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Ortho Tx 700 > Shoulder Special Tests > Flashcards

Shoulder Special Tests Flashcards

1
Q

Yergason’s

A

Tests for: Stability of biceps tendon; rupture of transverse ligament

Seated.
Elbow flexed to 90º, forearm pronated.

Palpate biceps tendon during ER, elbow and shoulder extension

Positive: pain; tendon popping out of groove

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2
Q

If pain in biceps tendon during Yergason’s …

A

Speed’s Test

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3
Q

What test checks for transverse tendon rupture?

A

Yergason’s

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4
Q

Speed’s Test

A

Tests for: bicipital tendonitis

Seated. Elbow extended, shoulder flexed to 90º, forearm supinated

Resist pressure toward shoulder flexion, applied at wrist

Positive: pain in bicipital groove

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5
Q

What tests for biceps tendonitis?

A

Speed’s

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6
Q

Empty Can Test

A

AKA Supraspinatus Strength Test

Tests for: supraspinatus tendonitis, strain, or weakness

Seated; arm abducted to 90º, horizontally adducted to 30º, full internal rotation

Resist pressure downwards, applied at wrist

Positive: weakness, or supraspinatus pain

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7
Q

What test checks for supraspinatus injury/weakness?

A

Empty Can test

Drop Arm test

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8
Q

Drop Arm Test

A

Tests for: rotator cuff tear, especially supraspinatus

Passively abduct arm to 90º.
Patient slowly eccentrically returns arm to starting point

Positive: can’t control eccentric contraction; drops arm, jerky release

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9
Q

What test checks for rotator cuff tear?

A

Drop arm test (especially supraspinatus)

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10
Q

Lift off Sign

A

Tests for: subscapular lesion

Cop hold position. Lift hand from back. Resist presssure pushing arm back toward body

Positive: inability to lift arm from back, or resist pressure

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11
Q

What test checks for subscapular lesion?

A

Lift Off

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12
Q

Pectoralis Major Contracture Test

A

Tests for: Pec major HT

Lie supine on table, hands clasped behind head; lowers elbows toward table.
Therapist applies gentle pressure at elbows.

Positive: elbows do not reach table

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13
Q

Acromioclavicular Shear Test

A

Tests: integrity of AC joint

Seated, arms relaxed at side.
Therapist places cupped hands over shoulder. One palm at clavicle, the other on scapular spine.

Positive: pain, excessive movement

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14
Q

How to test AC joint sprain?

A

AC shear test

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15
Q

Rockwood

A

Rests for: anterior instability of GH joint (after dislocation)

seated, arms rested at side, elbow flexed.

AROM then PROM. Test at 0, 45, 90 and 120 abduction

Positive: apprehension, pain.
(90; some at 45 or 120, rarely at 0)

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16
Q

How to test for anterior instability of GH joint after a dislocation?

A

Rockwood

17
Q

Feagin Test

A

Tests for: inferior instability of GH joint

Arm abducted to 90º. Wrist either rests on therapist’s shoulder or forearm held by therapist.

Push down on shoulder (inferior glide)

Positive: sulcus appears above corocoid process; apprehension

18
Q

How to test for instability of the inferior joint capsule?

A

Feagin test

19
Q

Push-Pull Test

A

Tests for: posterior instability of the joint capsule

Supine. Shoulder at edge of table. Elbow bent.
Arm abducted to 90º, flexed to 30º
One hand on shoulder, other holding wrist

Apply downward pressure on humerus while pulling up on wrist

Positive: excessive movement, pain, apprehension

20
Q

Neer Impingement Test

A

Tests for: overuse injury to supraspinatus, sometimes biceps tendon

PROM arm into full flexion through scapular plane. Then medially rotate. The take forcibly to end range, jamming greater tuberosity against acromion process

Positive: pain face.

21
Q

Hawkins-Kennedy Test

A

Tests for: overuse injury to supraspinatus

PROM flexion to 90°, then full medial rotation

Positive: pain

22
Q

How to test for overuse/impingement injury to supraspinatus?

A

Neer Impingement

Hawkin’s-Kennedy

23
Q

Adhesive Capsulitis Abduction Test

A

Tests for: restricted ROM due to fibrosis/adhesion if axillary fold of inferior GH joint capsule.

Palpate inferior angle of scapula; other hand proximal to elbow.
Slow PROM GH abduction. Note when scapula begins to move.

Positive: pain; leathery end feel before 90°; movement of scapula before 90°

24
Q

Test for adhesive capsulitis (inferior capsule)

A

Adhesive capsulitis abduction test.

25
Q

Adson’s Test

A

Tests for: TOS (anterior scalene)

Seated. Extend, laterally rotate affected arm while monitoring radial pulse. IL cervical rotation, lift chin, hold breath for 15 seconds.

Positive: diminished radial pulse or recreation of symptoms.

26
Q

Test for TOS (anterior scalene)

A

Adsons

27
Q

How does Adsons test for

TOS?

A

Elevates first rib, narrowing space between it and anterior scalene, compressing VAN.

28
Q

Shoulder Apprehension Test

A

After dislocation. Test position of injury

AROM

  • if apprehension go right to RROM
  • if no apprehension go to PROM

PROM

  • if apprehension go right to RROM
  • if no apprehension go to POP

POP
PROM other ranges

RROM (in neutral) all muscles crossing joint.

Ortho Tx 700 (12 decks)

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