Shoulder SpT

Question 1

Apprehension test: procedure

Answer 1

• Supine lie
• 90/90
• ER GHJ
• Repeat with posterior relocation

Question 2

Shoulder SpT’s

Answer 2

Apprehension test
O’brien’s test
Bicep Load 1&2
Speed’s test
Jobe’s empty can test
Hawkins-Kennedy test
Scarf test

Question 3

Apprehension test: purpose

Answer 3

Integrity of the GHJ capsule
GH instability

Question 4

Apprehension test: SPEC/SENS

Answer 4

SENS: 53%
SPEC: 99%

Question 5

Apprehension test: +ve -ve tests

Answer 5

+ apprehension
+ empty end feel/laxity
+/- P
- no apprehension/laxity

Question 6

O’Brien’s test: procedure

Answer 6

• Seated
• GHJ 90deg flex, 15deg AB, IR (Empty can)
• Apply gentle pressure downwards onto forearm
• Repeat in ER (Full can)

Question 7

O’Brien’s test: SPEC/SENS

Answer 7

SENS: 100%
SPEC: 98%
Labral tears

Question 8

O’Brien’s test: +ve -ve tests

Answer 8

+ P
+ inability to resist
+ crepitus
+ reduction in Sx in ER
- ability to resist
- no P

Question 9

Bicep load 1&2: procedure

Answer 9

• Supine
• Passively take shoulder to 90deg ABD (BL1) or 120deg (BL2) and max ER
• Hold anterior forearm
• Ask patient to bicep curl against resistance

Question 10

Bicep load 1&2: purpose

Answer 10

SLAP lesions

Question 11

Bicep load 1&2: SPEC/SENS

Answer 11

SENS: 89.7%
SPEC: 96.6%

Question 12

Bicep load 1&2: +ve -ve tests

Answer 12

+ P
- no P

Question 13

Speed’s test: procedure

Answer 13

• Patient in seated
• Passively take to 90deg GHJ flex, ER, full elbow EXT and forearm SUP
• Apply downward force to anterior forearm
• Ask patient to resist

Question 14

Speed’s test: purpose

Answer 14

Superior labral tears
Bicipital tendonitis

Question 15

Speed’s test: SPEC/SENS

Answer 15

SENS: 32%
SPEC: 75%

Question 16

Speed’s test: +ve -ve tests

Answer 16

+ P in bicipital groove
- no P

Question 17

Jobe’s empty can test: procedure

Answer 17

• Patient in sitting or standing
• Flex the GHJ in the scapula plane between 40-70deg, MR GHJ, elbow EXT, and wrist PRON
• Apply an inferior force and ask patient to resist

Question 18

Jobe’s empty can test: purpose

Answer 18

Lesions of the supraspinatus muscle and tendon

Question 19

Jobe’s empty can test: SPEC/SENS

Answer 19

SENS: 88.6%
SPEC: 58.8%

Question 20

Jobe’s empty can test: +ve -ve tests

Answer 20

+ giving way/inability to resist
+ P
- Ability to resist and no P

Question 21

Hawkins-Kennedy test: procedure

Answer 21

• Patient in sitting
• Flex the GHJ 90deg and elbow 90deg
• Support by placing hand through onto the opposite shoulder to allow patient to relax
• Passively internally rotate the GHJ

Question 22

Hawkins-Kennedy test: purpose

Answer 22

Subacromial impingement syndrome

Question 23

Hawkins-Kennedy test: SPEC/SENS

Answer 23

SENS: 62 - 92%
SPEC: 25 - 100%

Question 24

Hawkins-Kennedy test: +ve -ve tests

Answer 24

+ P in subacromial space
+ “pinch”
- no P

Question 25

Scarf test: procedure

Answer 25

• Bring patients arm into 90deg forward flex, elbow 90deg flex
• Clinician to horizontally adduct the flexed arm across the patients body
• Bringing the elbow to the contralateral shoulder

Question 26

Scarf test: purpose

Answer 26

Integrity of the acromioclavicular joint (ACJ)

Question 27

Scarf test:SPEC/SENS

Answer 27

SENS: 77 - 100%
SPEC: 79%

Question 28

Scarf test: +ve - ve tests

Answer 28

+ Sx reproduced
- no Sx reproduced