Shoulder

Question 1

Apley’s Scratch

Answer 1

seated

touch ipsilateral scapula behind head from superior and inferior (ROM)

Question 2

Mazion Shoulder Rock

Answer 2

seated

touch opposite shoulder and bring elbow up and down

Question 3

Dugas’

Answer 3

seated

touch opposite shoulder and bring elbow down (dislocation)

Question 4

Apprehension

Answer 4

seated with arm in “hostage position”

stress humerus anterior

Question 5

Calloway’s

Answer 5

seated

measure vertical shoulder circumferences (+ increased girth)

Question 6

Dawbarn’s

Answer 6

seated
press on bursa (pinpoint pain) while abducting arm (+ decrease in pain)
(subacromial bursitis)

Question 7

Abbot-Saunders

Answer 7

seated

dr. passively abducts arm, ext. rotation (palpates lesion), then lowers arm

Question 8

Yergason’s

Answer 8

seated
resist pt elbow flexion and supination
(bicep tendon instability)

Question 9

Speed’s

Answer 9

seated w/ arm flexed
resist pt shoulder flexion
(bicipital tendonitis)

Question 10

Impingement

Answer 10

seated
fully flex pt’s arm
(biceps or supraspinatus tendonitis)

Question 11

Supraspinatus arc

Answer 11

standing
resist pt arm abduction throughout entire 180 degrees
(+ pain 10-20 and 90-110 – supraspinatus) (20-90 – deltoid)

Question 12

Supraspinatus press

aka empty can

Answer 12

seated, thumb down
pt arm 90 degrees abduction, resist abuduction
pt arm 30 degrees forward, rest abduction

Question 13

Codman’s

Answer 13

standing

abduct past 90 degrees (cuff)

Question 14

Passive Scapular Retraction Approximation

Answer 14

prone
lift shoulders and back
(pain – T1, T2 nerve root)