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my NPTE stuff > Shoulder Special Tests > Flashcards

Shoulder Special Tests Flashcards

1
Q

What does the shoulder Apprehension test test for?

A

anterior instability

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2
Q

Sulcus sign test for?

A

inferior shoulder instability

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3
Q

Grades of sulcus sign test?

A

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

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4
Q

What does Ludignton’s test test for?

A

Biceps tendon rupture

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5
Q

Test procedure for Ludingtons?

A

pt clasps hands behind head and contracts biceps

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6
Q

(+) for Ludingtons? (meaning and sign)

A

meaning: Bicipital rupture
Sign: no movement of UE

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7
Q

What does the Speed’s test test for?

A

bicipital tendonitis

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8
Q

Test position for Speed’s test?

A

Shoulder flexed to 90 deg, forearm supinated and elbow extendedW

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9
Q

Test position for Yergason’s?

A

seated with elbow flexed to 90 deg and forearm pronated

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10
Q

What does Yergason’s test for?

A

Bicipital tendonitis

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11
Q

What are all the tests for bicipital tendonitis?

A

Ludington’s
Speed’s
Yergason’s

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12
Q

Tests for RTC pathology?

A

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

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13
Q

Test position for Drop Arm Test?

A

Arm in 90 deg abduction

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14
Q

(+) for drop arm test?

A

pt unable to lower arm down slowly or severe pain

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15
Q

Hawkins-Kennedy test position

A

shoulder in 90 deg flexion, then medially rotated

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16
Q

(+) for Hawkins-Kennedy test?

A

pain with medial rotation

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17
Q

What does Hawkins-Kennedy test for?

A

supraspinatus tendon impingement

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18
Q

test position for lateral rotation lag sign?

A

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

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19
Q

(+) for lateral rotation lag sign?

A

pt cannot hold the position

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20
Q

(+) for lateral rotation lag sign interpretation?

A

infraspinatus and/or supraspinatus pathology

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21
Q

Lift off sign test position

A

dorsum of hand on low back, lift away from back

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22
Q

(+) lift off sign test?

A

unable to move hand away from low back

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23
Q

(+) lift off sign test interpretation?

A

subscapularis lesion

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24
Q

Neer Impingement test position

A

shoulder passively brought into flexion

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25
Q

(+) Neer Test?

A

pain or grimace with end range flexion

26
Q

(+) Neer Test interpretation

A

shoulder impingement involving supraspinatus tendon

27
Q

Supine impingement test position

A

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

28
Q

(+) supine impingement test?

A

pain with MR

29
Q

(+) supine impingement test interpretation

A

shoulder impingement

30
Q

supraspinatus test position

A

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

31
Q

(+) supraspinatus test

A

weakness or pain

32
Q

(+) supraspinatus test interpretation

A

Supraspinatus test tear, impingement or suprascapular nerve involvement

33
Q

Tests for TOS?

A

Adson Maneuver
Allen test
Roos Test
Wrist test
Costoclavicular syndrome test

34
Q

Test position for Adson maneuver?

A

pt seated or standing

35
Q

procedure for adson maneuver?

A

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

36
Q

(+) Adson Maneuver?

A

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

37
Q

Allen test position/procedure

A

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

38
Q

(+) Allen test

A

diminished or absent radial pulse while in test position

39
Q

costoclavicular syndrome test position/procedure

A

pt istting
Monitor radial pulse as pt assumes a military posture

40
Q

(+) costoclavicular syndrome test

A

diminished or absent radial pulse

41
Q

Roos test procedure/position

A

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

42
Q

(+) Roos test

A

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

43
Q

Wright Test position/procedure

A

seated or supine
passive Abduction while monitoring radial pulse

44
Q

(+) Wright test

A

diminished or absent pulse when OH

45
Q

Obrien’s test position/procedure

A

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

46
Q

(+) Obrien’s test?

A

pain in MR, decreased with in LR

47
Q

(+) Obrien’s test interpretation?

A

SLAP tear

48
Q

Glenoid Labrum tear test position/procedure

A

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

49
Q

(+) glenoid labrum tear test? Interpretation?

A

clunk or grinding sound
indicative of labrum tear

50
Q

Jerk Test position/procedure

A

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

51
Q

(+) Jerk test

A

sudden clunk/jerk

52
Q

(+) Jerk test interpretation

A

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

53
Q

What nerve does Upper limb tension test 1 bias?

A

median nerve
Anterior interosseous nerve

54
Q

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

A

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

55
Q

What nerve does the upper limb tension test 2 bias?

A

median nerve, musculocutaneous nerve, axillary nerve

56
Q

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

A

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

57
Q

What nerve does ULTT 3 bias?

A

radial nerve

58
Q

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

A

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

59
Q

What nerve does the ULTT 4 bias?

A

ulnar nerve

60
Q

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

A

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

61
Q
A

my NPTE stuff (15 decks)

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