OMM UE Tests Final - Sheet1

Question 1

Apley’s Scratch Test position

Answer 1

Abduction and external rotation, reach behind head, over shoulder
to “scratch” between scapulae

Question 2

Apley’s Scratch Test purpose

Answer 2

Active range of motion test to detect asymmetry of movements
bilaterally. Measure vertebral level that correlates with thumb
position.

Question 3

Apley’s Scratch Test findings

Answer 3

Asymmetry in the inability to touch the opposite shoulder and
vertebral level attained by thumb should be considered a positive
finding prompting further testing for SITS muscle pathology.

Question 4

Exmpty Can Test (Jobe) position

Answer 4

Both thumbs point down to the floor. Operator applies downward force
and asks patient to meet force with equal resistance.

Question 5

Empty Can Test (Jobe) purpose

Answer 5

Evaluates integrity of supraspinatus muscle.

Question 6

Empty Cant Test findings

Answer 6

Unilateral weakness suggests a tear of the supraspinatus tendon or muscle. “

Question 7

External rotation test of elbow position

Answer 7

for Infraspinatus and Teres Minor. Position:
Elbow is flexed 90°. Operator then induces 45° of internal rotations
and asks patient to externally rotate against resistance.

Question 8

External rotation test of elbow purpose

Answer 8

Evaluates teres minor and infraspinatus muscles. 90% of

external rotation depends on integrity of the infraspinatus muscle.

Question 9

External rotation test of elbow findings

Answer 9

Asymmetry in strength indicates infraspinatus or teres minor pathology.

Question 10

Liftoff test position

Answer 10

Patient places hand behind their back palm out in the region of the
mid-lumbar spine. The hand is then raised off/away from the back.
This motion maintains or increases internal rotation of the
humerus and extension at the shoulder.

Question 11

Liftoff purpose

Answer 11

Evaluates subscapularis muscle

Question 12

Liftoff findings

Answer 12

Inability to move the hand off/away from back indicates subscapularis muscle
dysfunction.

Question 13

Compression test position

Answer 13

for Labrum. Position:
Patient abducts and flexes arm to 90°. Operator applies compressive
force through shoulder joint and adds internal and external rotation

Question 14

Compression test purpose

Answer 14

Evaluates for tears in the glenoid labrum.

Question 15

Compression test findings

Answer 15

Pain and audible “clicking” when arm is brought through internal
and external rotation is indicative of a positive test. Imaging
recommended.

Question 16

Yergusons Test position

Answer 16

Patient flexes elbow to 90° with forearm pronated. Operator locates
and applies compressive force over intertubercular groove
contacting the tendon on the long head of the biceps muscle. Ask
the patient to supinate the and flex the forearm against resistance.

Question 17

Yergusons Test purpose

Answer 17

Evaluates for biceps tendon impingement and/or inflammation.

Question 18

Yergusons Test findings

Answer 18

Pain in the location of the bicipital groove indicates pathology
associated with the long head of the biceps.

Question 19

Neer Impingement Sign position

Answer 19

With the patient seated, depress the scapula with one hand while
elevating the arm with the other.

Question 20

Neer Impingement Sign purpose/finding

Answer 20

This action compresses the greater tuberosity against the anterior
acromion and elicits discomfort in patients who have subacromial
impingement or biceps tendonitis.

Question 21

Hawkins Impingement Posiiton

Answer 21

Elevate, forward flex the shoulder, and flex the elbow all to 90°.
Support the arm at the elbow, and then internally rotate the
humerus.

Question 22

Hawkins Purpose/Finding

Answer 22

This motion will impinge the supraspinatus on the acromion,
coracoacromial ligament, or coracoid process, and will test will
reinforce a positive Neer Impingement sign, or rotator cuff tear

Question 23

Apprehension Test Posiiton

Answer 23

The patient is seated. Abduct the shoulder to 90° and then induce
increasing external rotation.

Question 24

Apprehension test purpose/finding

Answer 24

Patients with a positive sign may report apprehension and a sense of
impending dislocation. If the patient reports pain, without
reporting apprehension, the test becomes less specific.

Question 25

Sulcus Sign Position

Answer 25

The patient is seated. Apply traction in an inferior direction. The
patient’s arm must remain relaxed and at the patient’s side.

Question 26

Sulcus Sign Purpose/Findings

Answer 26

Patients with inferior shoulder instability, this action will cause inferior subluxation of the humeral head and a widening of the sulcus between the humerus
and acromion.