Shoulder Examination Cont.

Question 1

What muscles does the axillary nerve innervate (2)

Answer 1

1. Teres minor

2. Deltoid (C5-C6)

Question 2

What muscles does the accessory nerve innervate (2)

Answer 2

1. SCM

2. Trapezius

Question 3

What muscles does the suprascapular nerve innervate (2)

Answer 3

1. Supraspinatus

2. Infraspinatus (C4-C6)

Question 4

What muscles does the lower scapular nerve innervate (1)

Answer 4

1. Teres major (C6-C7)

Question 5

What muscles does the long thoracic nerve innervate (1)

Answer 5

1. Serratus anterior (C5-C7)

Question 6

What muscles does the upper and lower subscapular innervate (1)

Answer 6

1. Subscapularis (C5-C7)

Question 7

True or False:

Mid ROM instability pathology is not capsuloligamentous

Answer 7

True

Question 8

What does mid ROM instability signify

Answer 8

Muscle isn’t working

Question 9

What does end ROM instability signify

Answer 9

Capsuloligamentous

Question 10

Painful arc from 60-120 is what type of pain

Answer 10

GH joint

Question 11

Painful arc from 170-180 is what type of pain

Answer 11

AC joint

Question 12

Instability or apprehension ER 90 and scaption or abduction equals what

Answer 12

Anterior instability

Question 13

Instability or apprehension horizontal adduction and IR equals what

Answer 13

Posterior instability

Question 14

Greatest limitation to least with a capsular pattern

Answer 14

1. ER
2. ABD
3. IR

Question 15

What are the glides of the GH joint (3)

Answer 15

1. Anterior
2. Posterior
3. Inferior

Question 16

What are the glides of the SC joint (4)

Answer 16

1. Superior
2. Inferior
3. Anterior
4. Posterior

Question 17

What are the glides of the AC joint (2)

Answer 17

1. Anterior

2. Posterior

Question 18

What are the scapular motions (6)

Answer 18

1. Elevation
2. Depression
3. Upward rotation
4. Downward rotation
5. Protraction
6. Retraction

Question 19

Thoracic spine mobility (3)

Answer 19

1. CVP
2. UVP
3. TVP

Question 20

True or False:

Limitations in the thoracic spine can cause limitation in shoulder ROM

Answer 20

True

Question 21

What glides should you assess with flexion

Answer 21

Posterior and inferior

Question 22

What glides should you assess with extension

Answer 22

Anterior

Question 23

What glides should you assess with abduction

Answer 23

Inferior of GH

Inferior of clavicle or sternum

Question 24

What glides should you assess with internal rotation

Answer 24

Posterior

Question 25

What glides should you assess with external rotation

Answer 25

Anterior

Question 26

What glides should you assess with horizontal abduction

Answer 26

Anterior

Question 27

What glides should you assess with horizontal adduction

Answer 27

Posterior

Question 28

If you can't do MMT because of pain what should you do

Answer 28

FTPO

Question 29

What does resisted break testing address

Answer 29

Integrity of nerve root

Question 30

True or False: | If the patient is strong and painless during isometric break testing you do not do MMT

Answer 30

True

Question 31

If the person is weak in painless with isometric break testing what are pathologies (3)

Answer 31

1. Complete tear 2. Organic weakness 3. Neurologic in nature

Question 32

How do you tell if it is neurologic in nature

Answer 32

Are all of the muscles innervated by the nerve weak and painless

Question 33

What is reflexive inhibition

Answer 33

Pain that prevents muscle from contracting

Question 34

What does TTPO stand for

Answer 34

Time To Pain Onset

Question 35

What is an example of TTPO

Answer 35

good at start of day and pain 4 hours into the day

Question 36

True or False: | Hand held dynamometry is reliable

Answer 36

True

Question 37

True or False: | One test alone does not confirm or refute your diagnosis

Answer 37

True

Question 38

How do you assess SS weakness

Answer 38

Empty can test

Question 39

What cause you to rule in patients for rotator cuff tear (RCT) (8)

Answer 39

1. Over 60 y/o 2. Night pain 3. SS weakness 4. ER weakness 5. Impingement signs 6. Drop arm test 7. Full or empty can with + muscle weakness 8. Lift off test

Question 40

What cause you to rule out patients for rotator cuff tear (3)

Answer 40

1. Full or empty can negative 2. No weakness of SS or ER 3. Negative impingement signs (IS)

Question 41

What are special tests for tension intolerance (8)

Answer 41

1. Jobe's (empty can) 2. IR lag sign 3. Sulcus sign 4. Speed's 5. Yergason's 6. Drop Arm (Codman's) 7. ER lag sign 8. Rent test

Question 42

What are the special tests for compression intolerance (4)

Answer 42

1. Hawkin's 2. Neer's 3. Active compression test (O'Brien sign) 4. GH apprehension with relocation

Question 43

What are the special tests for shear force intolerance (6)

Answer 43

1. Load and shift 2. GH anterior apprehension 3. Posterior apprehension 4. AC shear 5. Anterior slide 6. Crank test

Question 44

What does the empty/full can assess

Answer 44

Supraspinatus

Question 45

What does IR lag sign and Napoleon sign/belly press test assess

Answer 45

Subscapularis

Question 46

What does Speed's test assess

Answer 46

Biceps tendon

Question 47

What does Yergason's test assess

Answer 47

Transverse humeral ligament

Question 48

What is normal laxity of anterior GH joint

Answer 48

A mild amount of translation (0-25%)

Question 49

What is a grade I laxity of anterior GH joint

Answer 49

A feeling of the humeral head riding upto the glenoid rim (25-50%)

Question 50

What is a grade II laxity of anterior GH joint

Answer 50

A feeling of the humeral head riding over the glenoid rim but spontaneously reducing (greater than 50%)

Question 51

What is a grade III laxity of anterior GH joint

Answer 51

A feeling of the humeral head riding over the glenoid rim and not reducing (50%)

Question 52

What do the anterior slide and crank test assess for

Answer 52

SLAP lesions

Question 53

What does the sulcus test assess for

Answer 53

Inferior instability