shoulder

Question 1

When is C/T manip appropriate for shoulder pain?

Answer 1

Pain-free shoulder flexion <90 days

Question 2

tests for ant shoulder instability

Answer 2

apprehension, relocation, ant drawer

Question 3

tests for subscap tear

Answer 3

IR weakness, bear-hug, belly press, Napolean (press on belly and full IR shoulder)

Question 4

testing for infra/supraspinatus tears

Answer 4

Ext rot lag and strength tests (ER and empty can)

Question 5

ruling in/ruling out SLAP tears

Answer 5

choose 2 sens and 1 spec test

sens: compression/rot, ant apprehension, o’brien
spec: yergason, biceps load, speeds

Question 6

best combo for subacromial impingment

Answer 6

hawk-kenn, painful arc, Neer, Horiz add, Drop arm, yergason, speed (3+ positive is good)

Question 7

superior and inferior borders of scap are usually at what spinal level

Answer 7

super: T2
infer: T7

Question 8

what position to evaluate passive position of scapula

Answer 8

hands on hips

Question 9

what are the 3 positions used for kibler slide test? what is an abnormal finding on the kibler slide test?

Answer 9

1. hands at sides 2. hands on hips 3. 90 deg abd with full IR
   >1-1.5 cm difference between positions is considered abnormal

Question 10

what are Inf angle/Med border/Sup scap dysfxn each associated with?

Answer 10

Inf angle dysfunction: RTC issues
Med border dysfuction: GH instability
Sup scap dysfunction: RTC weak/imbalances

Question 11

How to differentiate between teres minor and infraspinatus during muscle testing

Answer 11

infraspinatus: ER with arm at side

teres minor: ER with arm at 90 deg abduction

Question 12

What position is the shoulder in to test the posterior capsule

Answer 12

90 abd, 30 ant to coronal plane (provide a posterior directed force)

Question 13

1st and 2nd RTC strengtheners

Answer 13

1st. sidelying ER, Ext with thumbs OUT

2nd. prone horiz abd with thumbs up, prone ER