Shoulder Exam/Specialty Tests Flashcards
1
Q
Shoulder flexion ROM:
A
180
2
Q
Shoulder extension ROM:
A
60
3
Q
Shoulder abduction ROM:
A
180
4
Q
Shoulder external/internal ROM:
A
90
5
Q
Shoulder horizontal abduction ROM:
A
40-55
6
Q
Shoulder horizontal adduction ROM:
A
130-140
7
Q
Specialty test
- Pt: flex shoulders to 90 and abduct to 45, internally rotate arms so thumbs are down, press down on forearms while patient resists
- (+) test: pain or weakness
- indicates: supraspinatus tear or tendonitis
A
empty can test
8
Q
Specialty test
- Pt: shoulder abducted to 90 and elbow flexed to 90, stabilize shoulder and move into external rotation
- (+) test: patient apprehension
- indicates: glenohumeral instability (inability to maintain humeral head in glenoid (ligament, cartilage, rotator cuff damage)
A
apprehension test
9
Q
Specialty test
- Pt: abducts arm to 90, then ask patient to slowly bring arm to neutral, can also be done w/ gentle taps on wrist
- (+) test: uncontrolled arm drop
- indicates: full thickness supraspinatus tear
A
drop arm test
10
Q
Specialty test
- Pt: stabilize shoulder, pronate forearm and passively flex shoulder into full flexion
- (+) test: pain
- indicates: subacromial impingement or rotator cuff impingement
A
Neer impingement
11
Q
Specialty test:
- Pt: abducts arm starting at neutral
- (+) test: pain between 60-120 of abduction
- indicates: subacromial impingement or rotator cuff impingement
A
Painful arc test
12
Q
Specialty test:
- Pt: flex shoulder to 90 and elbow to 90, passively internally rotate shoulder
- (+) test: pain
- indicates: subacromial impingement or rotate cuff impingement
A
Hawkins test
13
Q
Specialty test
- Pt: passively adduct arm across chest and rest hand on opposite shoulder, monitor posterior aspect of AC joint
- (+) test: AC joint pain
- indicates: AC joint pathology
A
Cross arm test
