Shoulder Practical Flashcards
Clearing exam for cervical/thoracic
cervical/tspine active range of motion with OP at end range
upper quadrant neurological testing (sensation, motor, reflexes)
Palpation for trigger points (referral to shoulder?)
AROM Painful motions should be measured ____
last
Apley’s Scratch Test
Hand behind back is extension and int rot
hand behind head is flex and lat rot
Shoulder painful arc
60-120 RC
>160 AC
Posterior capsular tightness test
sidelying, scapula stabilized in retracted position and parallel to t spine, start with arm in 90 abduction and 0 med/lat rot, arm lowered into horizontally adducted position, measure distance from med epicondyle to table at end range
subscapularis muscle performance tests
lift off test, belly press test
strength training early rehab
sub-painful, sub-maximal isometrics in safe ROM
strength training intermediate rehab
mid-range isometrics, rhythmic stabilization
strength training late phase
end range rhythmic stabilization in functional postions
precautions for isometrics
if post-surgical, know what resisted motions are contraindicated
avoid patient breath holding and associated increased blood pressure
when patient has full AROM without pain and tolerates multi-angle isometric exercise, progress to
isotonics
Anterior shoulder instability test
- anterior apprehension test
- relocation test
- anterior release (surprise)
Posterior shoulder instability test
posterior apprehension test
inferior shoulder instability test
sulcus sign
pathologies associated with anterior dislocation
bankart lesion: anterior glenoid/labral injury
hill-sachs lesion: compression fracture of posterolateral humeral head
