shoulder assessement III Flashcards
what test are used for AC joint pathologies?
-paxinos sign (+ve pain)
-AC adduction cross body (crossover) test
how a positive AC adductuion crossover test indicated?
pain on top shoulder near the AC joint
what tests are used for GH joint pathologies?
Ellman’s test (for GH arthritis/ +ve pain)
name the tests used for rotator cuff muscle or tendon pathology (biceps brachii)
-biceps load test II
-yerganson’s test
-speeds test
name the tests used for rotator cuff muscle or tendon pathology (supraspinatus)
(+ve pain and/or weakness for all tests)
-job’s empty can test
-full can test
-lateral jobe test (excellent to rule in and out)
-drop arm test (method I and II)
What indicates full can test for supraspinatus tear?
Weakness and or pain
Which test Indicates a positive full thickness tear of supraspinatus?
Drop-arm test (method II)
What are the test used for muscle or tendon pathology of subscapularis?
-abdominal compression (belly-press test)
-lift-off sign and modified lift-off sign
What indicates a positive belly-press test?
Patient unable to maintain the pressure while moving the elbow forward
How is a positive lift-off sign test indicated?
Unable to lift hand away from the back
What are the tests for muscle or tendon pathology of infraspinatus and Teres minor?
-infraspinatus/teres minor spring back (external rotation lag) test (excellent for rule in and rule out)
-external rotation lag sign
What is a positive ER lag sign, and test?
Patient unable to hold position
What are the test used to identify scapular Dyskinesia?
-scapular assistance test
-scapular retraction test (SRT)
-McClure scapula dyskinesia test
What is a positive scapular assistance test?
Decreased pain
What is a positive retraction test?
Decreased pain
Explain McClure scapula dyskinesia test
Patient does:
-5x bilateral flexion
-3 second rest
-5x bilateral abduction
What indicates a positive McClure scapula dyskinesia test?
Scapular winging
Name frozen shoulder special tests
-shoulder shrug sign
-coracoid pain test
What is a positive shoulder shrug test?
Shrugging of the shoulder with abduction
thoracic outlet syndrome tests are:
-roos test
-adson’s maneuver
-halstead maneuver (reverse adson’s maneuver)
-wright’s hyperabduction test
What’s a positive Roos test?
Numbness and tingling of the hand
What indicates a positive Adson’s maneuver test
Reproduction of the symptoms and/or absence or disappearance of pulse (TOS at level of scalene muscle)
What indicates a positive halstead maneuver test?
Reproduction of symptoms and/or absence or disappearance of pulse (TOS at level of pectoral is minor)
How is a positive wrights hyperabduction test indicated?
Absence or disappearance of radial pulse
-TOS at pectorals minor (90 abduction)
-TOS at costoclavicular space (Full abduction)
