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Manual Therapy I > Shoulder > Flashcards

Shoulder Flashcards

1
Q

Neer Impingement Test

A

Tests for impingement in subacromial space

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

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2
Q

Hawkins-Kennedy Impingement Test

A

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

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3
Q

Supraspinatus Test

A

(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

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4
Q

Drop Arm Test

A

(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

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5
Q

Internal Rotation Lag Test

A

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

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6
Q

Speed’s Test

A

Test for LHB or labrum pain

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

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7
Q

Yergeson’s Test

A

tests for biceps or labrum

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

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8
Q

Infraspinatus Test

A

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

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9
Q

Patte Test

A

(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,

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10
Q

Posterior Impairment Test

A

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

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11
Q

Superior Glenohumeral Ligament

A

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

PT stabilizes scapular and translates humeral head anteriorly

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12
Q

Middle Glenohumeral Ligament

A

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

PT stabilizes scapular and translates humeral head anteriorly.

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13
Q

Inferior Glenohumeral Ligament

A

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

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14
Q

O’Brien Test

A

(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.

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15
Q

Crank Test

A

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

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16
Q

Biceps Load II

A

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.

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17
Q

Anterior Slide Test

A

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

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18
Q

Apprehension Test

A

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

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19
Q

Anterior Release Test

A

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

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20
Q

Jobe Subluxation/Relocation Test

A

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

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21
Q

Load and Shift Test

A

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

22
Q

Sulcus Sign for Inferior Instability

A

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

23
Q

Crossover Impingement/H ADd Test

A

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

24
Q

Lateral Scapular Slide Test

A

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.

25
Q

Traction

A 
For hypomobility and pain
Grades I, II, and III
I: nullify joint pressure
II: first stop
III: tissue stretch
26
Q

Open-pack position

A

55 ABd, 30 H ADd, slight ER

27
Q

Closed-pack position

A

full ABd and ER

28
Q

Caudal Glide

A

(Inferior)
For restricted ABduction
force is INFERIOR and LATERAL

29
Q

Glides

A

Grades II and III

no grade I

30
Q

Ventral Glide

A

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

31
Q

Dorsal Glide

A

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

32
Q

Cranial Glide (SC joint)

A

(Superior)
for restricted depression
force is CRANIAL and MEDIAL

33
Q

Caudal Glide (SC joint)

A

(inferior)
For restricted Elevation
force is CAUDAL and LATERAL

34
Q

Ventral Glide (SC joint)

A

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

35
Q

Dorsal Glide (SC joint)

A

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

36
Q

Ventral glide (AC joint)

A

For hypomobility

force is ANTERIOR and LATERAL

37
Q

Distraction (ST joint)

A

traction of scapula away from ribecage

38
Q

Superior Glide (ST joint)

A

for elevation

move scapula towards head

39
Q

Inferior Glide (ST joint)

A

for depression

move scapula towars pt’s feet

40
Q

Lateral Glide (ST joint)

A

for Protraction

move scapula towards PT

41
Q

Medial Glide (ST joint)

A

for Retraction

move scapular towards spine

42
Q

Lateral Rotation (ST joint)

A

move inf angle of scapula up to ceiling

43
Q

Medial Rotation (ST joint)

A

move inf angle of scapula to spine

44
Q

Open-packed position (SC joint)

A

same as shoulder

45
Q

Open-packed position (AC joint)

A

same as shoulder

46
Q

Closed-packed position (SC joint)

A

full elevation

47
Q

Closed-packed position (AC joint)

A

90 ABd

48
Q

GH joint

A

unmodified Ovoid

49
Q

SC joint

A

unmodified Sellar

50
Q

AC joint

A

planar joint

Manual Therapy I (2 decks)

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