Shoulder Special Tests

Question 1

What does the shoulder Apprehension test test for?

Answer 1

anterior instability

Question 2

Sulcus sign test for?

Answer 2

inferior shoulder instability

Question 3

Grades of sulcus sign test?

Answer 3

1+ = < 1 cm
2+ = 1-2 cm
3+ = >2 cm

Question 4

What does Ludignton’s test test for?

Answer 4

Biceps tendon rupture

Question 5

Test procedure for Ludingtons?

Answer 5

pt clasps hands behind head and contracts biceps

Question 6

(+) for Ludingtons? (meaning and sign)

Answer 6

meaning: Bicipital rupture
Sign: no movement of UE

Question 7

What does the Speed’s test test for?

Answer 7

bicipital tendonitis

Question 8

Test position for Speed’s test?

Answer 8

Shoulder flexed to 90 deg, forearm supinated and elbow extendedW

Question 9

Test position for Yergason’s?

Answer 9

seated with elbow flexed to 90 deg and forearm pronated

Question 10

What does Yergason’s test for?

Answer 10

Bicipital tendonitis

Question 11

What are all the tests for bicipital tendonitis?

Answer 11

Ludington’s
Speed’s
Yergason’s

Question 12

Tests for RTC pathology?

Answer 12

Drop Arm Test
Hawkins-Kennedy Impingement test
infraspinatus test
lateral rotation lag sign
lift off sign
Neer Impingement test
supine impingement test
supraspinatus test

Question 13

Test position for Drop Arm Test?

Answer 13

Arm in 90 deg abduction

Question 14

(+) for drop arm test?

Answer 14

pt unable to lower arm down slowly or severe pain

Question 15

Hawkins-Kennedy test position

Answer 15

shoulder in 90 deg flexion, then medially rotated

Question 16

(+) for Hawkins-Kennedy test?

Answer 16

pain with medial rotation

Question 17

What does Hawkins-Kennedy test for?

Answer 17

supraspinatus tendon impingement

Question 18

test position for lateral rotation lag sign?

Answer 18

Elbow bent, therapist moves shoulder into 20 deg scaption and near end-range LR

Question 19

(+) for lateral rotation lag sign?

Answer 19

pt cannot hold the position

Question 20

(+) for lateral rotation lag sign interpretation?

Answer 20

infraspinatus and/or supraspinatus pathology

Question 21

Lift off sign test position

Answer 21

dorsum of hand on low back, lift away from back

Question 22

(+) lift off sign test?

Answer 22

unable to move hand away from low back

Question 23

(+) lift off sign test interpretation?

Answer 23

subscapularis lesion

Question 24

Neer Impingement test position

Answer 24

shoulder passively brought into flexion

Question 25

(+) Neer Test?

Answer 25

pain or grimace with end range flexion

Question 26

(+) Neer Test interpretation

Answer 26

shoulder impingement involving supraspinatus tendon

Question 27

Supine impingement test position

Answer 27

pt in supine, passive shoulder flexion + LR + adduction--> MR

Question 28

(+) supine impingement test?

Answer 28

pain with MR

Question 29

(+) supine impingement test interpretation

Answer 29

shoulder impingement

Question 30

supraspinatus test position

Answer 30

arm in 90 deg abduction, 30 deg Horz ADD with thumb downward

Question 31

(+) supraspinatus test

Answer 31

weakness or pain

Question 32

(+) supraspinatus test interpretation

Answer 32

Supraspinatus test tear, impingement or suprascapular nerve involvement

Question 33

Tests for TOS?

Answer 33

Adson Maneuver Allen test Roos Test Wrist test Costoclavicular syndrome test

Question 34

Test position for Adson maneuver?

Answer 34

pt seated or standing

Question 35

procedure for adson maneuver?

Answer 35

monitor Radial pulse while rotating face to affected side then extension of head

Question 36

(+) Adson Maneuver?

Answer 36

diminished or absent radial pulse in final position (rotation and extension of head)

Question 37

Allen test position/procedure

Answer 37

pt sitting or standing, 90 deg abduction, LR and elbow flexion. Pt rotates head away rom test shoulder while radial pulse is monitored

Question 38

(+) Allen test

Answer 38

diminished or absent radial pulse while in test position

Question 39

costoclavicular syndrome test position/procedure

Answer 39

pt istting Monitor radial pulse as pt assumes a military posture

Question 40

(+) costoclavicular syndrome test

Answer 40

diminished or absent radial pulse

Question 41

Roos test procedure/position

Answer 41

sitting or standing 90 deg abduction, LR and elbow flexion Pt opens and closes hands repeatedly for 3 minutes

Question 42

(+) Roos test

Answer 42

weakness of arms, inability to maintain test position, sensory loss r ischemic pain

Question 43

Wright Test position/procedure

Answer 43

seated or supine passive Abduction while monitoring radial pulse

Question 44

(+) Wright test

Answer 44

diminished or absent pulse when OH

Question 45

Obrien's test position/procedure

Answer 45

pt stands with shoulder flexed to 90 deg, horizontally add to 10-15 deg and MR Pt resists downwards force from therapist

Question 46

(+) Obrien's test?

Answer 46

pain in MR, decreased with in LR

Question 47

(+) Obrien's test interpretation?

Answer 47

SLAP tear

Question 48

Glenoid Labrum tear test position/procedure

Answer 48

supine, therapist places one hand on posterior aspect of humerus Therapist passively abducts then LR the arm over the pt's head Therapist applies an anterior force to the humerus

Question 49

(+) glenoid labrum tear test? Interpretation?

Answer 49

clunk or grinding sound indicative of labrum tear

Question 50

Jerk Test position/procedure

Answer 50

sitting with shoulder elevated to 90 deg in MR with elbow bent Therapist provides axial compression thorugh elbow while horiz adducting the shoulder

Question 51

(+) Jerk test

Answer 51

sudden clunk/jerk

Question 52

(+) Jerk test interpretation

Answer 52

clunk/jerk with Horz Adduction pain may = posterior labral lesion

Question 53

What nerve does Upper limb tension test 1 bias?

Answer 53

median nerve Anterior interosseous nerve

Question 54

What position do you place the pt's UE in for ULTT 1?

Answer 54

shoulder depression with 110 deg apprehension, elbow extension, forearm supination, wrist extension, finger and thumb extension

Question 55

What nerve does the upper limb tension test 2 bias?

Answer 55

median nerve, musculocutaneous nerve, axillary nerve

Question 56

What position do you place a pt in for ULTT 2?

Answer 56

shoulder depression with 10 deg abduction, elbow extension, finger and thumb extension, shoulder lateral rotation

Question 57

What nerve does ULTT 3 bias?

Answer 57

radial nerve

Question 58

What position do you place a pt in for ULTT 3?

Answer 58

shoulder depression with 40 deg and 25 deg extension, elbow extension, forearm pronation, wrist flexion and UD, finger and thumb flexion, shoulder MR

Question 59

What nerve does the ULTT 4 bias?

Answer 59

ulnar nerve

Question 60

What position do you place the pt in for ULTT 4 in?

Answer 60

shoulder depression with 90 deg abduction, elbow flexion, forearm pronarion or supination, wrist extension and radial deviation, finger and thumb extension, shoulder lateral rotation