Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NPTE MS > Shoulder Special Tests > Flashcards

Shoulder Special Tests Flashcards

1
Q

Yergason’s - Tests for

A

Integrity of transverse ligament
Subacromial impingement syndrome
Might identify bicipital tendonitis/tendinopathy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Yergason’s - How to perform

A

Pt sitting
Shoulder in neutral (stabilized against trunk)
Elbow at 90 flexion with forearm pronated
Resist - supination of forearm and ER of shoulder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Speed’s test - Tests for

A

Bicipital tendonitis/tendinopathy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Speed’s test - How to perform

A

Pt sitting or standing
Upper limb in 90 shoulder flexion, full elbow extension and forearm supination (some scaption)
Resist shoulder flexion (apply force down into shoulder extension and palpate bicipital groove)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Neer’s impingement test - Tests for

A

Subacromial impingement syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Neer’s - How to perform

A

Pt sitting

Shoulder passively IR, then fully abducted (textbook), Bush has passive IR and flexion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Empty can test - Tests for

A

Supraspinatus tendonitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Empty can test - How to perform

A

Pt sitting
Pt actively elevates arms into 90 flexion with elbow extension and thumb down (empty can) (IR and 30 scaption)
Downward force applied by therapist (Resist abduction - text)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Drop arm test - Tests for

A

RTC injury - supraspinatus biased

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Drop arm test - How to perform

A

Pt sitting
Shoulder passively abducted to 120 degrees
Pt instructed to slowly lower arm to side

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Posterior internal impingement test - Tests for

A

Impingement between the rotator cuff and greater tuberosity or posterior glenoid and labrum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Posterior internal impingement test - How to perform

A

Pt supine

Move shoulder into 90 abduction, max ER, and 15-20 horizontal adduction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Clunk test - Tests for

A

Glenoid labrum tear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Clunk test - How to perform

A

Pt supine
Shoulder in full abduction
Push humeral head ant while ER humerus
Audible clunk when performing - positive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Anterior apprehension sign - Tests for

A

Instability at GH joint - past hx of anterior dislocation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Anterior apprehension sign - How to perform

A

Pt supine

Shoulder in 90 abduction, slowly take into ER

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Posterior apprehension sign - Tests for

A

Instability at GH joint - past hx of posterior dislocation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Posterior apprehension sign - How to perform

A

Pt supine in 90 abduction, place posterior force through shoulder via force at elbow (so shoulder is kind of flexed) while moving shoulder into internal rotation and horizontal adduction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Acromioclavicular shear test - Tests for

A

Dysfunction of AC joint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

AC shear test - How to perform

A

Pt sitting
Arm resting at side
Clasps hands with one at spine of scap and other at clavicle - squeeze hands together to cause compression of AC joint
Pain - positive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Adson’s test - Tests for

A

Thoracic outlet syndrome - pathology of structures passing through thoracic inlet

22
Q

Adson’s test - How to perform

A

Pt sitting
Find radial pulse
Rotate head toward extremity being tested
Extend elbow and ER arm while extending the head
Positive - disappearance of pulse or neuro sx

23
Q

Costoclavicular Syndrome (military brace) Test - Tests for

A

Pathology of structures passing through thoracic inlet

24
Q

Costoclavicular syndrome (military brace) test - How to perform

A

Pt sitting
Find radial pulse
Move involved shoulder down and back

25
Q

Wright (hyperabduction) test - Tests for what

A

Pathology of structures passing through thoracic inlet

26
Q

Wright (hyperabduction) test - How to perform

A

Pt sitting
Find radial pulse
Move shoulder into max abduction and ER
Take deep breath and rotate head opposite side being tested

27
Q

Roos elevated arm test - Tests for what

A

Pathology of structures passing through thoracic inlet

28
Q

Roos elevated arm test - How to perform

A

Pt standing with shoulder fully ER , 90 abd

Elbow flexed to 90 and pt open and closes hands for 3 minutes

29
Q

Upper limb tension tests - Tests for

A

Peripheral nerve compression

30
Q

Hawkins Kennedy Impingement Test - Test for what

A

Subacromial impingement syndrome

31
Q

Hawkins Kennedy Impingement Test - How to perform

A

Examiner places pt shoulder into 90 of shoulder flex with elbow flex to 90
PT then passively IR pt arm

32
Q

Allen’s maneuver - Tests for what

A

Presence of thoracic outlet syndrom

33
Q

Allen’s maneuver - How to perform

A

Pt sitting
Arm to be tested in 90 abd and full ER, elbow in 90 flex
Pt rotates head opposite side while palpating radial pulse

34
Q

Active compression - Tests for what

A

Labral tear or AC lesion

35
Q

Active compression - How to perform

A

Sitting or standing
Pt instructed to place shoulder in 90 flex and 10 add (elbow ext)
Arm actively IR so thumb is pointing down
PT apply force into shoulder ext (downward)
Then do it with ER (thumb up)
Positive if decrease in pain with thumb up

36
Q

Rent Sign - Tests for what

A

Torn RTC or RTC impingement

37
Q

Rent Sign - How to perform

A

Pt seated with PT standing behind pt
PT palpates anterior to anterior edge of acromion while holding the pt’s flexed elbow with the other
PT passively extends the shoulder while slowly rotated into IR and ER rotation
Positive for tear if greater tuberosity prominent and depression of 1 finger width is felt

38
Q

Crank Test - Tests for what

A

Used to evaluate different GH ligaments

Anterior shoulder instability

39
Q

Crank Test - How to perform

A

Pt standing
PT place hand on pt elbow and proximal humerus
Passively elevate pt shoulder to 160 scaption
Apply force against humerus while IR and ER the humerus (with your other hand)

40
Q

Biceps load 2 test - Tests for what

A

GH labral tears - SLAP lesion

41
Q

Biceps load 2 test - How to perform

A

Supine
PT bring pt into 120 abduction, max ER, 90 elbow flex, forearm supination
pt asked to perform elbow flexion against examiner resistance

42
Q

Bear Hug Test - Tests for what

A

Subscapularis tear

43
Q

Bear hug test - How to perform

A

Pt sitting or standing with hand on opp shoulder with elbow anterior to body
PT applies ER force while patient attempts to maintain hand on the shoulder
Positive - pt cannot hold hand against shoulder as therapist applies ER force

44
Q

Belly compression test - Tests for what

A

Subscapularis lesion

45
Q

Belly compression test - How to perform

A

Pt sitting or standing
PT places hand on abdomen
pt places hand of shoulder being tests on examiner hand and pushes hard as they can into stomach
pt tries to bring elbow forward in scapular plane causing IR at shoulder

46
Q

Horizontal adduction test - Tests for what

A

Presence of AC dysfunction or subacromial impingement

47
Q

Horizontal adduction test - How to perform

A

PT stand behind pt on side being tested
Grasp pt arm distal to elbow and passively flex pt shoulder to 90 - then maximally adduct shoulder to bring it across to other shoulder

48
Q

Gerber lift off test - tests for what

A

Tendonitis

Subscapularis

49
Q

Gerber lift off test - How to perform

A

pt stands with hand against back at waist level
PT moves pt arm 5-10 away from back while keeping elbow flexion
pt has to hold the position

50
Q

Hornblowers sign - Tests for what

A

RTC injury - biased towards infraspinatus and teres minor

51
Q

Hornblowers sign - How to perform

A

PT place pt arm in 90 scaption

pt asked to ER against resistance

NPTE MS (29 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions