Shoulder Special Test Flashcards
how is a drop arm (Codman’s) Test performed?
- PT passively places patient shoulder in 90° abduction
- PT ask them to slowly lower arm to their side
- (+) if patient can not return arm to their side with control or sever pain
What is drop arm (conman’s) test indicating?
Muscular
tear in RC complex
How is Empty Can/Full Can (Jobe’s) Test performed?
- Patient arms are abducted to 90° in neutral rotation
- PT then internally rotates & adducts arms to 30°
- PT applies resistance on distal humerus
- (+) weakness or pain indicating a tear of the Supraspinatus tendon/muscle
How is the External Rotation Lag sign performed?
- Patient flexes to 90° & then 20° elevation into scapular plane
- PT passively ER shoulder to near end range
- PT asks patient to hold this position
- (+) patient fails to maintain ER near end range
- Indicated supraspinatus and/or infraspinatus tear
How is the Infraspinatus Test/ ER Resistance performed?
- Patient has elbow flexed to 90°
- PT ask patient to external rotate
- PT resists ER shoulder at the forearm
- (+) weakness or pain
- Indicated infraspinatus tear
How is the Lift Off/Internal Rotation Lag sign performed?
- Patient places back of hand on their lower back
- PT lifts hand way from lower back and asks them to maintain this position
- (+) inability to maintain position indicative of subscapularis tear
How is the Belly Press Test performed?
- PT places hand on patients abdomen
-Patient placed hand on PT hand
-Patient elbow needs to be flexed to 90° & pushed their hand as hard as they can into examiner hand - Patient attempts to bring elbow forward while maintaining pressure over PT hand
- (+) elbow drops behind body into extension of shoulder or lighten up of pressure
-Indicated subscapularis teat
How is the bear hug test performed?
- Patient sitting arm crossed over chest with hand on opposite shoulder
- PT attempts to pull hand away from shoulder
- (+) patient unable to maintain hand on shoulder
- Indicates tear of subscapularis
How is Speed’s Test performed?
- Patient stands and flexes shoulder to 90° with forearm supinated
- PT pushes the patient’s arm into extension at the distal humerus
- Tell the patient to slow you down
- (+) concordant sign reproduced in bicipital groove
How is ludington’s test performed?
- patient seated or supine clasping both hands on the top of the head
- PT palpated biceps tendon & instructs the patient to alternatively contract & relax the bicep muscle
- (+) absence of contraction on the involved side
- Indicates torn long head of biceps
How is the Hawkins-Kennedy Test performed?
-Patient seated
-PT flexes shoulder to 90° then IR arm to make it parallel with chest
- (+) pain reproduction
- Indicative of external impingement as MOI
How is the scapular assistance test performed?
- Assistance provided to scapula during UE elevation
- (+) decrease in pain during arc of motion
How is scapular retraction test performed?
- Stabilization provided to scapula during UE elevation
- (+) decrease in pain and/or increased force output during motion
How is GH apprehension test performed?
- Patient supine
- PT positions patient UE into 90° abduction then maximally ER shoulder
- PT then applies P-A directed force on humeral head (if the first step did not cause apprehension)
-(+) apprehension patient or report of pain
How is the posterior apprehension test performed?
- Patient positioned in supine
- PT flex UE to shoulder height
- PT applies posterior directed force on patient elbow then horizontally adducts and IR the arm
-(+) apprehension by patient or reproduction of concordant sign
How is jerk test performed?
- Patient positioned in sitting
- PT elevates patient UE in POS to 90° while stabilizing scapula with opposite hand
- PT applies posterior directed force on patient elbow & horizontally adducts and IR the arm
-(+) PT palpated a jerk of the shoulder OR apprehension by patient OR reproduction of concordant sign
how is the Kim test performed?
- Patient positioned in sitting
- PT positions UE in 90° of abduction & 45° of flexion while stabilizing scapula with opposite hand
- PT applies axial directed load at elbow & horizontally adducts & IR the arm
- (+) pain & apprehension/subluxation
How is the sulcus Sign performed?
-Patient standing or sitting
- PT provides downward traction to humerus w/ elbow flexed or extended
- Measure distance from acromion to humeral head
How is the active compression test (O’Brien) performed?
- Patient standing, arm forward flexed to 90° with elbow fully extended
- Horizontally adducts 10-15degrees & medially rotate arm
- PT provides eccentric force downward at wrist
- Return to start position & repeat with palm supinated
- (+) pain or painful clicking in 1st part of test and decrease or eliminated pain in 2nd part of test
How is the Biceps Load Test II performed?
PT stands on affected side abducting the arm to 120°, maximum ER & elbow flexed to 90°
- patient may or may not complain in this position.
-Monitor symptoms then resist elbow flexion
- (+) reproduction of or increase in child complain
How is the AC resisted Extension test performed?
- Patient seated with PT standing behind them
- Patient shoulder is positioned at 90 flexion & IR, elbow at 90
- PT holds patient elbow & patient must horizontally abducts the arm against isometric resistance
- (+) pain reproduction at the AC joint
How is the cross body adduction test performed?
- Arm placed in 90 degrees of elbow flexion & 90 degrees of shoulder flexion, resting the hand on top of the opposite shoulder
- Examiner pushed the arm into further cross/ horizontal adduction
- (+) localized pain over the AC Joint
