shoulder

Question 1

Neer’s`

Answer 1

Position: sitting or standing, arm into full flexion with overpressure

Positive= reproducible pain

passive impingement test

Question 2

ROOS/Elevated Arm Stress Test

Answer 2

Position: patients holds bilateral full shoulder external rotation and abduction to 90 degrees for 3 minutes while repeatedly opening and closing the fists. AFTER completing the test, clinician quickly looks for objective changes and the patient’s subjective response.

Positive if: patient has increased pallor, cyanosis, swelling, vein distention, tingling, numbness, or pain. Compare the affected limb to the unaffected limb.

General compression of the neurovascular bundle

Question 3

Hawkins/Kennedy`

Answer 3

Position:

Question 4

Speed’s

Answer 4

Position: performed at 90 degrees or in extension, clinician palpates bicep tendon while resisting shoulder flexion (extended elbow and supinated forearm)

Positive= increased pain at biceps tendon/impingement

Question 5

Adson’s`

Answer 5

Goal of test is to place neurovascular bundle and scaleni on maximum stretch.

Clinician palpates the radial pulse at wrist as pt takes a deep breath and holds it. The pt’s arm is abducted and extended and the pt extends and rotates the cervical spine toward the arm being tested.

Positive if: radial pulse is markedly decreased or obliterated & pt’s sx’s are reproduced. Test repeated with cervical extension and head rotated away from tested arm.