Shoulder

Question 1

Flexion

Answer 1

180

Question 2

Extension

Answer 2

60

Question 3

Int/Ext rotation

Answer 3

90/80

Question 4

Abduction

Answer 4

180

Question 5

Adduction

Answer 5

35

Question 6

Horizontal Add/ Abd

Answer 6

130/45

Question 7

Flexor

Answer 7

Delt ( ant)
Pec mj( upper fiber)
Biceps brachii
Coracobrachialis

Question 8

Extensor

Answer 8

Delt( post)
Lats 
Teres mj
Pec mj ( lower fiber)
Tricep brachii( long head)

Question 9

Horizontal Abduction

Answer 9

Delt( posterior)

Question 10

Horizontal adduction

Answer 10

Delt ( ant)
Pec major ( upper fiber)

Question 11

Abduction

Answer 11

Delt ( all fibers)

Supraspinatus

Question 12

Adduction

Answer 12

Lats
Teres mj
Infraspinatus
Teres minor
Pec mj ( all fibers)
Tricep brachii ( long head)
Coracobrachialis

Question 13

Lateral rotation( external rotation )

Answer 13

Delt ( post fiber)
Infraspinatus
Teres minor

Question 14

Medial rotation( Internal rotation)

Answer 14

Delt ( ant fibers)
Lats 
Teres mj
Subscapularis
Pec mj ( all fibers)

Question 15

Adson’s test

Answer 15

P: tos caused by ant Scalene
Clt :
1: seated
2:stand behind clt
3: extend and slight ext rotate clt affected arm
4 : monitor Radial pulse of this arm
5: instruct clt to turn head Towords affected arm / slight elevate chin to take a deep breath / hold at least 15-20 secs ( this elevates ribs , compressing neurovascular bundle against tight ant Scalene)
+ = diminished radial pulse or symptom occur

Question 16

Travell’s

Answer 16

Same as adson
For Middle scalene
Same as Adson
But Look AWAY from affected side

Question 17

Wrights Hyperabduction

Answer 17

Tos - pec minor
Monitor pulse
NO need to HOLD breath

Question 18

Costoclavicular

Answer 18

Tos - clavicle . First ribs cause it
Passively depress and retract shoulder
Monitor Radial pulse

Question 19

Eden’s test

Answer 19

Tos- clavicle , first rib

Instruct clt to bring shoulder as far in retracti and depressin as possible

Question 20

ULTT 1

Answer 20

P: c5,6,7 Median Nerve as source of clt painful shoulder
Clt:
Beginning n what th One hand on clt shoulder and apply constant repressive force
1: abduct GH 110 - extend Arm to 10 degree below Coronal plane
60 Ext Rot
2:Extens Clt wrist / fingers
3: Fully supinate the Forearm / slowly extend elbow
+ = Reproduction of pain is positive
If not reproduce
1:.Client turn Head away
If reproduced bend clt head back toward the sde being test - symptom should diminish

Question 21

ULTT2

Answer 21

P : Median - Musculocutaneous - Auxillary
Clt :
1: Depress clt shoulder Abduct GH to 10 Degree
2: Slow extend the Wrist and Fingers
3: Fully Supinate and extend the Elbow / Tissue tightness in the shoulder or elbow or tingling in the elbow
+= reprocduction of pain

Question 22

ULTT3

Answer 22

P: Radial nerve
Clt:
1: Depress shoulder - Abduct to 10 degree
2:Slowly flex and fingers / Deviate them Ulnarly
3: Fully pronate the forarm and extend Elbow As tightness and tingling are normal

Question 23

ULTT4

Answer 23

P: c8, T 1 and Radial Nerve
Clt:
1: Depress the clt shoulder and Abduct the Humerus to 90 Degree
2: Flex the Elbow , Bringing the Hand towards the Clt Ears
3: Supinate the Forearm
4: Slow extend the Wrist and Fingers and Deviate Radially / As tissue tighness and tingling are normal

Question 24

Neer Impingement

Answer 24

P: assess overuse injury to the Supraspinatus tendon
Clt :
1:Seated
2: passively Flex the Client Humerus forword through its Range - Compressing the Tendons against Acromion

Question 25

Hawkins - Kennedy Impingement

Answer 25

Variation Neer Arm forward at 90 degree Internally Rotate the GH

Question 26

Painful Arc

Answer 26

P: Subacromial Impingement of Supraspinatus Tendon and Subacrmial Bursa Clt : Instruct Client to Abduct GH through its Range 1: positive Pain starting at 70 Degree of Abduction , WHICH Ease OFF after 130 degree of Abduction ( this range Soft tissue compressed by humerus against Acromion , before and after the range the tissue are no longer compressed . Pain must lessen above 130 degree. When the client cannnot actively move beyond this range , assist client to 130 degree and then ask to continue if possible

Question 27

Apley's Scratch test

Answer 27

P: assess the combined movement at shoulder Clt: 1: seated 2:Stand behind clt observe rom of shoulder 3:instruct reach head to touch cown to spine as much as possible with fingertips ( this asses external Rotation and Abduction of one gh joint) 4: other hand reach up same time , check for int rot and adduction 5: note location of fingertips 6: instruct or reverse 7:repeat test asses full rom of gh

Question 28

Shoulder Apprehension AF test

Answer 28

P: explore previous gh dislocation only when injury progressed to the chronic stage Clt 1: instruct clt to move arm slowly into position which the dislocation took place e .g abduction LOOK: apprehension on clt face or unwilling to complete the rom is POSITIVE ( if so Do not Perform PRROM) Instead AR Isometric test mm cross the joint

