Shoulder Evaluation

Question 1

The shoulder girdle includes

Answer 1

SC joint, AC joint, glenohumeral joint, scapula

Question 2

Spine of the scapula is at the level of what vertebra?

Answer 2

T3

Question 3

The inferior angle of the scapula is at the level of what vertebra?

Answer 3

T7

Question 4

Flexion ROM of GH joint

Answer 4

180 degrees

Question 5

Extension ROM of GH joint

Answer 5

60 degrees

Question 6

ABduction ROM of GH joint

Answer 6

180 degrees

Question 7

Horizontal abduction ROM of GH joint

Answer 7

40-55 degrees or 130-145

Question 8

Adduction ROM of GH joint

Answer 8

40-50 degrees of 130-145

Question 9

External and Internal ROM of GH joint

Answer 9

90 degrees each way

Question 10

Axial rotation ROM of AC joint

Answer 10

10 degrees.

Question 11

Abduction of SC joint is:

Answer 11

Distal end of clavicle moves superiorly and proximal end moves inferiorly

Question 12

Adduction of SC joint is:

Answer 12

Distal end of clavicle moves inferiorly and proximal end moves superiorly

Question 13

Horizontal flexion of SC joint is:

Answer 13

Distal end of clavicle moves anteriorly and proximal end moves posteriorly on the sternum

Question 14

Horizontal extension of SC joint is:

Answer 14

Distal end of clavicle moves posteriorly and proximal end moves anteriorly on sternum

Question 15

Rotation of SC joint is:

Answer 15

Multidirectional

Question 16

Retraction of scapula is (muscles and maneuver):

Answer 16

Rhomboid major and minor

Moving closer to the spine (“attention”)

Question 17

Protraction of scapula is (muscles and maneuver):

Answer 17

Serratus Anterior

Moving away from the spine (reaching)

Question 18

Elevation of scapula is (muscles and maneuver):

Answer 18

Upper Trapezius and Levator Scapulae

Upward and parallel to spine (shoulder shrug)

Question 19

Depression of scapula is (muscles and maneuver):

Answer 19

Lower Trapezius and Lower Rhomboids

Return from elevation

Question 20

Upward/Downward Rotation of scapula is (muscles and maneuver):

Answer 20

Combined motions of the scapula

Question 21

Getting a 5 in muscle strength means:

Answer 21

Complete ROM against gravity and full resistance

Question 22

Getting a 4 in muscle strength means:

Answer 22

Complete ROM against gravity and some resistance

Question 23

Getting a 3 in muscle strength means:

Answer 23

Complete ROM against gravity

Question 24

Getting a 2 in muscle strength means:

Answer 24

Complete ROM with gravity eliminated

Question 25

Getting a 1 in muscle strength means:

Answer 25

Evidence of contraction with no joint movement

Question 26

Getting a 0 in muscle strength means:

Answer 26

No evidence of muscle contraction

Question 27

If a doc tells you to do the empty can test, he is testing to see if you:
A: tore dat ass up
B: have a rotator cuff pathology, specifically in your supraspinatus muscle
C: have any more beer in those cans
D: Like eating at Chuck E Cheese

Answer 27

Most likely he is checking the integrity of your surpaspinatus muscle. B. Or C?

Question 28

The Drop Arm Test indicates a ____ thickness tear in what muscle?

Answer 28

Full thickness tear in supraspinatus m

Question 29

While testing a patient for glenohumeral instability, Doctor Gooby utilizes the which two tests?

Answer 29

The apprehension test and Sulcus test

Question 30

While performing the apprehension test, Dr. Gooby rotates his patients arm in which direction?

Answer 30

Externally

Question 31

While performing the sulcus test, Dr. Gooby applies _____ traction to his patient’s elbow.

Answer 31

Inferior traction

Question 32

If Dr. Gooby expects his patient to have a positive Sulcus test, what does he expect to be visible near the acromion?

Answer 32

An indentation during inferior traction beneath the acromion

Question 33

Which two tests can be used to assess the integrity of the long head of the biceps?

Answer 33

The Yergason’s and Speed’s test

Question 34

Describe the motion of the Yergason’s test

Answer 34

Elbow flexed 90 degrees, hand supine. Against doc’s resistance, patient externally rotates against doc’s resistance. The best and only way of remembering the name and motion for this test is to call it the Turd Yergason test and then assume the motion of handing someone a turd who is standing besides you. Obviously.

Question 35

Describe the motion of the Speed’s Test

Answer 35

Elbow flexed to about 50-90 degrees, with hand supinated. Resist at forearm as patient attempts to flex shoulder.

Question 36

List two tests for rotator cuff impingement

Answer 36

Neer Impingement and Hawkin’s Test

Question 37

Describe Hawkin’s Test

Answer 37

Flex shoulder to 90°, flex elbow to 90°, slightly adduct, and passively rotate the humerus into internal rotation. This opposes the rotator cuff against coracoacromial ligament and acromion. Test for rotator cuff impingement or subacromial bursa inpingement.

Question 38

Describe Neer Impingement

Answer 38

Stabilize patient’s shoulder, forearm is pronated. Passively flex shoulder to fully flexed position. Test for rotator cuff impingement or subacromial bursa inpingement.

Question 39

Describe Apley Scratch Test

Answer 39

This is a ROM test for coupled external rotation and abduction, or coupled internal rotation and adduction.

Question 40

What muscle does the Lift off test test?

Answer 40

Subscapularis

Question 41

What is the Lift Off test testing the subscapularis for?

Answer 41

strength