Shoulder Special Tests Flashcards

1
Q

What special test assesses the integrity of the transverse ligament?

A

Yergason’s

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2
Q

What test does this description describe:
Pt sitting w/ elbow flexed to 90/stabilized against thorax/forearm pronated while resisting supination and shoulder ER

A

Yergason’s

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3
Q

What is a positive result of Yergason’s test?

A

tendon of LHB will pop out of groove, tenderness in bicipital groove without dislocation may indicated tendinosus

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4
Q

What test ID’s bicipital tendinosus/tendinopathy?

A

Speed’s test

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5
Q

What test is described below:
Upper limb in full extension/forearm supination. Begin by resisting shoulder flexion then alternate and place limb in 90deg flexion and push upper limb into extension

A

Speed’s

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6
Q

What is a positive test for Speed’s

A

pain in LHB tendon/increased tenderness in biciptial groove

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7
Q

What test assesses for impingement of supraspinatus and biceps tendon

A

Neer’s

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8
Q

What test is described below:
pt’s arm passively and forcibly elevated in scaption w/ arm in IR by examiner

A

Neer’s

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9
Q

What is a positive result of Neer’s?

A

reproduction of pain/symptoms in shoulder

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10
Q

What special test ID’s tear/impingement of supraspinatus tendon of suprascapular nerve neuropathy?

A

Empty can/Jobe test

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11
Q

What special test is described below:
pt’s arm ABD to 90 and neutral rotation and examiner provides resistance
then shoulder IR and angled 30deg forward so that pt’s thumbs point toward floor in scaption and perform again

A

Empty Can/Jobe test
tip: differentiate if pain is present between 2 positions

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12
Q

What is considered a positive test for Empty can/Jobe test

A

reproduction of pain in supraspinatus tendon or weakness in empty can position

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13
Q

What test will identify tear/full rupture of RTC

A

Drop arm test/Codman’s test

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14
Q

What test is described below:
examiner ABD pt’s shoulder to 90 and then asks them to slowly lower arm to the side in same arc of movement

A

Drop arm test/Codman’s test

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15
Q

what is a positive result for drop arm test/codman’s test

A

pt is unable to return arm to side slowly or has severe pain when attempting to do so

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16
Q

What test ID’s subacromial impingement

A

Hawkins-Kennedy

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17
Q

What test is described below:
pt’s arm is passively flexed to 90 in scaption and arm is stabilized while forearm is forced into IR

A

Hawkins-Kennedy

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18
Q

What is a positive result of Hawkins-Kennedy

A

pain indicates positive for supraspinatus tendinosus or secondary impingement

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19
Q

What test can ID RTC tear involving teres minor

A

Horn Blower’s Sign/Patte test

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20
Q

What test is described below:
pt’s arm supported at 90 deg of scaption with elbow flexed to 90. pt is asked to rotate forearm against resistance of clinicans hand into ER

A

horn blower’s sign/Patte test

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21
Q

what is a positive result for horn blower’s sign/Patte test

A

pt is unable to ER shoulder

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22
Q

What test can ID SLAP (Type II) or superior labral tear

A

Obrien’s (both)
Biceps load test (superior labral tear)

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23
Q

What test is described below:
pt holds arm in 90 deg flexion, 10 deg horiz. ADD and max IR with elbow extended and clinician resists in downward direction
repeat test with arm in max ER

A

Obrien’s

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24
Q

what is a positive test for Obrien’s

A

pain on joint line or painful clicking produced inside shoulder first part of test > second part of test (or eliminated)

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25
Q

What test is described below:
pt is in supine w/ shoulder ABD 120 deg, shoulder ER and elbow flexion to 90 deg w/ forearm supination
pt resists therapist pulling on wrist

A

biceps load testW

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26
Q

what is a positive test

A

if apprehension dec w/ resistance = neg for SLAP
if apprehension remains same/inc w/ resistance = pos for SLAP

27
Q

What test both teres minor and infraspinatus integrity

A

ER lag sign/Spring back

28
Q

What test is described below:
pt’s arm by side w/ elbow flexed to 90 then therapist ABD arm to 90 deg in scaption and ER to end range where pt is asked to hold

A

ER lag sign/Spring back

29
Q

What is a positive for ER lag sign/Spring back

A

pt cannot hold position and hand springs back anteriorly toward midline

30
Q

What test can assess for subscapularis

A

Abdominal Compression/Belly Press/Napoleon test
Lift off sign/Gerber’s test

31
Q

What test is described below:
examiners hand under pt’s hand on abdomen and pt is asked to press as hard as they can into the stomach while attempting to bring elbow forard to scapular plane

