Shoulder

Question 1

Speeds

Answer 1

Pt seated
Forearm ext + sup, arm at side
Stabilise shoulder + wrist
Pt flexes arm to 120 (swing forward)

Question 2

What does speeds test for

Answer 2

Bicep tendinopathy, impingement syndrome, labral lesion, bursitis, SLAP lesion

Question 3

+Ve - Speeds

Answer 3

Pain

Question 4

Empty can

Answer 4

Arm out horizontally thumb up
Pronate hand so thum is down - ‘empty can’

Question 5

What does it test for - Empty can

Answer 5

Impingement or Injury/lesion to supraspinatous

Question 6

+Ve - Empty can

Answer 6

Irritation + P- may be injury to muscle which produces IR (pec major, ant delt, lats)

Question 7

Painful arc

Answer 7

Normal active abduction, open palms all the way up

Question 8

What does it test for - Painful arc

Answer 8

Sub-acromion impingement

Question 9

+Ve - Painful arc

Answer 9

60-120 local P to subacromial/rotator cuff
170-180 pathology to AC

Question 10

Nears

Answer 10

Depress scapula
ER arm, bring to maximal flex
Repeat for IR

Question 11

What does it test - Nears

Answer 11

ER- bicep long head impingement
IR- supraspinatous impingement, subacromial bursitis

Question 12

+Ve - Nears

Answer 12

ER- P
IR- P

Question 13

Crank

Answer 13

Pt seated
Abd + ER elbow at 90
Apply pressure into elbow
‘Brush hair’
Rotate humerus int/ext

Question 14

What does it test for - Crank

Answer 14

Labral tears

Question 15

+Ve - Crank

Answer 15

P + crepitus
If P is over AC test = -Ve

Question 16

Obrien’s

Answer 16

Pt seated
Shoulder flexed to 90, arm add
Pt attempts to maintain position whilst you apply force on forearm
1. Arm IR, thumb down
2. Arm ER, thumb up

Question 17

What does it test - Obrien’s

Answer 17

Labral tears, SLAP lesions, Ac pathology, bicep long head tendinopathy

Question 18

+Ve - Obrien’s

Answer 18

IR- P- labral or SLAP lesion, AC pathology

ER- bicep long head tendinopathy

Question 19

Clunk

Answer 19

Pt supine
One hand under GH, other supporting above elbow
Apply translation under GH, other hand ER humerus

Question 20

What does it test for - Clunk

Answer 20

Labral lesion

Question 21

+Ve - Clunk

Answer 21

Clunk or grinding sound- trapping of torn labrum between glenoid + humeral head

Question 22

Kim

Answer 22

Pt seated
Back support ]stand on injured side
Abd to 90
Apply force through shoulder
Other hand on deltoid
Elevate their arm upwards, whilst apply downward force

Question 23

What does it test for - Kim

Answer 23

Labral lesion

Question 24

Kim’s +Ve

Answer 24

P + clicking

Question 25

Hawkins kennedy

Answer 25

Pt seated
Put hand on hip, move hand off hip
Apply force through elbow, move forward + back

Question 26

What does it test for Hawkins kennedy

Answer 26

Supraspinatous impingement

Question 27

Hawkins kennedy +Ve

Answer 27

Increased local P- ant-lat GH
Crepitus may be OA

Question 28

Yergasons

Answer 28

Palpation over bicipital groove
Pt seated, elbow flex to 90
Forearm pronated + gripped
Door handle + open
Resist movement

Question 29

What does Yergasons test

Answer 29

Bicep tendinopathy, glenoid labrum pathology, torn trans humeral lig

Question 30

+Ve Yergasons

Answer 30

P in bicipital groove- bicep tendinopathy
P in shoulder- glenoid labrum pathology
Tendon slipping out of groove- torn transverse humeral ligament