Instability/Labrum Flashcards
What does the acronym TUBS stand for?
T = Traumatic U = Unidirectional B = Bankart S = Surgery Required
What does the acronym AMBRI stand for?
A = Atraumatic M = Multidirectional B = Bilateral Involvement R = Rehabilitation Effective I = Inferior Capsular Shift Recommended
What is a SLAP lesion?
Superior Labrum Anterior to Posterior lesion. (A type of labral tear that gives problems mostly with overhead activities).
Rehab of shoulder instability depends on 4 factors. Name them.
- Type of Instability
- Pt’s inflammatory response to the surgery/instability
- Precautions following surgery.
- Gradual rate of progression (Gentle ROM 1st 8 wks following surgery).
How do you perform an apprehension test? What indicates a positive test?
Put pt. in 90° abd and go back into ext. rotation. A positive test is if the pt. stops you, has pain, or is very apprehensive.
How do you perform a relocation test? What indicates a positive test?
Do apprehension test, then if positive, apply posterior glide to humeral head. If pain or apprehension decreases, then it is a positive test.
How do you perform anterior or posterior drawer tests? What is a positive?
Push humeral head forward (anterior) or backward (posterior) with pt. seated with arm at side. A positive test would be if humeral head moved up onto the glenoid rim.
How do you perform a sulcus sign test? What ligament does it test? What is a positive test?
Put thumb under acromion, pull down on humerus with other hand. It tests the superior band of the GH ligament (in addition to multi-directional instability). A positive would be if there was a space of 2 or more finger widths between acromion and head of the humerus.
How do you perform a Norwood Stress Test? What is it testing?
Horizontal adduction with elbow flexed to the point wear you are in the plane of the joint, then push down on elbow. It is testing for posterior instability.
How do you perform a clunk test? What are you looking for in a postive test.
Pt. supine, one hand under posterior humeral head and other at elbow. abduct and ext. rotate humerus at the same time in different levels of ROM. You are looking for catches and clicks throughout ROM.
How do you do a Biceps Load Test for a SLAP lesion? What is a positive test?
Pt. in apprehension test position (seated or supine), forearm in supination, then resist elbow flexion. A positive test is indicated by either no change in apprehension or pain that is worsened with resisted elbow flexion.