A

Abdominal Compression/Belly Press/Napoleon test

32
Q

What is a positive result for: Abdominal Compression/Belly Press/Napoleon test

A

inability to maintain pressure on examiner’s hand while moving elbow forward
posteriorly flex wrist or extend shoulder

33
Q

What test is described below:
pt place back of hand on back against mid-lumbar spine and then lifts hand away from back

A

Lift off sign/Gerber’s test

34
Q

What is considered a positive for lift off sign/gerber’s test

A

inability to lift off

35
Q

What test can assess for posterior instability

A

Jerk

36
Q

What test is described below:
pt sits w/ arm in IR and forward flexion to 90
examiner graps elbow and axially loads and moves arm across body

A

Jerk

37
Q

What is a positive result for Jerk

A

production of sudden jerk/clunk
when arm returns to original position a second jerk is felt

38
Q

What test assesses for inferior shoulder stability

A

Sulcus sign

39
Q

What test is described below:
pt stand with arm resting by side
examiner pulls forearm below the elbow distally

A

Sulcus sign

40
Q

What is a positive result for sulcus sign

A

presence of sulcus sign and only considered for pathology if symptomatic

41
Q

What test is described below:
pt supine w/ hands clasped together behind the head and then arms are lowered until elbows touch table

A

Pec Major contracture test

42
Q

What is a positive result for pec major contracture

A

elbows do not reach the table

43
Q

What test ID’s TOS

A

Halstead maneuver
Adson’s test
Costoclavicular Syndrome/Military Brace test
Wright test/Hyperabduction test
Roo’s test/Elevated arm stress test

44
Q

What test is described below:
examiner find radial pulse and applies downward traction to UE while pt’s neck hyperextended and rotated away

A

Halstead maneuver

45
Q

What is a positive result for Halstead maneuver

A

absense or disappearance of pulse

46
Q
A
47
Q

What test ID’s anterior shoulder instability

A

Anterior Apprehension test/Crank test

48
Q

What test is described below:
pt supine, examiner ABD to 90 and ER pt slowly

A

Anterior Apprehension/Crank test

49
Q

What is considered a positive test for Anterior Apprehension/Crank test

A

pt does not allow/like to move shoulder in that direction

50
Q

What test ID’s AC joint dysfunction

A

AC Shear test

51
Q

What test is described below:
exmainer cup hands over deltoid w/ one hand and spine of scapula with other and squeeze heels of hands together

A

AC Shear test

52
Q

What is a positive result for AC Shear test

A

reproduction of AC joint pain

53
Q

What test is described below:
examiner locate radial pulse
pt’s head rotated towards shoulder while extending head
examiner then extend and ER shoulder
during test pt is holding breath

A

Adson’s test

54
Q

What is a positive result for Adson’s test

A

disappearance of pulse

55
Q

What test is described below:
examiner palpate radial pulse and then draws pt’s shoulder down and back

A

Costoclavicular Syndrome/Military Brace test

56
Q

What is a positive result for Costoclavicular Syndrome/Military Brace test

A

absense of pulse
*Tip: use for pts w/ symptoms while wearing backpack/heavy coat

57
Q

What test is described below:
locate radial pulse and move shoulder into max ABD and ER
take a deep breath and rotate head away

A

Wright test/hyperabduction test

58
Q

What is a positive result for Wright test/hyperabduction test

A

neuro/vascular symptoms like disappearance of pulse reproduced

59
Q

What test is described below:
pt stand and ABD arms to 90 deg, shoulder ER, and elbows flexed to 90 deg slightly behind frontal plane
pt open/close hands slowly for 3 min

A

Roos test/elevated arm stress test

60
Q

What is a positive result for Roos test/elevated arm stress test

A

pt unable to keep arms in starting position for 3 min
has ischemic pain, heaviness, or profound weakness
numbness/tingling in hand during test

61
Q

What nerve is biased below:
shoulder depression/abd 110deg
elbow extension
forearm supination
wrist and fingers and thumb extension
cervical contralateral side flexion

A

median nerve, anterior interosseus nerve
C5-7

62
Q

What nerve is biased below:
shoulder depression and ABD 10deg
elbow extension
forearm supination
wrist and fingers and thumb extension
shoulder ER
cervical contralateral side flexion

A

median nerve, musculocutaneous nerve, axillary nerve

63
Q

What nerve is biased below:
shoulder depression, IR, abd (40deg), and extension (25deg)
elbow extension
forearm pronation
wrist flexion and UD
fingers and thumb flexion
shoulder IR
cervical contralateral side flexion

A

radial nervw

64
Q

What nerve is biased below:
shoulder depression/abd (10-90 deg)
elbow flexion
forearm pronation
wrist extension and RD
fingers and thumb extension
shoulder ER
cervical contralateral side flexion

A

ulnar nerve