Shoulder Labs

Question 1

How do you perform PROM, AROM, and resisted testing for the shoulder and its contraindications

Answer 1

Question 2

What anterior stability testing (2) would you perform on the shoulder and their contraindications

Answer 2

Question 3

What posterior stability testing (3) would you perform on the shoulder and their contraindications

Answer 3

Question 4

What stability/provocation tests would you perform for the A/C joint (5) and what are the contraindications

Answer 4

Question 5

What stability testing would you perform for inferior shoulder

Answer 5

c) Sulcus Sign:
-Checks for inferior stability
-Grab shoulder and bring it down gently on repeat (arm and shoulder)

Question 6

How to perform PROM, AROM, and resisted testing on the shoulder along with contraindications

Answer 6

Question 7

How and when to perform a painful arc and contraindications

Answer 7

Impingement

Question 8

How and when to perform a Hawkin Kennedy Impingement Test and contraindications

Answer 8

Impingement

Question 9

How and when to perform a Neers Test and contraindications

Answer 9

Impingement

Question 10

How and when to perform a Empty Can Test and contraindications

Answer 10

Isolated supraspinatus

Question 11

How and when to perform a Speeds Test and contraindications

Answer 11

Tests for SLAP (superior labral tears) and bicipital tendinopathy)

Question 12

How and when to perform a Drop Arms Test and contraindications

Answer 12

Question 13

How and when to perform a ER Lag Sign Test and contraindications

Answer 13

Bring person into 45 degrees abduction and ER. Look to see if they can hold that position

Question 14

How and when to perform a Belly Press Test and contraindications

Answer 14

Have them put hand on belly in standing and push in (watch for posture and see if they protract shoulders more). Can also put your hand under their hand and get them to push into belly to assess their strength (subscap pathology). Positive = pain

Question 15

How and when to perform a Lift Off Test and contraindications

Answer 15

Laying in prone have them put hand behind back on lower aspect and get them to lift hand off to see if they can do it. Watch for pain. Tests subscap. Make sure they are lifting directly straight up vs at an angle (getting more extension than IR at that point)

Question 16

How to perform humeral head/scapular repositioning

Answer 16

Adjust posture to see if it reduces symptoms then assign HEP based on that (whether its taping, sifting posture manually)

Question 17

What makes up the rotator cuff tear cluster

Answer 17

Question 18

What makes up the rotator cuff tear - full thickness cluster

Answer 18

Question 19

What makes up the impingement cluster

Answer 19

Question 20

How to perform traction

Answer 20

Can hold hand with arm pit/body while in supine. Can apply traction straight out or downwards by grabbing around humerus/shoulder joint (don’t be poky). Use body and make sure arm is pushing on inside of arm and out laterally (stand more in tandem at 45 degrees). Looking for symptom modification. IF they have more ROM have fingers around arm and thumbs outside and put arm into IR and elevation across their body and apply a lateral force will also using your thumb to apply adduction to keep shoulder in while also pulling out with fingers

Question 21

Describe shoulder taping

Answer 21

Taping: Place white tape horizontal across shoulder to back (in front and behind joint line, then apply brown tape over top (while apply posterior direction on humeral head (go in whichever way helps bring the humeral head, posture and joint back into appropriate alignment -> rub hands on tape to apply heat to get it to set -> adjust and add more taping based on how much change it provides
-Downward rotate scapula: Start in axilla on affected side and tape up to opposite shoulder (axilla gets irritated though) ALTERNATIVE -> white tape from posterior/middle aspect of affected humeral head to opposite shoulder staying close around the neck (ends before clavicle) then add brown tape on top after while bringing scapula into more upward rotation (exaggerated to correct)
**can add some white tape to brown corners to keep the tape on better
**Only leave 2-3 days on

Question 22

Describe posterior/inferior glide to restore ER

Answer 22

Stabilize up on shoulder joint pushing down on humeral head, while other hand is holding their elbow at 45 degrees abducted and slight ER in supine apply a pressure downward at that 45 degree angle from top of GH joint on humeral head (use palm to not irritate) -> grades 1-4 or sustained

Question 23

Describe posterior/inferior glide in glenohumeral flexion

Answer 23

Bring them into barrier of physiological flexion, and cradle arm standing in direction toward their head and support arm so they are relaxed. Wrap both hands around the humerus as close to joint line as possible and apply a posterior inferior glide (45 degree angle down) -> grades 1-4 or sustained

Question 24

What group of individuals would have greater posterior capsule laxity?

Answer 24

Swimmers and throwers

Question 25

Describe posterior glide in barrier of horizontal adduction

Answer 25

Put patients arm across. Then wrap both hands around arm close to joint, pull out on arm using thumbs to stabilize and pull straight down