Shoulder Assessment

Question 1

External Subacromial Impingement - Tests (6)

Answer 1

Jobe +
Neer + (anterior pain)
Hawkins +
Apprehension + (anterior pain)
Primary impingement: relocation -
Secondary impingement: relocation + (release of pain)

Question 2

Internal Posteriosuperior Glenoid Impingement - Tests (5)

Answer 2

Jobe -
Neer + (posterior pain)
Hawkins -
Apprehension + (posterior pain)
Secondary Impingement: relocation + (release of pain)

Question 3

Primary Impingement: Rotator Cuff Pathology - Test

Answer 3

Full can test

Question 4

Secondary Impingement: Scapular Dyskinesis - Special Tests (2)

Answer 4

SAT: Scapula assisted test
SRT: Scapula retraction test

Question 5

Secondary Impingement: Instability - Special Tests (3)

Answer 5

Sulcus sign (inferior laxity)
Load & shift test (anterior laxity)
Posterior laxity (subluxation) test

Question 6

Secondary Impingement: Biceps/SLAP Pathology - Special Tests (3)

Answer 6

O’Brien
Speed’s
Biceps load II

Question 7

Secondary Impingement: GIRD - Special Test

Answer 7

Internal rotation ROM

Question 8

Jobe Test - Positive/Negative

Answer 8

Positive: external subacromial impingement.
Negative: internal posteriosuperior glenoid impingement.
Empty can test.
Reproduction of pain -> Positive.

Question 9

Hawkins Test - Positive/Negative

Answer 9

Positive: external subacromial impingement.
Negative: internal posteriosuperior glenoid impingement.
Reproduction of pain -> Positive.

Question 10

Neer Test - Internal/External Impingement

Answer 10

Positive for internal impingement when pain is posterior.
Positive for external impingement when pain is anterior.

Question 11

Apprehension Test - Internal/External Impingement

Answer 11

Positive for external impingement if pain is anterior.
Positive for internal impingement if pain is posterior.

Question 12

Relocation Test - Positive/Negative

Answer 12

Positive if pain disappears -> secondary impingement.
Negative if pain stays -> primary impingement.

Question 13

Full Can Test - Impingement, Pathology and Positive Signs

Answer 13

Primary or secondary impingement.
Rotator cuff pathology, mainly supraspinatus.
Positive if pain is reproduced.

Question 14

Scapula Assisted Test (SAT) - Impingement, Pathology and Positive Signs

Answer 14

Secondary impingement.
Scapular Dyskinesis.
Positive if pain is relieved with manual assistance.
Serratus anterior, lower trap weakness, upper trap over working.

Question 15

Scapular Retraction Test (SRT) - Impingement, Pathology and Positive Signs

Answer 15

Secondary impingement.
Scapular Dyskinesis.
Positive if pain is relieved with manual stabilization of scapula.

Question 16

Sulcus Sign - Impingement, Pathology and Positive Signs

Answer 16

Secondary impingement.
Instability.
Inferior translation will be proportional to the instability.

Question 17

Load and Shift Test - Impingement, Pathology and Positive Signs

Answer 17

Secondary impingement.
Instability.
Anterior translation will be proportional to the instability.

Question 18

Posterior Laxity (subluxation) Test - Impingement, Pathology and Positive Signs

Answer 18

Secondary impingement.
Instability.
Positive when a clunk is felt during the slow horizontal abduction and external rotation.

Question 19

O’Brien Test - Impingement, Pathology and Positive Signs

Answer 19

Secondary impingement.
Superior labral anterior to posterior injury.
Positive when pain decreases with the shoulder in external rotation.

Question 20

Biceps Load II Test - Impingement, Pathology and Positive Signs

Answer 20

Secondary impingement.
SLAP injury.
Pain during elbow resisted flexion.

Question 21

Speed’s Test - Impingement, Pathology and Positive Signs

Answer 21

Secondary impingement.
SLAP injury.
Pain during the resisted manoeuvre.

Question 22

Shoulder Internal Rotation ROM - Impingement, Pathology and Positive Signs

Answer 22

Secondary impingement.
Glenohumeral internal rotation deficit (GIRD).
Positive when there is >20° difference to contralateral side.

Question 23

Infraspinatus Test - Movement Being Tested and Positive Signs

Answer 23

External rotation.
Pain and/or weakness present.

Question 24

Subscapularis Tests (2) - Movement Being Tested and Positive Signs

Answer 24

Lift off test
Belly press test
Internal rotation.
Pain and/or weakness present.

Question 25

Painful Arc Test - Movement Being Tested and Positive Signs (2)

Answer 25

Active shoulder abduction.
Positive for external impingement if pain is present in middle 1/3 of ROM.
Positive for acromioclavicular pathology if pain is present in last degrees of ROM.

Question 26

Acromioclavicular Joint Test - Movement Being Tested and Positive Sign

Answer 26

Horizontal adduction with shoulder internal rotation.
Pain is present in the AC joint area.