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mske > isapuso mo beybe > Flashcards

isapuso mo beybe Flashcards

1
Q

apprehension/crank test

A

tests for anterior traumatic instab

pt in supine and PT abd the arm to 90° and ER shoulder of pt slowly

+ apprehension
+ pain
+ dislocation
+ muscle guarding

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2
Q

fulcrum test

A

same sa apprehension but PT places fist under GH joint and applies mild anteriorly directed force

+ posterior pain = impingement

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3
Q

relocation test

A

to confirm GH instab, impingement, posterior SLAP lesion

pt in supine then PT abd shoulder 110°-120° then applies posterior translation stress to head of humerus and ER arm

  • apprehension
    dec. pain
    dec post pain = posterior superior internal impingement
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4
Q

surprise test

A

tests for anterior instab, bankart or SLAP, bicipital tendon affectation

after releasing the posterior translating force in relocation test - humeral head pops up again

+ forward translation test

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5
Q

jerk test

A

tests for posterior instab, posterioinferior labral tear

pt sits w shoulder in IR and flexed 90° then PT axially loads humerus and horizontally add arm

+ jerk/clunk - head slides off glenoid tas may 2nd jerk pag nag relocate

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6
Q

sulcus

A

tests for inferior instab

stands c arm at side and shoulder relaxed; grasp pt’s forearm below elbow and pull distally

(+) sulcus sign
(+) pain/ache or shoulder does not feel right

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7
Q

coracoid impingement sign

A

tests for coracoid impingement

pt stands c arm flexed 90°, add 10° and IR

(+) pain on area of coracoid

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8
Q

hawkins-kennedy

A

tests for supraspinatus secondary impingement

pt stands and forward flexes arm 90° then PT forcibly IR shoulder

(+) pain

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9
Q

neer impingement

A

tests for supraspin or biceps tendon overuse injury

pt stands and arm is passively of forcibly elevated in scapular plane c arm IR

(+) pain

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10
Q

supine impingement

A

tests for impingement and rot cuff pathology

pt supine and PT holds pt’s wrist + humerus and elevates pt’s arm to end range then ER and adducts into further elevation then IR

(+) inc pain on IR

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11
Q

yocum

A

tests for impingement

pt’s hand is placed on the opposite shoulder and PT elevates elbow

(+) pain

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12
Q

zaslav

A

follow up if (+) neer’s; differentiate subacromial and intra-articular problem

pt stands c arm abd to 90° and ER; PT applies resistence to ER then IR

(+) internal impingement if IR weak
(+) external anterior impinge if ER weak

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13
Q

active compression test of O’Brien

A

test for SLAP type 2

pt standing c arm forward flexed to 90°, elbow fully ext then arm horizontally add 10°-15° IR the PT resists downward then reset tas supinated then resist

(+) pain on joint line
(+) painful clicking

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13
Q

clunk test

A

tests for labral tears

pt in supine c PT hand on post aspect over humeral head and other hand abducts pt’s elbow while ER

(+) clunk/grinding
(+) apprehension

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14
Q

kim test I

A

tests posteroinferior labral lesion

pt sits c back supported and arm abd 90° c elbow supported 90° flexion

PT applies axial compression while arm is elevated diagonally upward other hand applies downward and backward force to proximal arm

(+) click
(+) post shoulder pain

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14
Q

scapular load test

A

tests for scapular dyskinesia

pt stands w arms at waist then load arm ant, post, inf, sup

14
Q

horizontal adduction

A

tests for AC joint

pt stands and reaches the hand across opposite shoulder pwede din passive

(+) localized pain over AC joint

15
Q

paxinos sign

A

tests for AC joint

pt seated c arm relaxed at side the PT stands behind test arm c thumb on posterolat acromion and index on middle part of clavicle then squeeze

(+) inc pain in AC joint

16
Q

speed’s test

A

tests bicipital tendon affectation

pt stands c forward flexion of arm 90° elbow extended then FA supinated then PT resists down the reset pronated tas same process

