Shoulder and Forearm/elbow special tests Flashcards
name the 5 shoulder tests
- speed’s
- empty can
- drop arm
- adson’s maneuver
- yergasons’s
speed’s test purpose
test for bicipital tendinosis
which test could give you a potential false positive if pt has a SLAP lesion?
speed’s
explain procedure of speed’s
apply downward pressure to:
supinated, flexed shoulder
pronated, flexed shoulder
what part of the labrum does the biceps tendon attach to?
superior
purpose of empty can test
test for supraspinatus lesion/neuropathy of suprascapular nerve
explain empty can test procedure
apply downward pressure to:
90º abduction, pronated
90º scaption, thumb toward floor
if a pt is weak in resisted scaption, we can assume….
they have either a supraspinatus lesion or neuropathy of suprascapular nerve
purpose of adson’s maneuver
test for thoracic outlet
method used in adson’s
sensitizing method - add layers and stop when symptoms occur
procedure of adson’s
- find radial pulse
- pt rotates head toward arm
- pt extends head while therapist ER/extends shoulder
- big breath and hold it
three things that can cause thoracic outlet
- scalenes
- clavicle
- pec minor
purpose of drop arm test
test for rotator cuff tear
procedure for drop arm
passively move pt into 90º of abduction (cradle entire arm), let go and have them slowly lower
what will a positive result of drop arm test look like?
ratchety movement, severe pain, unable to lower arm
purpose of yergason’s test
test for SLAP
SLAP
superior labral anterior –> posterior lesion
what did yergason’s test originally test for?
transverse humeral lig tear
procedure of yergason’s
with elbow flexed to 90º and therapist stabilizing scap, pt supinates/ER against resistance
what can mimic SLAP pain?
cervical spine pain - always screen prox-distal
2 names for lateral epi test
cozen’s
tennis elbow
procedure for lateral epicondylitis test
- palpate lateral epi
2. make a fist, pronate forearm, extend/radially deviate against resistance
other name for medial epi test
golfer’s elbow test
procedure for medial epicondylitis test
- palpate med epi
2. passively supinate and extend wrist and elbow