is the Hawkins kennedy test testing for?

A

sub-acromial impingement

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2
Q

description of Hawkins Kennedy

A

face client
arm into shoulder and elbow flexion with internal rotation
one arm ontop of shoulder and under elbow
apply pressure to wrist internal rotating

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3
Q

Positive Hawkins Kennedy?

A

reproduction of symptoms (pinching)

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4
Q

Neer’s test?

A

Sub acromial impingement

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5
Q

Description of Neer’s test

A 
stand beside patient
anatomical position 
one hand on scapula 
other above elbow
flex shoulder (Painful arc)
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6
Q

Positive Neer’s

A

reproduction of symptoms (Pinching)

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7
Q

Empty can

A

supraspinatus integrity

sub-acromial impingement

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8
Q

Description of empty can

A

abduct arem
Internally rotate / thumbs down
apply downward force

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9
Q

Positive empty can

A

reproduction of symptoms

poor strength to keep arm in position may identify complete rupture of supraspinatus

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10
Q

Full can test

A

Supraspinatus integrity

distinguish between supraspinatus and deltoid

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11
Q

Description of full can

A

abduct and externally rotate arm /thumbs up

apply downward force

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12
Q

Positive full can

A

anterior deltoid fibres will contract if in tact, meaning supraspinatus injury

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13
Q

Apprehension test

A

shoulder instability /impingement

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14
Q

Description of Apprehension

A

supine
abduct and externally rotate shoulder
flex elbow
push down on wrist

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15
Q

positive apprehension test

A

client does not allow full ROM

apprehension on face

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16
Q

Jobe relocation

A

shoulder instability

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17
Q

description of jobe relocation

A

abduct and externally rotate shoulder
elbow flexed
stabilise shoulder
push down on wrist

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18
Q

positive jobe relocation

A

client more comfortable

can take shoulder through range

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19
Q

Gerber’s lift off

A

disruption of subscapularis

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20
Q

description of Gabers lift off

A

stand behind
client hand onto lower back
client attempts to move hand away while movement resisted

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21
Q

positive Gabers lift off

A

reproduction of symptoms

weakness

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22
Q

belly press

A

disruption of subscapularis

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23
Q

description of belly press

A

hand on upper belly

client places palm on examiners hand and tries to push against it

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24
Q

positive bell press

A

look for posterior movement of elbow

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25
Q

bear hug

A

rotator cuff pathology

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26
Q

description of bear hug

A

client places hand on opposite shoulder

apply pressure on forearm while client resists

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27
Q

positive bear hug

A

unable to keep palm on shoulder

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28
Q

anterior drawer

A

shoulder laxity

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29
Q

description of anterior drawer

A

stand behind
stabilise scapula with thumb and and clavicle with fingers
find humeral head between thumb and fingers and push forwards

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30
Q

positive anterior drawer

A

clear movement/gapping

31
Q

posterior drawer

A

shoulder laity

32
Q

Description of anterior drawer

A

stand behind
stabilise scapula with thumb and and clavicle with fingers
find humeral head between thumb and fingers and pull backwards

33
Q

positive anterior drawer

A

clear movement/gaping

34
Q

sulcus test

A

shoulder laxity

35
Q

description of sulcus test

A

stand behind one hand on shoulder holding humeral head

pull arm down above elbow

36
Q

positive sulcus test

A

increase / visible gap

groove appears below edge of cromion

37
Q

scarf tests

A

ACJ

38
Q

description of scarf

A

face client
shoulder flexed 90
assist adduction while slightly being the elbow
hand and wrist should lie on opposite shoulder
apply pressure to back of elbow

39
Q

positive scarf

A

pain in joint

40
Q

monkey grip

A

ACJ

41
Q

description of monkey grip

A

elbow flexed
shoulder abducted
internal rotation
link fingers and full apart

42
Q

positive monkey grip

A

ACJ pain = positive test

43
Q

O’Briens

A

SLAP lesion

44
Q

Description of O’Briens

A 
90 shoulder flexion
internal rotation 
10 adduction (across body)
client resists downward pressure
45
Q

positive O’Brien’s

A

pain on resistance external rotate, if this is pain free= positive test

46
Q

Yergarson’s

A

bicep brachii strain

47
Q

description of Yergarson’s

A

fully extended arm
forearm pronated
on hand on shoulder other on wrist
client attempt to flex and supinate forearm against resistance

48
Q

positive Yergarsons

A

reproduction of symptoms

pain/weakness

49
Q

speeds test

A

bicep brachii strain particularly long head

50
Q

description of speeds test

A

client extends elbow and supinates wrist
one hand on shoulder other on wrist
client attempts to flex shoulder to 90 with resistance

51
Q

positive speeds test

A

reproduction of symptoms

pain/weakness

52
Q

Phalens

A

carpal tunnel syndrome

53
Q

description of Phalens

A

backwards prayer

54
Q

positive phalens

A

numbness in area of distribution of median nerd =carpal tunnel compression

55
Q

Tinels

A

carpal tunnel

56
Q

description of Tinels

A

light tap of median nerve

57
Q

positive tinels

A

tingling in thumb, index and middle finger

58
Q

Tests for Sub-acromial impingement

A

Hawkins Kennedy
neers
empty can

59
Q

Tests for suprispinatus integrity

A

Empty can

full can

60
Q

Tests for shoulder instability

A

Apprehension

Jobe relocation

61
Q

tests for Subscapularis

A

Lift off

belly press

62
Q

tests for rotator cuff

A

bear hug

63
Q

test for shoulder laxity

A

anterior/posterior drawer

sulcus

64
Q

origin and insertion of subscapularis

A

Origin - subscap fossa

Insertion lesser tubercle of humerus

65
Q

what determines shoulder laxity

A

shape of glenoid cavity

ligaments

66
Q

what ligaments around the shoulder

A

glenohumeral (Superior middle, inferior)
coracohumeral
Transverse humeral

67
Q

Tests for ACJ

A

Scarf

monkey grip

68
Q

How many types of ACJ are there

A

6

69
Q

Test for SLAP lesion

A

O’briens

70
Q

what is SLAP

A

superior labrum tear from anterior to posterior

71
Q

how many types of SLAP

A

4

72
Q

tests for biceps

A

Yergarssons

speeds

73
Q

tests for carpal tunnel

A

Phalanx

Tinels

74
Q

what is carpal tunnel

A

thickening of the ligaments

special tests (3 decks)

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