Shoulder and Hip tests

Question 1

What is the Log Rolling test?

Answer 1

While patient lays flat, roll the leg side to side.

Question 2

What is the log rolling test checking for?

Answer 2

suspected hip fx

Question 3

What is the compression test at the foot?

Answer 3

Done by hitting the balls of the feet to transmit pressure toward the hip while the leg is lifted and kept strait

Question 4

What is the compression test at the foot checking for?

Answer 4

suspected hip fx

Question 5

What is the compression test at the knee?

Answer 5

done by tapping at the knee, again transmitting pressure toward the hip

Question 6

What is the compression test at the knee checking for?

Answer 6

suspected hip fx

Question 7

What should you test for if your patient complains of anterior (sometimes anterior and lateral) thigh pain?

Answer 7

Meralgia Paresthetica

Question 8

How do you test for meralgia paresthetica?

Answer 8

check for decreased sensation in the anterior thigh. patient will c/o burning/paresthesia

Question 9

How to test for greater trochanter bursitis?

Answer 9

ask the patient to lay on the side (painful side up) and palpate over the greater trochanter. Tenderness should be appreciated.

Question 10

How to test for external snapping hip?

Answer 10

With patient on their side (painful side up) grab the whole leg then flex and extend the leg while palpating the iliotibial tendon (near the greater trochanter) and felling for a popping or snapping that may be assoc. with pain

Question 11

How to test for Piriformis Syndrome?

Answer 11

Keeping the leg straight flex the hip up to 90 degrees, looking for pain in the posterior/buttocks region

flex the knee and adduct the knee across the body of the patient looking for pain in the posterior/buttocks region

Question 12

What is piriformis syndrome?

Answer 12

occurs when the piriformis muscle compresses the sciatic nerve.

Question 13

What test examine the supraspinatus tendon?

Answer 13

90* abduction and 30* flexion test
Empty Can test

Question 14

How to do the 90* abduction and 30* flexion test?

Answer 14

ask the patient to abduct the arms to 90* and then bring them anteriorly with a 30* flexion. From this position ask the patient to push the arms upward against resistance. any pain or reduced strength, especially if unilateral, will indicate supraspinatus tendon injury.

Question 15

How to do the Empty Can test?

Answer 15

From the position for the 90* abduction 30* flexion test, ask the patient to turn their thumbs down. ask the patient to push up against resistance. any pain or reduced strength, especially if unilateral, will indicate supraspinatus tendon injury.

Question 16

How to test for infraspinatus tendon and teres minor injury?

Answer 16

Ask the patient to flex the forearms at 90* with palms supinated. From this position, we will have the patient externally rotate the shoulders by moving the forearms laterally, against our resistance. Any pain and/or weakness will indicate an injury of one of these tendons.

Question 17

How to test for Subscapularis tendon tear?

Answer 17

first have the patient bring the hand on the back at the level of the lumbar spine. Then passively separate the hand from the back until full internal rotation of the shoulder is achieved. Ask the patient to actively keep the hand away from their back. If the patient is unable to do so, this is evidence of the subscapularis tendon tear.

Question 18

What is the gerbers lift off test?

Answer 18

Ask patient to internally rotate the shoulder bringing the hand behind the back at the lumbar region with the dorsum of the hand facing the lumbar spine. then ask the patient to move the hand away from the back against your resistance. if pain or weakness is elicited the test is considered positive for subscapularis tear.

Question 19

How to test for functional deficit of the serratus anterior muscle?

Answer 19

ask the patient to do a standing push-up off against the wall. if we observe winging of a scapula this indicates weakness of this muscle on that side.

Question 20

Tests to check for Shoulder impingement?

Answer 20

Neer’s test
Empty can test
Hawkins-kennedy test

Question 21

What is the Neers test?

Answer 21

Ask patient to fully pronate the forearm, then we passively flex the arm until its over the patient’s head. This maneuver reduces the subacromial space and reproduces pain if shoulder impingement is present.

Question 22

What is the Hawkins-Kennedy Test?

Answer 22

Both the elbow and shoulder should be flexed at 90*, the examiner must support the arm of the patient at the level of the elbow so that the upper extremity can be as much relaxed as possible. then the examiner has to internally rotate the shoulder while at the same time perform a cross-body adduction of the arm. The test is positive if pain is elicited.

Question 23

Test to check for biceps tendonopathy?

Answer 23

Speeds test
Yergason’s test

Question 24

How to do the speeds test?

Answer 24

Extend the elbow and fully supinate the forearm. Then the patient is asked to flex the shoulder forward against resistance of the examiner. At the same time the examiner should palpate the anterior joint line for any tenderness. Any pain elicited indicates biceps tendinopathy.

Question 25

How to do the Yergason’s test?

Answer 25

flex the elbow at 90* and partially pronate the forearm. Then ask the patient to supinate the forearm against resistance of the examiner while holding their hand. At the same time the examiner should palpate the origin of the biceps tendon for any tenderness or popping sensation. the test is positive if pain is elicited.

Question 26

Where is pain elicited in the painful arc test for AC joint injury?

Answer 26

between 150-180*

Question 27

How to test for shoulder instability?

Answer 27

sulcus sign
apprehension and relocation test

Question 28

How to do sulcus sign test?

Answer 28

examiner applies downward pressure on the humerus by pulling at the level of the wrist, and at the same time observes the lateral aspect of the deltoid region. if a sulcus appears in this region, the test is positive for shoulder instability.

Question 29

How to do the apprehension and relocation test?

Answer 29

Patient lies supine on table. examiner flexes the elbow at 90* and abducts the shoulder to 90* as well. The examiner applies downward pressure with one hand at the level of the wrist, while the other fist is placed behind the shoulder. This creates a dislocation of the humerus that should cause pain or discomfort if instability is present. Then we must apply downward pressure on the anterior aspect of the shoulder that makes both the pain and apprehension disappear if instability is present.

Question 30

How to test for labral tear?

Answer 30

Obrien’s test
Crank’s test
Speed’s test

Question 31

How to do the Obrien’s test?

Answer 31

flex shoulder to 90* then adduct it to 10*. From this position, we ask the patient to bring the arms upward against our resistance. The presence of pain suggests a lesion of the labrum.

Question 32

How to do the Crank’s test?

Answer 32

examiner passively flexes the elbow at 90* and abducts the shoulder at approx 90*. with one hand on the shoulder and other on the elbow, the examiner alternates passive internal and external rotation of the patient’s shoulder by acting on the elbow. the test is positive if pain is elicited or any metallic sounds in the shoulder.

Question 33

Tests for lower back radiculopathy?

Answer 33

Straight leg test
straight leg variant test
Tripod sign
Femoral stretch test

Question 34

How to test motor function at L4?

Answer 34

Have the patient kick their leg out with knee slightly bent and supported by examiner

Question 35

How to test motor function at L5?

Answer 35

Have patient dorsiflex their foot against resistance

Question 36

How to test for motor function at S1?

Answer 36

Have patient plantarflex their foot against resistance

Question 37

Alternative test for L5 motor function?

Answer 37

Walking on heels

Question 38

Alternative test for S1 motor function?

Answer 38

Walking on toes

Question 39

Sensory at L4

Answer 39

check sensation at anterior/lateral aspects of the thigh

Question 40

Sensory at L5

Answer 40

check sensation on dorsal side of foot between first and second toe

Question 41

sensory at S1

Answer 41

check sensation at lateral aspect of foot