Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Musculoskeletal 1 > Shoulder- practical (AOIs, MMTs, tests) > Flashcards

Shoulder- practical (AOIs, MMTs, tests) Flashcards

1
Q

MMT: Upper trapezius

A

Position:
AG: Seat
GM: supine
Movement: bring ear to shoulder
Resistance: lateral occiput, and superior acromion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

MMT: Middle trapezius

A

Position:
AG: Prone position, elbow flexed over table
GM: sitting position
Movement: bring shoulder blades together
Resistance: lateral border of scapula

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

MMT: Lower trapezius

A

Position:
AG: Prone, shoulder abducted to 130
GM: prone
Movement: lift UE off table
Resistance: lateral aspect of scapula

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

MMT: Rhomboids

A

Position:
AG: prone hand on L/S
GM: seated hand on L/S
Movement: lift hand off back
Resistance Medial border of scapula

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Serratus anterior MMT

A

Position:
AG: supine with shoulder flexed to 90 and elbow flexed
GM: seated with UE supported on table
Movement: protraction of scapula (lift back to shoulder off table)
Resistance: olecranon towards retraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Coracobrachlias MMT

A

Position:
AG: seated w/ shoulder ER and elbow flexed/pronated
GM: sidelying
Movement: arm flexion
Resistance: Proximal to elbow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Anterior deltoid MMT

A

Position:
AG: seated Forearm flexed to 90
GM: side lying
Movement: arm flexion to 90º
Resistance: proximal to elbow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Middle deltoid MMT

A

Position:
AG: seated:
GM: supine
Movement: arm abduction to 90
Resistance: proximal to elbow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Posterior deltoid MMT

A

Position:
AG: prone shoulder flexed over table
GM: sitting
Movement: Horizontal abduction from 90º shoulder flexion
Resistance: proximal to humerus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Latissimus dorsi MMT

A

Position:
AG: prone, shoulder flexed over table with IR
GM: sidelying
Movement: extend shoulder
Resistance: proximal to elbow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Teres major MMT

A

Position:
AG: Prone hand resting on L/S
GM: no tested
Movement: reach to opposite shoulder
Resistance: proximal to elbow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Supraspinatus MMT

A

Position:
AG: seated
GM: supine
Movement: abduction with arm in scapular plane
Resistance: proximal to elbow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Pectoralis Major MMT

A

Position:
- AG: Supine
- GM: seated
Movement
- Sternal head: arm to 130 abduction and then move in extension and adduction
- Clavicular horizontal adduction at 90 of abduction
Resistance
- Proximal elbow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Subscapularis MMT

A

Position:
AG: prone with elbow flexed over table
GM: prone with shoulder flexed over table
Movement: IR
Resistance: proximal to wrist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Infraspinatus/teres minor MMT

A

Position:
AG: prone with elbow flexed over table
GM: prone with shoulder flexed over table
Movement: ER
Resistance: proximal to wrist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Lateral scapular slide test

A
  • determines the stability of the scapula during glenohumeral movements
  • pt sits or stands with arm resting at side
  • measure distance from base of spine to the scapula to the spinous (T2-T3) process or from inferior angle to SP T7-T9
  • Then measure in 2-4 other positions
    a) hand on hip with thumb posteriorly (abducted 45)
    B) 90º ABDUCTION WITH IR
    c) 120 abduction
    d) 150 abduction
  • in each position the distance should not vary more than 1 -1.5 cm from the original measure
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Scapular repositioning test

A

Move shoulder to correct posture and retest flexion/impingment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Anterior apprehension test

A
  • Patient is supine, abduct to 90° and ER
  • Looking for alarmed facial expression or apprehension
  • Checking anterior capsule stability
  • Positive = pain
  • If positive, don’t have to do fulcrum test
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Fulcrum test

A
  • Similar to apprehension test but place hand posteriorly and apply an anterior pressure
  • Done after a negative ant Apprehension
  • Positive test = pain
20
Q

Relocation test

A
  • Patient supine; apply posterior pressure to relieve symptoms
  • Take it into ER
  • Then, ease up on hand - releasing force will make them become apprehensive
  • Should feel more comfortable with anterior to posterior force because it “relocates” the humeral head
  • Similar to apprehensive
21
Q

Anterior and posterior drawer test

A
  • Tests for anterior and posterior hypermobility/stability
  • Patient supine, but can also do sitting
  • Stabilize shoulder with one hand
  • Grasp humeral head and glide anteriorly and posteriorly
  • Up to 2 cm change is high end of normal (posterior)
  • Up to 1 - 1.5 cm change is high end of normal (anterior)
22
Q

Load and shift test

A
  • similar to anterior and posterior drawer test
  • Patient sitting; looking at anterior and posterior translation
  • Grasp humeral head while stabilizing shoulder
  • Load the joint (centralize the humeral head)
  • Glide humeral head side to side, maintaining parallel to the glenoid fossa
  • +1 = roll to about over the anterior lip
  • +2 = past glenoid labrum, ant. Lip; but self-aligns
  • +3 = roll over glenoid labrum ant lip and doesn’t self-adjust
23
Q

Posterior apprehension test

A
  • Patient supine; testing for posterior capsule stability
  • flex to 90 IR, apply axial load (place hand posteriorly for support)
  • Positive = pain (if positive don’t have to do jerk test)
24
Q

