Shoulder Special Tests Flashcards

1
Q

List the special tests used to assess glenohumeral joint ANTERIOR instability.

A
  1. Apprehension Test

2. Relocation Test (Job’s)

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2
Q

List the special tests used to assess glenohumeral joint posterior and inferior instability

A
  1. Jerk test (posterior)

2. Sulcus Sign

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3
Q

List the test used to assess subacromial impingement

A
  1. Hawkins-Kennedy test
  2. Neer Test
  3. Painful arc
  4. Empty Can
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4
Q

List the tests used to assess rotator cuff pathology

A
  1. Drop arm test
  2. External rotation lag sign
  3. Infraspinatus muscle test
  4. Hornblower sign
  5. Internal lag sign
  6. Lift off Sign (IR lag sign)
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5
Q

List test used to assess acromoclavicular joint pathology

A
  1. Horizontal adduction test (acromion crossover test)

2. Paxinos sign

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6
Q

List the special test used to assess SLAP (superior Labrum anterior to posterior) lesion.

A
  1. Active compression (O’Brien) test
  2. Biceps load II test
  3. Anterior slide test
  4. Compression-rotation test
  5. Yergason’s test
  6. Speed’s test (biceps straight arm)
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7
Q

A therapist is wanting to determine if the patient is presenting with peripheral nerve dysfunction. What special tests can he/she perform to stress the neurological tissues of the upper extremities.

A

Upper limb tension tests I-IV

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8
Q

List all the special tests used to assess Thoracic outlet syndrome.

A
  1. Adson’s test
  2. Roo’s elevated arm stress test (EAST)
  3. Wright Maneuver
  4. Halstead maneuver
  5. Cervical rotation lateral flexion
  6. AER
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9
Q

A therapist is using adson’s maneuver to test for throacic outlet syndrome. What structures is the therapist specifically testing when using adson’s maneuver?

A

Therapist is testing for scalene involvement

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10
Q

A therapist is using Wright’s maneuver to test for throacic outlet syndrome. What structures is the therapist specifically testing when using Wright’s maneuver?

A

Therapist is testing for costoclavicular compression (b/t pec minor and rib)

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11
Q

A therapist is using Halstead maneuver to test for throacic outlet syndrome. What structures is the therapist specifically testing when using Halstead maneuver?

A

Therapist is testing for costoclavicular compression (b/t rib cage and clavicle)

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12
Q

A therapist is using Cervical rotation lateral flexion to test for throacic outlet syndrome. What structures is the therapist specifically testing when using Cervical rotation lateral flexion?

A

Therapist is assessing for elevated 1st rib, or hypomobile 1st rib that is causing compression

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13
Q

A therapist is performing Adson’s maneuver, which way she he ask the patient to rotate their head?

A

Rotate head to ipsilateral side (test shoulder) (scalenes) and extend their head while therapist passively ER and extends shoulder (clavicle)

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14
Q

A therapist is having his/her patient perform roo’s test, for how long should the patient actively perform opening and closing of the hands?

A

3-5 minutes

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15
Q

A therapist is describing the cervical rotation lateral flexion test to a patient. what should his/her instructions be to the patient in regards to positioning.

A

Therapist should instruct patient to rotate neck to CONTRAlateral side, side bend to IPSILATERAL side

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16
Q

During speed’s test a therapist when would the therapist expect a patient to have pain when testing for bicipital tendionsis?

A

During resistance with UE in full extension in supination (bicep is active)

*bicep is not active during pronation

17
Q

True or False: a positive speed’s test may also indicate a SLAP lesion due to the biceps attachment to the labrum

A

True

18
Q

During empty can test what should the initial position of the arm be and what position should it be moved to to target supraspinatus?

A

Initial position: 90 degrees abduction and neutral rotation (palm facing down)—this deltoid

Supraspinatus position: IR (thumb points down toward floor), moved into 30 degrees scaption (also exposes infraspinatus)

19
Q

A therapist had their patient perform painful arc, and determined that the pain was reproduced at 60-120 degrees. This indicates what?

A

The results indicate glenohumeral subacromial impingment

If pain was only felt from 170-180, this would indicate AC joint pathology

20
Q

What is are the cluster tests for Rotator Cuff Tear?

A

(N.A.W -65)

  1. Night pain
  2. Age>65 yo
  3. Weakness in ER
21
Q

What are the cluster tests for a full thickness Rotator cuff tear?

A

(DIP)

  1. Drop arm
  2. Infraspinatus
  3. Painful arc
22
Q

What are the cluster tests for impingement?

A

(HIP)

  1. Hawkins-Kennedy
  2. Infraspinatus
  3. Painful arc
23
Q

What are the cluster tests for traumatic anterior Instability?

A
  1. apprehension

2. Relocation

24
Q

What is cluster 1 and cluster 2 for labral tears?

A

Cluster 1:

  1. relocation
  2. Active compression

Cluster 2:

  1. Relocation
  2. Apprehension