Shoulder Flashcards
Neer Impingement Test
Tests for impingement in subacromial space
Scapula stabilized, bring pt’s arm up in scapular place in ER, Neutral, and IR with overpressure
Hawkins-Kennedy Impingement Test
Tests for pain in subacromial space
Scapula stabilized, PT raises arm to 90 deg in scapular plane and brings humerus into IR with bent elbow
Supraspinatus Test
(Empty Can/Jobe Test)
pt arm brought to 90 deg in scapular plane with thumbs down. PT places downward force on arm
-above elbow in acute
-towards wrist if not acute
Drop Arm Test
(Codman’s)
Tests for possible RC tear
pt palm down, raise arm passively into 90 deg ABd and ask to lower arm
-PT must guard pt’s arm
Internal Rotation Lag Test
Tests for subscapularis impairment
Pt is seated
PT grasps elbow and wrist and lifts arm off back. Pt is asked to maintain this position
**Alternative position: pt stands and places hand on belly and have them press in
If elbow starts to move forward, latissimus dorsiis compensating for lack of subscapularis
Speed’s Test
Test for LHB or labrum pain
pt arm in 60 deg flex, full elbow ext/sup. PT places downward force on distal arm
Yergeson’s Test
tests for biceps or labrum
Pt seat with elbow flexed at 90 and neutral forearm. PT resists sup and ER while palpating bicipital groove
Infraspinatus Test
Tests for infraspinatus impairment
Pt elbow flexed to 90 and brought to neutral ER and asked resistance by PT towards the belly and asks pt to not move arm
Patte Test
(Horn Blowers Sign)
tests for teres minor
Pt in 90 deg ABd in scapular place with elbow flexed to 90 deg. PT pushes hand towards the front and asks pt to not move arm,
Posterior Impairment Test
Pt supine, sh 90-110 ABd, 10-15 ext, and full ER
Superior Glenohumeral Ligament
Pt is supine, sh neutral, elbow 90 flex, full ER
PT stabilizes scapular and translates humeral head anteriorly
Middle Glenohumeral Ligament
Pt is supine, sh 45 ABd, elbow 90 flex, full ER.
PT stabilizes scapular and translates humeral head anteriorly.
Inferior Glenohumeral Ligament
Pt is supine
Anterior fibers: sh 90 ABd, elbow 90 flex, full ER, PT stabilizes scapula and translates humeral head anteriorly
Posterior fibers: sh 90 ABd, elbow 90 flex, full IR, PT translates humeral head posterior
O’Brien Test
(Active Compression)
Tests for labral (deep pain, dissapears with sup), AC joint (superficial)
Pt seat with sh 90 flex, 10 H ADd, full IR. PT supports scapula and gives downward resistance. Then without ER the sh, supinated the elbow and applies resistance again.
Crank Test
For labral tear
Pt supine with sh 160 scapular plane. PT stabilizes scapula from underneath and gives compression load through the should during ER and IR
Biceps Load II
Tests for biceps issue
Pt supine with sh 120 ABd, elbow 90, forearm supination. . PT brings pt arm into full ER and asks for active elbow flex with resistence.
Anterior Slide Test
Tests for labral tear
Pt stands with hands on hips, thumbs posterior. PT stands on side of testing shoulder and pushes ant/sup at elbow while stabilizing opposite shoulder
Apprehension Test
Pt supine in 90 ABd, full ER. PT stabilizes elbow and applies overpressure at the wrist into further ER.
Anterior Release Test
Same positive as apprehension test, but stability is given to anterior humerus and removed after maximal ER
Jobe Subluxation/Relocation Test
same position as apprehension test but one hand placed under the humeral head to push anteriorly and then stabilize the humeral head
Load and Shift Test
Pt is seated with arm testing on thigh. PT hand resting on shoulder, load humerus up into the glenoid and glide it anterior and posteriorly
*may hear a “clunk” when going from ant to post
Sulcus Sign for Inferior Instability
Pt arm 20-50 ABd, neutral rot. Pull humerus down while palpating the space just below the acromial arch
Crossover Impingement/H ADd Test
PT stabilizes scapula and passively ADd pts arm from 90 flex. Follow up with point palpation over AC joint
Lateral Scapular Slide Test
Tests for scapular dyskinsea
Measure distance from interior angle of scapula in 3 positions: arm at sides, hands on hips with thumbs posterior and 10 ext, sh ABd 90 with max IR.
Traction
For hypomobility and pain Grades I, II, and III I: nullify joint pressure II: first stop III: tissue stretch
Open-pack position
55 ABd, 30 H ADd, slight ER
Closed-pack position
full ABd and ER
Caudal Glide
(Inferior)
For restricted ABduction
force is INFERIOR and LATERAL
Glides
Grades II and III
no grade I
Ventral Glide
(Anterior)
For restricted Extension and External Rotation
force is VENTRAL and MEDIAL
Dorsal Glide
(Posterior)
For restricted Flexion and Internal Rotation
force is DORSAL and LATERAL
Cranial Glide (SC joint)
(Superior)
for restricted depression
force is CRANIAL and MEDIAL
Caudal Glide (SC joint)
(inferior)
For restricted Elevation
force is CAUDAL and LATERAL
Ventral Glide (SC joint)
(anterior)
for restricted Protraction
force is Ventral (towards the PT)
Dorsal Glide (SC joint)
(posterior)
for restricted retraction
force is dorsal (towards pt)
Ventral glide (AC joint)
For hypomobility
force is ANTERIOR and LATERAL
Distraction (ST joint)
traction of scapula away from ribecage
Superior Glide (ST joint)
for elevation
move scapula towards head
Inferior Glide (ST joint)
for depression
move scapula towars pt’s feet
Lateral Glide (ST joint)
for Protraction
move scapula towards PT
Medial Glide (ST joint)
for Retraction
move scapular towards spine
Lateral Rotation (ST joint)
move inf angle of scapula up to ceiling
Medial Rotation (ST joint)
move inf angle of scapula to spine
Open-packed position (SC joint)
same as shoulder
Open-packed position (AC joint)
same as shoulder
Closed-packed position (SC joint)
full elevation
Closed-packed position (AC joint)
90 ABd
GH joint
unmodified Ovoid
SC joint
unmodified Sellar
AC joint
planar joint