Jerk test

A
  • Patient supine; looking for posterior capsule laxity
  • Flex, IR, then horizontally adduct
  • Go back and forth withaxillary load
  • Positive test = snapping or clicking when run over labrum
25
Q

Push pull test

A
  • Testing posterior capsule
  • Patient supine with arm abducted to 90° and neutral ER
  • Pull up on forearm, while pushing on humeral head
  • Looking for pain = positive or if it sublux posteriorly
26
Q

Andrews anterior stability test

A
  • Take the shoulder into 100-110 abduction and full ER
  • In that position - do a posterior to anterior glide
  • Putting into closed pack position - if they are unstable in that position they are unstable
  • If you get gliding in that position is unstable
27
Q

Drop arm test

A
  • looking at the integrity of rotator cuff (impingement)
  • Passively take arm up, and have them hold it, if they can progress to slowly lowering it
  • If unable to control motion, possible tear of RC
  • Specifically, once around 90° (starting position)
28
Q

Empty can test

A
  • tests supraspinatus
  • Testing for impingement of supraspinatus
  • IR, thumb down and resist pressure
  • Positive = pain
  • Progress to full can, thumb up and resist pressure.
  • Positive less pain or no pain than empty can
29
Q

Neer test

A
  • Looking for impingement anteriorly
  • Done PASSIVELY
  • IR, then elevate arm
  • Positive = pain
30
Q

Hawkin’s Kennedy test

A
  • Take patient to 90° flexion then internally rotate. with Elbow bent to 90
  • patients stands
  • Pain indicates Supraspinatus impingement
  • Coracoid impingement: same as hawkin’s kennedy but add resistance
31
Q

Painful arc test

A
  • Patient can be standing or sitting
  • Have patient abduct the arm, see if they have pain
  • Should have pain between 60°- 120°
  • Pain at 145 degrees is AC jt. involvement
  • Looking at impingement
32
Q

Speed’s test

A
  • Patient standing; testing for biceps pathology
  • Supinate forearm and flex shoulder to 45°
  • Apply downward pressure and have patient resist motion
  • Positive = pain
  • If no pain try placing biceps in stretched position and then apply pressure behind
33
Q

Yergeson’s test

A
  • Testing long head of the biceps or tear to transverse ligament
  • Patient standing with elbow flexed to 90°
  • Resist supination, elbow flexion and ER
  • Textbook: resist supination and flexion
34
Q

Transverse humeral ligament test

A
  • testing integrity of transverse humeral ligament
  • have patient flex to find palpation location
  • then IR & ER, if in tact should NOT feel biceps tendon
  • IR greater tubercle / ER lesser tubercle
  • positive = biceps tendon pops out or groove into finger
35
Q

Shear test (AC joint)

A
  • patient sitting or standing
  • cup hands around shoulder (one on clavicle, the other on spine of scapular)
  • squeeze together
  • positive = pain or abnormal movement
36
Q

Cross over AC joint

A
  • Patient sitting or standing;
  • tests for AC joint pathology
  • Flex shoulder, and horizontally adduct
  • Positive = pain
37
Q

Compression rotation test

A
  • Patient is supine; Test for labral tears
  • Abduct patient’s arm with elbow flexed (can do at different points in range)
  • Apply axial load at elbow, and IR & ER
  • Positive = pain, clicking, crepitus
38
Q

Biceps load test 1

A
  • Patient is supine
  • Abduct arm to 90° and full ER
  • Try to straighten arm of pt (start with easy resistance then increase)
  • Looking for pain
39
Q

Biceps load test 2

A
  • Same as above biceps load test 1 but at 120° abduction
  • Reveals slap lesion
40
Q

Clunk test

A
  • Patient is supine; testing for labral tear; done passively
  • Full flexion, apply post to anterior load at scapula with one hand, and IR & ER with other hand
  • Place fist under arm to apply load
  • Positive = clunk or grinding sound
41
Q

O’Brien’s Active compression

A
  • Tests for labral tears; can show AC joint as well
  • Patient is standing
  • Flex shoulder to 90°, horizontally adduct 15°, fully IR
  • Push down as they push up
  • If they have pain, try supinated
  • If goes away ask where they pain was
  • Deep = Labral; superficial = AC joint pathology
42
Q

Andrews test IGNORE

A
  • Patient is supine, fully abduct the arm and ER
  • Positive = excessive motion
  • This test for laxity of the capsule, putting the arm in this position should be tightening the capsule completely
43
Q

Lateral scapular slide test

A
  • determines the stability of the scapula during GH movements
  • patient sits or stands with arms at side
  • examiner measures distance from base of spine of scapula to the SP of T3 (straight across)
  • then measure 2-4 other positions of GH movement
  • distance should not vary more than 1-1.5 cm from original
44
Q

scapular load test

A
  • similar to scapular lateral slide
  • performed by loading arm at 45 and greater of abduction
  • looks at how the scapula stabilizes itself
  • still shoulder not move more than 1.5
45
Q

Wall pushup test

A
  • patient stands arms length from wall
  • then asked to do a wall pushup 15-20 times
  • weakness/winging shows up within 5-10
46
Q

Post Internal impingement test:

shoulder

A

● Place shld in 90°abduction with
15-20° Extension & max ER

● + Pain post shoulder

● Pain palpation of infraspinatus

Musculoskeletal 1 (42 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions