Shoulder Flashcards
1
Q
Observation for shoulder
A
- Shoulder posture
- Step deformity
- Scapulohumeral rhythm
2
Q
AROM/PROM for shoulder
A
- Flexion/extension
- Abduction/adduction
- External/internal rotation
3
Q
Strength test for shoulder
A
- Flexion/extension
- Abduction/adduction
- External/internal rotation
4
Q
Special tests for shoulder
A
- Apley’s scratch test
- Wall push-up
- Hawkin’s Kennedy Impingement test
- Neer’s impingement
- Empty can test
- Speeds test
- Yergason’s test
- Cross arm test
- Depression of acromion
- Apprehension test
- Sulcus sign
- Anterior –> posterior glide
5
Q
Apley’s scratch test
A
- Hand behind hand over top
6
Q
Hawkin’s Kennedy Impingement test
A
- Hand out with arm 90 degree
- Have one hand on shoulder and the other pulling the arm down
- Observing for pain
7
Q
Neer’s impingement test
A
- Use one hand to depress scapula
- Use other hand to internally rotate shoulder then perform maximum shoulder flexion
8
Q
Empty can test
A
- Apply downward pressure
9
Q
Speeds Test
A
- Arm straight out supinated
- Push down on the forearm
10
Q
Yergason’s test
A
- Have patient in pronation
- Have hand on wrist area and tell patient to perform a bicep curl
11
Q
Cross arm test
A
- Have arm straight out 90 degrees
- Hand on elbow and passively adduct the shoulder while stabilizing the other shoulder
12
Q
Depression of acromion
A
- Palpate the acromion
13
Q
Apprehension test
A
- Lay on back
- Arm to 90 degrees and externally rotate
13
Q
Sulcus sign
A
- Grab elbow and pull down
13
Q
Anterior –> posterior glide
A
- Have patient laydown
- Hold patient arm in between your arm
- Put hand right below shoulder
- For anterior push upward
- For posterior push downward
13
Q
Assessment for shoulder impingement syndrome
A
- Painful in abduction
- Pain with apley’s scratch test
- Possible winging with wall push-up
- Positive hawkin’s kennedy test for pain
- Pain with neer’s impingement test
- Positive empty can test
- Pain over supraspinatus
13
Q
Palpation of shoulder
A
- Supraspinatus tendon
- Biceps tendon
13
Q
History for shoulder impingement syndrome
A
- Overuse of shoulder
- Overhead activities, throwing or swimming
- Pain with certain movements
- Worse with activity
14
Q
Injuries for the shoulder
A
- Shoulder impingement syndrome –> chronic
- Bicipital tendinopathy –> chronic
- Shoulder sprain/separation –> acute
- Shoulder dislocation/subluxation –> acute
15
Q
Treatment for shoulder impingement syndrome
A
- Correct biomechanics for shoulder
- Improve scapulohumeral rhythm –> shoulder blade squeezes
- Avoid overhead activities
- Rotator cuff strengthening –> External and internal rotation with resistance band
16
Q
History for bicipital tendinopathy
A
- Overhead activities
- Common in throwing sports
- Pain when raises arm forwards
17
Q
Assessment for bicipital tendinopathy
A
- Pain with active flexion above 90 degrees
- Pain with speed’s test and yergason’s test
- Pain on palpation of biceps tendon
- Might see scapulohumeral dysfunction
- Might see weakness with wall push-up
18
Q
Treatment for bicipital tendinopathy
A
- Treat biomechanics
- Modify aggravating activities –> avoid prolonged heavy gripping, lower intensity
19
Q
History for shoulder sprain/separation
A
- Trauma
- Fall on point of shoulder
- Hit by another player
- Common in contact sports
20
Q
Assessment for shoulder sprain/separation
A
- Limited ROM in all directions with pain
- Limited strength in all directions with pain
- Pain with cross arm test
- Pain and laxity with acromial depression
21
Q
Treatment for shoulder sprain/separation
A
- Ice, sling
- Restore ROM –> pendulum swings, front/back raises, internal external rotation
- Pad around ACJ for return to sport
- ACJ tape job
- Refer to DR for x-ray if suspect clavicular fracture
22
Q
History for shoulder subluxation/dislocation
A
- Trauma
- Athlete will have feeling of shoulder popping out
- FOOSH injury
- Shoulder might feel unstable
23
Q
Assessment for shoulder subluxation/dislocation
A
- Posture is slumped forward
- If athlete tells you shoulder is out don’t continue to assess –> hospital
- Limited mobility into end range all movements
- Positive apprehension test
- Either positive sulcus sign, and/or anterior posterior glide
24
Q
Treatment for shoulder subluxation/dislocation
A
- Subluxation –> POLICE, strengthening program for rotator cuff, scapular stabilization
- Dislocation –> treat as a fracture, immobilize, seek immediate medical attention, can start with pendulum exercises once out of sling
