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Special Tests > Shoulder > Flashcards

Shoulder Flashcards

1
Q

Yergason’s Test tests for…

A

Integrity of transverse ligament (also biceps tendinitis)

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2
Q

Yergason’s Test is performed by…

A

patient sitting with shoulder in neutral stabilized against trunk, elbow at 90, and forearm prompted.. resist supination of forearm and ER of shoulder

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3
Q

A positive test for Yergason’s Test is…

A

tendon of biceps long head will pop out of groove (reproduce pain in biceps tendon)

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4
Q

Speed’s Test tests for…

A

bicipital tendonosis

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5
Q

Speed’s Test is performed by…

A

Patient standing with UE in full extension and forearm supinated… resist shoulder flexion (can also place shoulder at 90degrees of flexion and push into extension)

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6
Q

Positive Speed’s Test

A

Pain in long head of biceps tendon

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7
Q

what does Neer’s Impingement Test Test for

A

Impingement of structures in the shoulder (long head of biceps and supraspinatus tendon)

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8
Q

How to perform Neer’s Impingement Test

A

Patient sitting, shoulder passively internally rotated, then fully abducted

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9
Q

Positive sign of Neer’s Impingement Test

A

Symptoms of pain within shoulder region

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10
Q

Empty Can Test identifies…

A

tear or impingement of supraspinatus tendon/subscapular nerve pathology

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11
Q

Empty Can Test position

A

Patient sits with shoulder at 90, and they resist abduction with empty can sign

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12
Q

Positive sign of empty can test

A

Reproduction of pain in supraspinatus tendon

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13
Q

Drop Arm Test identifies…

A

tear/full rupture of rotator cuff

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14
Q

Positioning for Drop Arm Test

A

patient sits with shoulder passively abducted to 120.. instructed to bring arm slowly down to side

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15
Q

Positive result for Drop Arm Test

A

Patient unable to lower arm back down to side

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16
Q

Clunk Test tests for…

A

Glenoid labrum tear

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17
Q

Positioning for Clunk Test

A

Patient supine with shoulder in full abduction.. push humeral head anterior while rotating humerus externally

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18
Q

Positive sign for Clunk Test

A

Audible “Clunk” is heard during performance

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19
Q

Anterior Aprehension Sign identifies…

A

Past history of anterior shoulder dislocation

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20
Q

Anterior Aprehension Sign position

A

Patient supine with shoulder in 90ABD…slowly take shoulder into ER

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21
Q

Positive sign for Anterior Aprehension Test

A

Patient does not allow/does not like shoulder to move in direction

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22
Q

AC Shear test identifies …

A

AC joint dysfunction (arthritis/separation)

23
Q

AC Shear Test patient position

A

Sitting with arm resting at side.

PR clasps hands and places heel of one hand on spine of scapula and heel of other hand on clavicle

Squeeze hands together. Compresses AC joint

24
Q

AC Shear test positive result

A

Pain in AC joint

25
Q

Adson’s Test identifies

A

Pathology of structures that pass through thoracic inlet

26
Q

Adson’s test identifies…

A

TOS

27
Q

Adson’s test positioning

A

Patient sits, find radial pulse

Rotate head toward extremity

Extend and ER shoulder while extending head

28
Q

Adson’s test positive sign

A

Neuro symptoms/disappearance of pulse

29
Q

Costoclavicular (military brace) test identifies

A

TOS

30
Q

Costoclavicular test position

A

Sitting, find radial pulse, depress shoulder and push it back

31
Q

Wright Test identifies…

A

TOS

32
Q

Wright test poisition

A

Sitting, find radial pulse

Shoulder into ABD/ER

rotate head opposite test side

33
Q

Roos elevates test identifies

A

TOS

34
Q

Roos positioning

A

Standing SH ER, 90ABD, slight horiz ADD

elbow flex 90

Open close hands rapid for 3 min

35
Q

Hawkins-Kennedy identifies

A

Impingement

36
Q

Hawkins Kennedy positioning

A

Shoulder into 90 flexion, elbow flexion 90

Therapist passively IRs patients arm

37
Q

Allen’s maneuver identifies

A

TOS

38
Q

Allen’s maneuver test position

A

Patient sitting

90ABD, full ER, 90elbow flex

Patient rotated head to opposite side of arm

PT palpates radial pulse while patient moves arm into neutral position

39
Q

Active compression test identifies… (O’Brien’s)

A

Labral tear/AC lesion

40
Q

Active compression position (O’Brien’s)

A

90 shoulder flexion
10 ADD

arm is actively IR

PT gives inferior force

first with thumb down, then thumb up

41
Q

Active compression (O’Brien’s) positive test is

A

AC: pain with thumb down, decreased with thumb up

Labral: painful clicking in joint thumb down, no pain with thumb up

42
Q

Rent sign identifies

A

Impingement of rotator cuff

43
Q

Rent sign position

A

Elbow flexed

Passively extends shoulder while IR and ER

44
Q

Positive test Rent Sign

A

Greater tuberosity will be prominent and a depression of 1 finger width felt with rotator cuff present

45
Q

Crank Test identifies

A

Glenohumeral ligaments/anterior shoulder instability

also can be used for labral

46
Q

Crank test position

A

PT places hand on subjects elbow and proximal humerus

Passively elevates patients shoulder to 160 scaption

Apply load along long axis of humerus while IR and ER humerus

47
Q

Crank test positive

A

Pain with or without a click

48
Q

Biceps load test identifies

A

Labral tear (SLAP lesion)

49
Q

Biceps load test position

A

Supine

120 ABD
full ER
90 elbow flexion
Forearm supination

Perform elbow flexion against therapist resistance

50
Q

Bear hug test identifies

A

Subscapularis tear

51
Q

Bear hug test position

A

Hand placed on opposite shoulder with elbow anterior to body

PT applies ER force while patient tries to maintain hand on shoulder

52
Q

Belly compression test identifies

A

Subscapularis lesion

53
Q

Belly Compression test position

A

PT puts hand on belly

Patient places hand over PT’s

Have patient push, move elbow forward

Special Tests (2 decks)

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