(+) tenderness in bicipital groove
(+) weakness

17
Q

yergason’s

A

tests for torn transverse humeral lig or bicipital tendon affectation

pt elbow flexed 90° c FA pronated then ER arm while resisting supination from PT

(+) tendon pops out
(+) tenderness

18
Q

empty can

A

tests for supraspin affectation or suprascap nerve

arm add 90° c thumbs down and in scapular plane then PT provides resistance down

(+) weakness/pain

19
Q

external rotation lag sign (ERLS)

A

tests for infraspin, supraspin and subscap

pt stands and abd arm 90° and elbow flexed 90° then pt ER and ask to hokd position

(+) arm falls or drops into medial rot

20
Q

lift off sign

A

tests for sucscap and scapular instab

pt stands and places hand on lumbar spine then asked too lift hand away from back

if able to lift PT shoulder add load

21
Q

medial rotation lag sign (spring back)

A

test for subscap and rhomboids

pt stands then hand is passively IR as far as possible and asked to hold the pos

(+) cannot maintain pos d/t weakness/pain
(+) rhomboids c medial winging of scap
(+) lag betw passive and active IR = partial tear of subscap

22
Q

infrapsinatus test

A

test for infraspinatus strain

pt stands c arm at side elbow flexed 90° and ER 45° the PT applies IR force that pt resists

(+) pain or weakness = infraspin sprain

23
Q

lateral rotation lag sign

A

tests for infraspin/and teres minor weakness or pain

pt seated/standing c arm by side and elbow flexed 90° the PT passively abd arm 90° scapular plane then ER to end range and ask pt to hold it

(+) cannot hold pos and hand spring back

24
Q

LSST variation

A

tests for infraspin/supraspin tear

same as normal LSST but arm in 20° abd then same process

(+) arm will IR and spring back anteriorly

25
Q

rent test

A

tests for rot cuff tear

pt seated c arm at side the PT from behind palpates anterior acromion while other hand hold pt elbow at 90° then PT passively extends shoulder and IR/ER arm while palpating GT and rot cuff tendons

(+) depressions
(+) more prominent GT

26
Q

whipple test

A

tests for partial rot cuff or superior labrum tears

pt stands c arm forward flexed to 90° and add until on opposite shoulder the PT pushed downward and pt resists

(+) weakness or pain

27
Q

trapezius weakness

A

tests for traps weakness

pt sits down and places hands together over head then PT from behind pushes elbow forward

(+) if protracts

28
Q

upper traps test

A

tests for upper traps, lev scap, rhomboids

pt shoulder elevated c slight abd then lateral flexed ehad to opposite side the PT pushes down on arm

+ weakness

29
Q

middle traps test

A

pt in prone c arm abd to 90° and ER the PT pushes down on shoulder

(+) protraction = weak middle traps

30
Q

lower traps test

A

pt in prone c arm abd to 120° and ER then PT pushes down on shoulder

(+) protraction = weak lower traps

30
Q

punch out test

A

tests for weak or paralyzed serratus anterior

pt in standing and forward flexes arm 90° the PT applies backward force to arm

(+) medial border of scap wings
(+) diff abd or forward flexing arm above 90°

31
Q

median nerve ULNTI

A

pt supine c

shoulder in depression and abd 110°
elbow ext
FA supinated
wrist and fingers ext
contralat neck flexion

(+) reproduction of symptoms

32
Q

radial nerve ULNTIII

A

pt supine c

shoulder in depression and abd 110°
elbow ext
FA pronated
wrist and fingers flex and ulnar dev
shoulder IR
contralat neck flexion

(+) reproduction of symptoms

33
Q

median nerve ULNTII

A

pt supine c

shoulder in depression and abd 10°
elbow ext
FA supinated
wrist and fingers ext
shoulder ER
contralat neck flexion

(+) reproduction of symptoms

34
Q

ulnar nerve ULNTIV

A

pt supine c

shoulder in depression and abd 10°-90°
elbow flex
FA supinated or pronated
wrist and fingers ext and radial dev
shoulder ER
contralat neck flexion

(+) reproduction of symptoms

35
Q
A

mske (6 decks)

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