Shoulder

Question 1

Neer Impingement Test

Answer 1

Tests for impingement in subacromial space

Scapula stabilized, bring pt’s arm up in scapular place in ER, Neutral, and IR with overpressure

Question 2

Hawkins-Kennedy Impingement Test

Answer 2

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

Question 3

Supraspinatus Test

Answer 3

(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

Question 4

Drop Arm Test

Answer 4

(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

Question 5

Internal Rotation Lag Test

Answer 5

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

Question 6

Speed’s Test

Answer 6

Test for LHB or labrum pain

pt arm in 60 deg flex, full elbow ext/sup. PT places downward force on distal arm

Question 7

Yergeson’s Test

Answer 7

tests for biceps or labrum

Pt seat with elbow flexed at 90 and neutral forearm. PT resists sup and ER while palpating bicipital groove

Question 8

Infraspinatus Test

Answer 8

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

Question 9

Patte Test

Answer 9

(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,

Question 10

Posterior Impairment Test

Answer 10

Pt supine, sh 90-110 ABd, 10-15 ext, and full ER

Question 11

Superior Glenohumeral Ligament

Answer 11

Pt is supine, sh neutral, elbow 90 flex, full ER

PT stabilizes scapular and translates humeral head anteriorly

Question 12

Middle Glenohumeral Ligament

Answer 12

Pt is supine, sh 45 ABd, elbow 90 flex, full ER.

PT stabilizes scapular and translates humeral head anteriorly.

Question 13

Inferior Glenohumeral Ligament

Answer 13

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

Question 14

O’Brien Test

Answer 14

(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.

Question 15

Crank Test

Answer 15

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

Question 16

Biceps Load II

Answer 16

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.

Question 17

Anterior Slide Test

Answer 17

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

Question 18

Apprehension Test

Answer 18

Pt supine in 90 ABd, full ER. PT stabilizes elbow and applies overpressure at the wrist into further ER.

Question 19

Anterior Release Test

Answer 19

Same positive as apprehension test, but stability is given to anterior humerus and removed after maximal ER

Question 20

Jobe Subluxation/Relocation Test

Answer 20

same position as apprehension test but one hand placed under the humeral head to push anteriorly and then stabilize the humeral head

Question 21

Load and Shift Test

Answer 21

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

Question 22

Sulcus Sign for Inferior Instability

Answer 22

Pt arm 20-50 ABd, neutral rot. Pull humerus down while palpating the space just below the acromial arch

Question 23

Crossover Impingement/H ADd Test

Answer 23

PT stabilizes scapula and passively ADd pts arm from 90 flex. Follow up with point palpation over AC joint

Question 24

Lateral Scapular Slide Test

Answer 24

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.

Question 25

Traction

Answer 25

``` For hypomobility and pain Grades I, II, and III I: nullify joint pressure II: first stop III: tissue stretch ```

Question 26

Open-pack position

Answer 26

55 ABd, 30 H ADd, slight ER

Question 27

Closed-pack position

Answer 27

full ABd and ER

Question 28

Caudal Glide

Answer 28

(Inferior) For restricted ABduction force is INFERIOR and LATERAL

Question 29

Glides

Answer 29

Grades II and III | *no grade I*

Question 30

Ventral Glide

Answer 30

(Anterior) For restricted Extension and External Rotation force is VENTRAL and MEDIAL

Question 31

Dorsal Glide

Answer 31

(Posterior) For restricted Flexion and Internal Rotation force is DORSAL and LATERAL

Question 32

Cranial Glide (SC joint)

Answer 32

(Superior) for restricted depression force is CRANIAL and MEDIAL

Question 33

Caudal Glide (SC joint)

Answer 33

(inferior) For restricted Elevation force is CAUDAL and LATERAL

Question 34

Ventral Glide (SC joint)

Answer 34

(anterior) for restricted Protraction force is Ventral (towards the PT)

Question 35

Dorsal Glide (SC joint)

Answer 35

(posterior) for restricted retraction force is dorsal (towards pt)

Question 36

Ventral glide (AC joint)

Answer 36

For hypomobility | force is ANTERIOR and LATERAL

Question 37

Distraction (ST joint)

Answer 37

traction of scapula away from ribecage

Question 38

Superior Glide (ST joint)

Answer 38

for elevation | move scapula towards head

Question 39

Inferior Glide (ST joint)

Answer 39

for depression | move scapula towars pt's feet

Question 40

Lateral Glide (ST joint)

Answer 40

for Protraction | move scapula towards PT

Question 41

Medial Glide (ST joint)

Answer 41

for Retraction | move scapular towards spine

Question 42

Lateral Rotation (ST joint)

Answer 42

move inf angle of scapula up to ceiling

Question 43

Medial Rotation (ST joint)

Answer 43

move inf angle of scapula to spine

Question 44

Open-packed position (SC joint)

Answer 44

same as shoulder

Question 45

Open-packed position (AC joint)

Answer 45

same as shoulder

Question 46

Closed-packed position (SC joint)

Answer 46

full elevation

Question 47

Closed-packed position (AC joint)

Answer 47

90 ABd

Question 48

GH joint

Answer 48

unmodified Ovoid

Question 49

SC joint

Answer 49

unmodified Sellar

Question 50

AC joint

Answer 50

planar joint