Shoulder Special Tests Flashcards
What special test assesses the integrity of the transverse ligament?
Yergason’s
What test does this description describe:
Pt sitting w/ elbow flexed to 90/stabilized against thorax/forearm pronated while resisting supination and shoulder ER
Yergason’s
What is a positive result of Yergason’s test?
tendon of LHB will pop out of groove, tenderness in bicipital groove without dislocation may indicated tendinosus
What test ID’s bicipital tendinosus/tendinopathy?
Speed’s test
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
Speed’s
What is a positive test for Speed’s
pain in LHB tendon/increased tenderness in biciptial groove
What test assesses for impingement of supraspinatus and biceps tendon
Neer’s
What test is described below:
pt’s arm passively and forcibly elevated in scaption w/ arm in IR by examiner
Neer’s
What is a positive result of Neer’s?
reproduction of pain/symptoms in shoulder
What special test ID’s tear/impingement of supraspinatus tendon of suprascapular nerve neuropathy?
Empty can/Jobe test
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
Empty Can/Jobe test
tip: differentiate if pain is present between 2 positions
What is considered a positive test for Empty can/Jobe test
reproduction of pain in supraspinatus tendon or weakness in empty can position
What test will identify tear/full rupture of RTC
Drop arm test/Codman’s test
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
Drop arm test/Codman’s test
what is a positive result for drop arm test/codman’s test
pt is unable to return arm to side slowly or has severe pain when attempting to do so
What test ID’s subacromial impingement
Hawkins-Kennedy
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
Hawkins-Kennedy
What is a positive result of Hawkins-Kennedy
pain indicates positive for supraspinatus tendinosus or secondary impingement
What test can ID RTC tear involving teres minor
Horn Blower’s Sign/Patte test
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
horn blower’s sign/Patte test
what is a positive result for horn blower’s sign/Patte test
pt is unable to ER shoulder
What test can ID SLAP (Type II) or superior labral tear
Obrien’s (both)
Biceps load test (superior labral tear)
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
Obrien’s
what is a positive test for Obrien’s
pain on joint line or painful clicking produced inside shoulder first part of test > second part of test (or eliminated)
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
biceps load testW