Shoulder Special Test

Question 1

Neer Impingement test

Answer 1

Assess for Shoulder impingement
Supraspinatus or sometimes bicep brachii
Under subacromial arch

Sitting, bring affected shoulder into medial rotation and full flexion

Question 2

Positive for Neer Impingement

Answer 2

Pain
-indicates impingement of supraspinatus or sometimes bicep brachii tendon at the coracoacromial arch

Question 3

Hawkins Kenedy Impingement Test

Answer 3

Assess for Overuse of supraspinatus
Sitting. Shoulder and elbow in 90degree flexion. Passively bring in medial rotation.

Question 4

Positive sign of hawkins kenedy test

Answer 4

Pain
Indicates impingement in supraspinatus under coracoacromial arch

Question 5

Drop arm test

Answer 5

Assess for integrity of rotator cuff esp supraspinatus

Sitting. Bring into abduct the arm into 90degree, the adduct or drop arm slowly therapist can add slight resistance load on the arm.

Question 6

Positive for drop arm test

Answer 6

Arm drop immediately drops to the side. Cannot perform the movement, pain and apprehension

Question 7

Empty Can test

Answer 7

Assess for Supraspinatus strain, tendinitis and weakness

Question 8

How to test empty can test

Answer 8

Bring client both arms into 90degree abduction in neutral rotation. Client tries to maintain position against resitance. Therapist hands in the distal arm. Check for pain.

Client then brings arm into 30degrees of horizontal adduction and medial rotation as if emptying can, therapist apply pressure on the arm distal arm as client resist.

Question 9

Apley’s Scratch test

Answer 9

Assess limitations in the ROM shoulder relevant to frozen shoulder

Question 10

Positive for apleys scratch test

Answer 10

Positive if client difficulty to get into position esp abduction and internal rotation

One arm into abduction and lateral rotation as if scratching their back b/w scapula. Other hand into adduction and medial rotation

Question 11

Painful arc test

Answer 11

Assess for subacromial impingement

Question 12

Positive for painful arc test

Answer 12

Pain at 60-120 degrees of abduction and relieved pain past 120 degree

Question 13

AC shear test

Answer 13

Assess for integrity acromioclavicular ligament
AC separation

Question 14

Positive sign of AC Shear Test and how

Answer 14

Pain and excessive movement of the aC joint

Cup hands to the soulder with fingers interlaced, one palm over the spine of scapula and other palm in the clavicle(ac joint)apply gently squeeze hands together

Question 15

Cross over test

Answer 15

Assess for integrity of coracoclavicular ligament and acromioclavicular ligament
AC separation

Question 16

Positive sign for cross over test and how

Answer 16

Reproduction of Pain

Client sitting. Bring arm to horizontal adduction

Question 17

Speed test

Answer 17

Assess for bicipital tendinosis

Question 18

Positive sign of speed test and how

Answer 18

Pain during contractionand resistance

Sitting. Bring shoulder into 90degree flexion, elbow fully extended and forearm supinated. Client attempts holds position. Therapist apply gentle downward pressure in the distal as client slowly bring arms down

Question 19

Painful arc test

Answer 19

Assess for shoulder impingement of supraspinatus and subacromial bursa

Question 20

Positive sign for Paunful acromial arc test and how

Answer 20

Painful at first 60-120 degrees of abduction and relieved after 120dgree

To test instruct client to actively bring arm into full abduction