OPP Special Test Flashcards
Apley Scratch Test
external rotation and abduction
patient reaches behind his head to touch the superior medial angle of the opposite scapula
Apley Scratch Test
internal rotation and adduction
patient reaches behind his back to touch the inferior angle of the opposite scapula
AC Joint Dysfunction
PT adduct the arm
place hand on contralateral shoulder
Flex Elbow to 90
pt actively resist downward force from physician
Drop Arm Test
screen for possible rotator cuff tear (supraspinatus tear)
the patient fully ABduct the arm (160-180)
slowly lower the arm to the side
+ test = not be able to lower the arm slowly and smoothly
Empty Can/JOBE Test
test for supraspinatus weakness
90° Abduction
30° horizontal flexion anterior of coronal plane
internal rotation (Thumbs DOWN)
Infraspinatus/Teres Minor Test
marked external rotation against resistance
Elbow flexed to 90 and @ sides
Patient Attempts to Externally Rotate Against the physician’s counterforce
Subscapularis Lift Off Test
internally rotate arm w/ dorsum of hand on lumbar spine
patient pushes away from back w/ resistance from physician
Subscapularis Internal Rotation Test
Pt attempts to internally rotate arm against physicians resistance
Hawkin’s Test
Impingement of supraspinatus
Pronated Arm is Passively Flexed to 90
then Internally Rotated while stabilizing the scapula
Impingement btw greater tuberosity of the humerus against the coraco-humeral ligament
Neer’s Test
Impingement of supraspinatus
Pronated + internally rotate arm
Passively Flexed while stabilizing scapula
Impingement occurs @ > 90 Flexion
(near ear)
Apprehension Tests
evaluates stability of shoulder joint
ligamentous laxity/injury or dislocated/subluxed
pt supine w/ arm off table
ABduction and External Rotation shoulder
(position of shoulder vulnerability)
Relocation Tests
evaluates stability of shoulder joint w. pressure
pt supine w/ arm off table
ABduction and External Rotation shoulder w. pressure on GH joint
looking for relief of pain
Yergason’s Test
test stability of long head of biceps tendon
in the bicipital groove
test transverse humeral ligament integrity
pt flexes elbow to 90 + pronates forearm
pt actively flexes + supinate arm against physician resistance + external rotation
+ test = biceps tendon pops out or pain
Pain w.o. subluxation = bicipital tendonitis/tendonosis
Speed’s Test
Testing for Bicipital tendonitis
pt flexes arm to 90 + supinates
physician applies downward force/resistance
+ test = pain in anterior shoulders (site of biceps tendon)
O’ BRIEN’S TEST
maximally load and compress the ACJ
Flex arm to 90° w. elbow fully extended
Adduct arm 40° medial to sagittal plane
arm maximally internally rotated
pt resists physician’s downward/medial force
Roos Test
Shoulder Abduction + External Rotation
Elbows flexed to 90
hands perform repetitive opening/closing for 3 minutes
+ test = Paresthesias/Numbness/Tingling
Adsons Test
Scalene Entrapment
Arm in Slight Extension and Abduction
head turned toward affected side
+ test = weakened radial pulse or paresthesias
Wrights Test
Pectoralis Minor Entrapment
Hyperabduct arm above head
patient turning head away
palpate radial pulse
+ test = weakened radial pulse or Paresthesias
Cubital Tunnel Syndrome
Ulnar Nerve (C8-T1) entrapment at elbow
Numbness + Tingling in medial portion of hand
caused by repetitive elbow extension/flexion
Tinel’s Test at Elbow
reproduced s/s of numbness/tingling felt in medial hand
tap where ulnar nerve runs in cubital tunnel
Lateral Epicondylitis
tennis elbow
Pain at the lateral epicondyle at point of forearm extensor
MOI: extensor carpi radialis brevis
caused by repetitive supination motion
Pain with Resisted Supination
Lateral Epicondylitis
Maudsley’s test
pain at lateral epicondyle w. resisted middle finger extension
Mills test
pain at lateral epicondyle w. resisted wrist extension
Medial Epicondylitis
golfers elbow
Pain at the medial epicondyle at point of forearm flexor complex attachment
MOI: flexor carpi radialis
Pain with resisted pronation
Medial Epicondylitis
Pain noted with resisted pronation and/or wrist flexion
Carpal Tunnel Syndrome (CTS)
Median Nerve (C5-T1) entrapment beneath Flexor Retinaculum
Numbness, Weakness, Tingling in Median Nerve distribution of hand
caused by repetitive motion of wrist
Tinel’s Test for Carpal Tunnel
Percuss w/ index/middle finger tips on Flexor Retinaculum
+ test = numbness/tingling sensation in Median nerve distribution
Phalen’s Test
Hyperflexion of wrists and hold for 30-60 seconds
+ test = reproduced numbness/tingling in Median nerve distribution
Reverse Phalen’s Test
Hyperextension of wrists and hold for 30-60 seconds
+ test = reproduced numbness/tingling in Median nerve distribution
Finkelstein’s Test
test for De Quervain’s Tenosynovitis
MOI: extensor pollicis brevis and the abductor pollicis longus
place thumb inside fist while applying ulnar deviation to the wrist
+ test = pain in region of snuff box
Allen’s Test
test collateral blood supply to the hand
Fist is held for 20-30 seconds
Pressure is applied to Radial/Ulnar arteries
blanching occurs
release pressure from radial or ulnar artery
color should return w.i. 5-7 seconds
