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Fall Semester PM Exam 1 > Shoulder Exam/Eval - Special Tests > Flashcards

Shoulder Exam/Eval - Special Tests Flashcards

1
Q

4 tests for subacromial impingement

A
  1. Hawkins-Kennedy
  2. Neer impingement
  3. Painful Arc
  4. Yergason’s
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2
Q

impingement tests with highest spec (2)

A

Hawkins-Kennedy and Neer

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3
Q

3 tests for tendonitis

A
  1. empty can
  2. speed’s test
  3. Gerber lift-off
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4
Q

empty can is specific to which muscle?

A

supraspinatus

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5
Q

speeds test which muscle?>

A

biceps tendonitis

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6
Q

Gerber lift off which muscle?

A

subscapularis

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7
Q

tendonitis test with highest spec?

A

gerber lift off for subscapularis

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8
Q

6 tests for RTC injury

A
  1. Passive elevation
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9
Q

Hornblowers biased to which 2 muscles

A

infraspinatus and teres minor

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10
Q

drop arm for which muscle

A

supraspinatus

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11
Q

3 tests for labral tears

A
  1. active compression
  2. crank test
  3. biceps load test
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12
Q

tests for ACJ pathology

A
  1. palpation
  2. resisted extension
    3 ??
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13
Q

2 tests for shoulder instability

A
  1. apprehension

2. relocation

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14
Q

shoulder instability test with highest spec

A

apprehension

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15
Q

tendonitis of the ___ and ___ can be caused by impingement

A

biceps and supraspinatus

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16
Q

Hawkins-Kennedy impingement test

A
  • elbow and GHJ (shoulder) at 90 degrees flexion
  • PT puts arm into IR (normal end feel is hard)
  • positive if painful with IR
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17
Q

3 things potentialy invovled with positieve Hawkins-Kennedy impingement test

A

supraspinatus, biceps tendon, bursa

18
Q

Neer impingement test

A

stabilize scapula, passively elevate humerus (arm) above head while arm is in IR to jam greater tuberosity into subacromial space

19
Q

neer positive indicates what?

A

positive with pain, possible impingment of supraspinatus or bursa

20
Q

painful arc test

A

Active motion! PT doesn’t do anything
positive if painful between 60-100
impingement test
positive could also be RTC tear

21
Q

Yergason Test

A
  • biceps impingement
  • shoulder down, elbow at 90 degrees flexion, full forearm pronation
  • therapist instructs pt to ER shoulder and supinate
  • therapist applies resistance against ER ad supination
    positive = pain in bicipital groove
22
Q

classic symptom with biceps tendonitis

A

pain reaching across body

23
Q

2 primary ways to diagnose tendonitis

A
  1. palpation

2. resisted contraction in a lengthened range

24
Q

empty can is for what

A

tendonitis of supraspinatus

25
Q

empty can test

A

patient actively elevates arm to 90 deg scaption and IR (thumb down)
therapist applies downward force
positive = pain or weakness

26
Q

most painful motion if patient has biceps tendonitis

A

shoulder flexion

27
Q

Speed’s test

A
  • biceps tendonitis
  • arms at 90 deg shoulder flexion, full elbow extension and forearm supination
    therapist pushes down while palpating bicipital groove
    positive = pain and tenderness in biciptal groove
28
Q

gerber lift off test is for

A

subscapularis tendonitis

29
Q

gerber lift off test

A

patient puts both hands behind back (ext and IR)
lift arms away from back
must hold position
tear = unable to lift arms away from body
subscap tear doesn’t happen often
lesion = painful
high specificity (.88)

30
Q

hornblowers sign is for which muscles

A

infraspinatus and teres minor (RTC injury)

31
Q

hornblowers sign

A
  • 90 degrees scaption, patient ER against resistance into IR
    positive = pain and or weakness
    high sen and spec!!
32
Q

drop arm test - which muscle

A

supraspinatus (RTC injury)

33
Q

drop arm test

A

arm passively abducted to 90
patient attempts to slowly lower (or hold position)
positive= arm flops
can also apply downward force to see if pt is weak or painful

34
Q

Active compression test is for?

A

labraltears

35
Q

active compression test

A
  • labral tear
  • in sitting, pt puts arm into 90 flexion, elbow ext
  • PT adducts arm 10 degrees with full IR
  • PT applies downward force
  • test repeated with arm in ER
  • psoitive = less pain with ER. also click/pain with IR
36
Q

positive active compression test

A

less pain with ER than IR

37
Q

sen/spec of active compression test

A

both very high!!! good for labral tears

38
Q

Bankart tear

A

anterior, inferior labral tear

often occurs with dislocations

39
Q

crank test

A
  • for slap or bankart lesion
  • pt supine, arm at 160 scaption
  • apply compression while IR and ER arm
    positive = pain or click
    high sen and spec
40
Q

biceps load test is for

A

slap lesion

41
Q

biceps load test

A
  • slap lesion
  • pt supine
  • arm abducted to 90, elow at 90, forearm supinated!
  • ER until apprehensive, then patient flexes elbow against PT’s resistance
    positive = pain or apprehension

Fall Semester PM Exam 1 (5 decks)

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