Question 29

Shoulder Apprehension Test PR

Answer 29

P: passive asses integrety of gh capsule following chronic dislocation 1: SLOWLy men ve arm and joint toward position of injurt 2: Slowly Abduct clt arm 3: Monitor face for sign of apprehension + = look of apprehension or pulls away from the therapist to stop motion - empty end feel joint capsule is not fully healed

Question 30

Adhesive Capsulitis Abduction Test PR

Answer 30

P: restricted motion at shoulder resulting from fibrosing and adhesion of the axillary fold of the inferior gh joint capsule Clt: 1: Seated 2: Stand behind 3 : Palpate inferior angle of scapula with one hand monitor its position throuout the test 4: other hand just proximal on clt Elbow , Slowly Abduct client humerus , noting when inferior angle begins to move In a normal shoulder , Leathery end feel encoutered at 90 degree of Abduction , the auxillary fold is stretched and scapula begins to move along with gh at greater 90 degree + = painful , leathery end feel encountered anywhere before 90 degree of abduction , since auxillary fold is Fibrosed , the scapula begins to move before 90 degree

Question 31

Acromclavicular shear test

Answer 31

P: asses intregity of ac joint 1 : seated 2: stand behind 3: cupped hands over client shoulder , fingers interlaced , with one palm on clavicle other on spne of scapula 4: slowly squeeze heels of hands together + = pain. Assessive movemt of joint = joint pathologies , ac joint sprain

Question 32

Drop Arm Test

Answer 32

P: asses integrety of rotator cuff , especially supraspinatus tendon 1: seated 2:Abduct arm to 90 , Instruct Clt to hold this position 3: instruct the client to slowly abduct the starting point + = unable to return smoothly and slowly to side and if theres is pain on te attempt

Question 33

Supraspinatus strength Test AR ( Empty Can test)

Answer 33

P : asses supraspinatus Tendonitis , strain and weakness 1: seated 2:instruct abduct arm to 90 , then adduct humerus horizntally to 30 Degree 3 Instruct client internally rotate the humerus , as if they were holding Can full of liquid hen emptying it . 4: apply pressure to humerus in direction of adduction , instruct client not let arm be adducted += pain or Weakness Variation : meet client resistance while client try to abduct ( this does not distinguish Deltoid )

Question 34

Infraspinatus strength test AR

Answer 34

Asses the infraspinatus muscle for tendonitis , strain or weakness 1:Seated or Prone 2: Abduct humerus to 90 and flex elbow to 90 3: apply pressure on client wrist while they try to externally rotate + = pain along infra or weakenss Does not Distinguish Teres minor

Question 35

Subscapularis strength test AR

Answer 35

P: subscap tendonitis , strain , weakenss 1: seated, Supine 2: Humerus by side , Elbow flex 90 Apply resistance while client try to internally rotate + = pain along subscap Does not Distinguish btw subscap , pec mj, lats , Teres mj

Question 36

Speed's test

Answer 36

P: asses for Bicep tendonitis 1: seated 2: completely extend elbow while supinating e arm 3: resist flexion of arm by placing one hand on the shoulder and other hand Distal to client elbow + = pain at tendon on resistance indicates positive

Question 37

Yerguson's test

Answer 37

P: asses stability of biceps tendon in bicipital groove 1: seated , elbow of affected arm flexed 90 degree and forarm pronated 2: stabilize client elbow agaisnt clients thorax with one hand 3: with other hands , apply resistance while clt actively supinates the forearm , extend the elbow and externally rotates the humerus at the same time += pain biceps tendons instability and loss of integrety of transverse ligament HOWEVER ; motion of tendon along groove is required for true positive tendonitis test

Question 38

Pec Minor Length test

Answer 38

Muscle length 1: Supine 2: Sit at Head of the Table 3: observe shoulder protraction on affected side , since they protract scapula Variation: 1:supine or seated 2: Apply palmar surface one hand to ant surface of shoulder test on 3: compress affected shoulder posteriorly into table / if seated , stabilize mid thoracic spine wih other hand then push client s affected shoulder into retraction + = reduce rom in retraction

Question 39

Pec mj length test

Answer 39

P: mm length 1: supine 2: asses superior or clavicle fibre , instruct clt to abduct affected arm to 90 degree + = short clavicle fiber= arm does not drop below level of table into extension and external rotation Abduct150 degree for sternal fiber

Question 40

Shoulder Adductor Length test

Answer 40

Asses Lats and Teres Major 1: supine 2: flex hips and knee with plantar both feet on table ( pelvis posterior tilt so low back is flat on table) 3: instruct client Raise both arms above Head , Through Full Flexion at gh joint , allow posterior surface of arm to contact table += gh cannot fully flexed , arm des not rest on table above client head

Question 41

Rhomboids strength test

Answer 41

Strengh of rhomboids 1: prone , affect humerus abducted to 90 and internally rotate 2:.ask client to lift arm into extension , 3 on mm scale if clt hold agaisnt gravity Stabilize the unaffected shoulder with one hand / with other hand apply pressure to distal end of anterior direction + = unable to hold arm in the original position

Question 42

Middle traps strength test

Answer 42

1: prone with affect shoulder abducted 90 and externally rotate 2: Ask client lift arm into Extension grade 3 against gravity 3: stabilize unaffected shoulder with one hand 4: other hand apply pressure to distal end of affected humerus in anterior direction + = unable to hold arm or weakeness