Shoulder

Question 1

Apley Scratch

Answer 1

Attempt to touch opposite scapula from over head and below
Mark level of Tsp reached
Standardize testing

Question 2

SC Joint stress

Answer 2

Apply inferior, superior and anterior force to Sternocalvicular joint
DO NOT apply posterior force

Question 3

AC joint stress

Answer 3

Apply inferior, superior, anterior and posterior force to acromioclavicular joint

Question 4

Piano Key

Answer 4

Press down on AC joint

If it depresses and springs back like a piano key it indicates sprain/separation

Question 5

AC compression

Answer 5

Cross flex GH (Patient cue: grab opposite shoulder)
Therapist applies pressure on elbow humerus and supports shoulder
Positive: Pain at AC joint

Question 6

Apprehension test for Anterior GH instability

Answer 6

Supine (or seated)
GH abduction and elbow flex
Therapist applies passive external rotation
Positive: Apprehension or Pain
Indicates: Anterior GH instability

Question 7

Apprehension test for Posterior GH Instability

Answer 7

Supine (or seated)
GH forward flexion
Elbow flexion
Therapist supports shoulder and applies force through elbow/humerus

Question 8

Sulcus Sign

Answer 8

GH inferior instability
Apply downward traction
Positive: Space btwn acromion and humeral head increases

Question 9

O’Brien

Answer 9

Combination of Speed and Empty Can w/ 15 degrees adduction
Position A: GH forward flex, 15 degree ADD, thumbs downward, elbow ext. –> Apply downward pressure
Postion B: GH forward Flex, 15 degree ADD, supination, elbow ext, –> apply downward pressure
Positive: Pain in A is reduced in B
Indicates: Supraspinatus

Question 10

Compression

Answer 10

ABD GH + Elbow Flex
Compress humerus into Glenoid fossa
Therapist Support shoulder
Apply rotation
Positive: Pain
Indicates: Labral lesion

Question 11

Crank

Answer 11

ABD GH above head + Elbow Flex
Compress humerus into GF
Apply Rotation
Positive: Pain
Indicates: Labral Lesion

Question 12

Anterior Slide

Answer 12

Standing
Hand on Hip
Therapist puts one hand on shoulder and applies superior/anterior force at elbow to act on shoulder
Positive: Pain and Clicking
Indicates: Labral Lesion

Question 13

Clunk Test

Answer 13

Supine
ABD/FF GH with Elbow Extension (straight arm over head)
Therapist applies axial load through humerus onto GF
Apply rotation/circumduction

Question 14

Neer

Answer 14

Sitting
Fully flexed GH & internal rotation (Arm overhead)
Therapist applies additional stretch
Positive: Pain
Indicates: Long Head Bicep injury or Shoulder impingement

Question 15

Hawkins Kennedy

Answer 15

Seated or Standing
GH is forward flexed
Internal Rotation is applied
Positive: Pain
Indicates: Shoulder Impingement, Supraspinatus, LHB

Question 16

Empty Can

Answer 16

Standing
GH FF + Horizontal Add + Int rotation (thumbs down)
Therapist applies downward pressure
Assessed bilaterally
Positive: Pain
Indicates: MSK-T Pathology

Question 17

Lift Off

Answer 17

Seated or Standing
Dorsum of hand on Lsp
Lift hand off Lsp
Positive: Failure to lift off
Indicates: Subscap or rhomboid injury/weakness (MSK-T pathology)

Question 18

Speeds

Answer 18

Standing
GH is flexed to 80, Supinate, Elbow Ext
Resist Forward Flexion
Positive: Pain
Indicates: MSK-T of ???

Question 19

Allen for Thoracic Output

Answer 19

Seated
Therapist Palpates Radial Pulse
GH and Elbow are flexed
Patient Looks away and hold breath
Positive: Change in pulse
Indicates: Pec Minor compression