shoulder 2 - test and injuries Flashcards
basic - SAPS rule in
impingement sign (neers, hawkins)
painful arc
pain with isometric resistance
weakness
aropthy (tear)
basic - SAPS rule out
sig loss of motion
instability signs
basic - adhesive capsulitis rule in
spontaneous progressive pain
loss of motion in multiple plane -ER most limited
pain at end ROM
basic - adhesive capsulitis rule out
normal motion
age < 40
basic - GH instability rule in
age <40
hisotry of dislocation and sublexation
apprehesion test
relocation test
general laxity
basic - GH instability rule out
no history of dislocation or sublexing
no apprehension with testing
complaint - lateral or anterior shoulder pain with overhead activities or painful arc
SAPS
bursitis
tendonitis
complaint - instability, apprehension, pain with activities that abd and ER the shoulder
instabilty
labral tear if a click is present
complaint decreased ROM and pain with resistance
RC or long head of the biceps tendonitis
complaint - complains of pain and weakness with muscle loading, night pain, age >60
RC
complaint - non-specific shoulder pain the accotionally radiates into the elbow
aggravated by movements releved with rest
age > 45
AC
complaint - UE heaviness or numbness with prolonged postures and when lying on the involved side
TOS
cervical radiculopathy
what is the issue if there is winging on the medial border of the scapula
serratus anterior
long thoracic nerve
what is the issue if there is winging on the inferior angle of the scapula
CN XI dysfunction or issue
palpation - supraspinatus
hand on the back
ask them to lift their hands off of their back
location - inferior to the AC joint deep
palpation - infra and teres minor
JC penny pose
location - posterior lip of the acromion and drop down
palpation - supscapularis
sitting neutral
location - divot below the clavical
deep - veritcal
when looking at AROM of the shoulder what movements do we look at
elvation
horizontal abd
abd and ER
IR
look at page to memorize the bad testing positions please
what kind of condition - pain before restriction
acute conidiotion
what kind of condition - pain and restriction at the same time
subacute
what kind of restriction - pain after restriction
chronic condition
how do we test the upper traps
shoulder shrug
how do we test the middle traps
T - thumbs up
how do we test the lower traps
Y
tuck your scapula into you pocket
how do we test the serratus anterior
punch with resistance to the lateral border of the scapula
and/ or
wall push up - looking at the angle of the scapula
how do we test the rhomboids
row
how do we test the deltoids
abd
how do we test the infraspinatus
0 and 45 ER
how do we test the teres minor
90 ER
how do we test the supraspinatus
full can
is full can or empty can more pain provoking
empty can
