Shoulder special tests Flashcards
What is Yergason’s test for
Integrity of transverse ligament and bicipital tendonitis/tendonopathy
How do you perform Yergason’s test
Shoulder at side, elbow at 90*. Resist supination and shoulder ER.
Positive tests is pain or subluxation of LHBT
What is Speed’s test for
Bicipital tendonosis/tendonopathy
How do you perform Speed’s test
Resisted shoulder flexion from full extension.
Alternate position: shoulder in 90* flexion and push into extension (causing eccentric bicep action).
Positive test is pain in LHBT
What is Neer’s test for?
impingement
How do you perform Neer’s test
IR and abduct shoulder.
Positive is reproduction of shoulder pain
What is empty can test for
tear or impingement of supraspinatus
also suprascapular nerve neuropathy
How do you perform the empty can test
Resist shoulder at 90* abduction. Followed by resisting shoulder in 30* horizontal adduction and IR.
Positive test is increased pain in second position
What is the drop arm test for
Tear/ full rupture of rotator cuff
How do you perform drop arm test
Passively abduct arm to 120*. instruct patient to slowly lower arm.
Positive is inability to control arm back down.
What is the clunk test for
glenoid labrum tear
How do you perform clunk test
Patient supine, with shoulder fully abducted.
Push humeral head anterior, and ER humerus
Audible “clunk” is a positive test
What is the anterior apprehension sign used for?
Identifies history of anterior shoulder dislocation
What is the anterior apprehension sign
Patient does not like 90* abduction and ER, or resists efforts to reach position.
What is the posterior apprehension sign used for?
Identifies history of posterior shoulder dislocation
What is the posterior apprehension sign
90* scaption with scapula stabilized.
Put posterior force through shoulder and IR/horizontal adduct arm
Positive is patient not liking position or resisting efforts to reach it.
What is the AC shear test for?
Identifying dysfunction of the AC joint (such as arthritis or separation)
How do you perform the AC shear test
Patient with arm by side.
PT clasps hands over spine of scapula and clavicle and squeezes.
Positive is AC joint pain
What is Adson’s test for?
Pathology of structures in thoracic inlet
How do you perform Adson’s test
patient sitting.
Find radial pulse, then rotate head toward extremity, extend and rotate shoulder, and extend head.
Positive is neurologic/vascular s&s
What is the costoclavicular syndrome (military brace) test for
pathology of thoracic inlet
How do you perform the military brace test?
Find radial pulse. Move involved shoulder down and back.
Positive is neurologic/vascular s&s
What does the Wright (hyperabduction) test for
pathology of thoracic inlet
How do you perform the Wright test?
Find radial pulse.
Maximally ER and ABD shoulder.
Positive is neurologic/vascular s&s
What is Roos test for?
Pathology of thoracic inlet
How do you perform Roos test
Standing, shoulders ER, 90* ABD, slight horizontal ABD. Elbows flexed 90*. Open and close hands for 3 min.
Positive is neurologic/vascular s&s
What does ULTT1 test ?
Median and anterior interosseous nerve
What is ULTT1
shoulder: depression and 110* abduction
elbow: extension, supination
Wrist/fingers: extension
c/s: contralateral sidebending
What is ULTT2
Shoulder: depression and 10* abduction-ER
elbow: extension, supination
Wrist/finger: extension
c/s: contralateral SB
What does ULTT2 test
Median, axillary, and musculocutaneous nerves
What does ULTT3 test
Radial nerve
What is ULTT3
Shoulder: Depression and abduction-IR Elbow: extension and pronation Wrist: flexion and ulnar deviation Fingers and thumb: flexion c/s: contralateral SB
What does ULTT4 test
Ulnar nerve
What is ULTT4
Shoulder: depression, abduction (hand to ear) elbow: flexion, supination wrist: extension and radial deviation Fingers and thumb: extension c/s: contralateral SB
