Hand Tingling Wk 6 Flashcards
Roos Test aka?
aka Elevated arm stress test
seated. bring arms and elbows to 90. open and close fists rapidly up to 3 min
-ischemic pain, heaviness of arms, or numbness and tingling of hand indicates thoracic outlet syndrome on side involved
Adsons Test aka?
aka scalene maneuver and scalenus anticus test
seated. establish radial pulse. then bring arm straight and back past body. tell patient to look up(brings scalenes over neurovascular bundle) then rotate to currently tested shoulder. then take breath and hold. then turn and look to other side.
-pain and/or parathesia, decreased or absent radial pulse, pallor indicates compression of neurovascular bundle by scalenus anticus or cervical rib
Halstead Maneuver
seated. find radial pulse. traction arm downward. have patient look up. turn and look away from me
- pain and/or parasthesia, decreased or absent pulse, pallor indicates compression of the neurovascular bundle by scalenus anterior or cervical rib
Eden aka?
aka Costoclavicular manuever
seated. establish radial pulse. tell patient to sit up, shoulders back, chest out, touch chin to chest and hold breath
-pain and/or parathesia, decreased or absent pulse, pallor indicates compression of the neurovascular bundle between the clavicle and first rib
Hyperabduction maneuver aka?
aka Wright Test
establish radial pulse and slowly hyperabduct the arm
-pain and/or parathesia, decreased or absent pulse, pallor indicates compression of the axillary artery by pectoralis minor or coracoid process, thoracic outlet syndrome
Soft Tissue Palpation Shoulder
- rotator cuff muscles as group
- supraspinatus
- infraspinatus
- teres minor
- subscapularis - subacromial bursa
- subdeltoid bursa
- axillary borders
- pec major
- serratus anterior
- axillary lymph nodes
- latissimus dorsi
- bicipital tendon - SCM
- biceps
- deltoid (ant, middle, post)
- traps
- Rhomboid major and minor
Bony Palpation of Shoulder
- sternoclavicular articulation
- clavicle
- coracoid process (birds peak)
- acromioclavicular articulation
- acromion
- greater tuberosity of humerus
- bicipital groove
- lesser tuberosity of humerus
- spine of scapula
- body of scapula
- scapulothoracic articulation
ROM shoulder
flexion 180 extension 60 abduction 180 adduction 50 external rotation 90 internal rotation 70 scapular protraction, retraction, elevation
Dugas Test
ask pt to grab opposite shoulder and compress elbow to chest
-inability to touch the opposite shoulder and/or inability of the elbow to touch the chest indicates acute dislocation of the glenohumeral joint
Anterior Apprehension Test
stabilize back of shoulder, bring arm to 90 at shoulder and elbow, hold just below wrist, forearms together, bring into external rotation and WATCH FACE
-pt will have noticeable look of apprehension or alarm on their face with possible pain indicates chronic anterior dislocation of glenohumeral joint
Posterior Apprehension Test
pt supine, bring to 90 at elbow and shoulder, have humerous straight up. press A to P and internal rotation (towards you)
-pt will have look of pain or apprehension on face with possible pain indicating chronic posterior dislocation of glenohumeral joint
Drop Arm Test aka
-aka Codman test
abduct the arm slightly higher than 90 and have them hold, then slowly lower arm
-pt has an inability to hold their own arm and/or arm drops suddenly indicates rotator cuff tear, usually supraspinatus
Dawbarn Test
palpate subacromial bursa, then abdcut arm to greater than 90
-decrease in pain and/or tenderness indicates subacromial bursitis
Yergason Test
- have pt with elbow at 90 and in thumbs up position. have them show you the arc motion (supination) pull down on arm then have them do arc motion with active resistance
- localized pain/tenderness at the bicipital groove indicates bicipital tendonitis OR audible click or biceps tendon subluxes or dislocates indicates instability of biceps tendon possibly associated with torn transverse humeral ligament
Abbott-Saunders Test
find groove for biceps groove (rotate forearm to find) then bring arm into full abduction (180), external rotation(palm facing midline), then slowly lower arm
-palpable or audible click indicates subluxation or dislocation of the biceps tendon, rupture of transverse humeral ligament or tendon subluxation beneath subscapularis muscle belly
Speed Test
have pt elbow flexed palm facing up, raise up. palpate groove for biceps tendon, have them do raising motion with resistance
-pain and/or tenderness in the bicipital groove indicates bicipital tendonitis
Apley Test
ask pt to scratch opposite shoulder behind head, then ask pt to touch bottom of opposite shoulder behind back
-exacerbation of pain indicates degenerative tendonitis of rotator cuff tendons usually supraspinatus
Impingement Sign
start with arm straight and slightly abducted, take into full glenohumeral flexion, stabilze posterior aspect of shoulder
-pain in the shoulder indicates overuse injury to the supraspinatus and possibly biceps tendon
Crude touch
ask pt to identify when they’re being touched with dull end of neurotip in 5 dermatomes
-inability spinothalamic involvement
