Shoulder Tests Flashcards
Cluster for Subacromial Impingement
Neer Hawkins-Kennedy Empty Can ER Resistance Painful arc
Cluster for RC Tear
Empty Can
AROM abd <90deg
ER Lag Sign
Cluster for GH Instability
Apprehension/Relocation
Cluster for Torn Labrum
O’Brien
Compression
Biceps Load
Cluster for AC Joint
Crossover test
O’Brien
Resisted AC Joint Extension test
Cluster for Biceps Tendinopathy
Speed’s
Palpation of biceps
Yocum tests for…
RC impingement (supraspinatus & biceps long head)
IRRST tests for…
RC impingement
Drop Arm Test tests for…
Supraspinatus issue
Hornblower Sign tests for..
Teres minor issue
Lift-off Sign tests for..
Subscapularis issue
Belly Press Test tests for…
Subscapularis issue
Yergason’s Test tests for…
Biceps long head
Transverse humeral lig
SLAPrehension tests for…
SLAP tear
A/P Shear tests for…
AC joint
Sulcus at 0 degrees tests for…
GH instability (superior capsule, SGHL, rotator interval)
Rockwood Test tests for…
GH instability (anterior band, IGHL)
Anterior Load & Shift tests for…
GH instability (anterior capsule, MGHL, IGHL)
Apprehension/Relocation tests for…
GH instability (anterior capsule)
Push-Pull Test tests for…
GH instability (posterior capsule)
Jerk Test tests for…
GH instability (posterior capsule, posterior labrum)
Adson’s Test tests for…
Thoracic Outlet - scalene involvement
Costoclavicular Test tests for…
Thoracic Outlet - clavicular compression
Hyperabduction Test tests for…
Thoracic Outlet - pec minor involvement
Allen’s Test tests for…
Thoracic Outlet - pec minor involvement
Roo’s Test tests for…
Thoracic Outlet (general test for TOS)
Subacromial Impingement cluster: stats
sens = 75 spec = 74 (good for ruling in/out). \+LR = 2.93 (good) -LR = 0.34 (moderate)
RC Tear cluster: stats
sens = 54 spec = 65 (slightly better for ruling in vs ruling out) \+LR = 1.2 (good) -LR = 0.71 (not good)
GH Instability cluster: stats
sens = 81 spec = 98 (really good for ruling in, good for ruling out too) \+LR = 36.98 (great) -LR = 0.19 (good)
Torn Labrum cluster: stats
sens = 22 spec = 95 (really good for ruling in, not good for ruling out) \+LR = 4.4 (good) -LR = 0.82 (not good)
AC Joint cluster: stats
sens = 81 spec = 89 (good for both ruling out/in) \+LR = 7.36 (good) -LR = 0.21 (good)
Biceps Tendinopathy cluster: stats
sens = 68 spec = 49 (better for ruling out, but neither is great) \+LR = 1.31 (good ish) -LR = 0.65 (not good)
Neer test procedure
Thumb down, PROM raise arm OH, overpress
Hawkins-Kennedy test procedure
NSYNC
PROM IR in 3 positions, moving into further horizontal ADD
Empty Can test procedure
Resisted elevation w/ thumb down in scap plane
ER Resist test procedure
Standing, elbow 90, forearm neutral.
Dont let me move u
Painful Arc test procedure
AROM ABD
ER Lag Sign test procedure
Elbow 90, shld slightly ABD, scap plane, palm up.
PROM ER then let go, ask them to hold.
Yocum test procedure
hand on shld, elbow to nose AROM (or PROM if they cant)
IRRST test procedure
throwing position, resist both IR & ER
Cross-Over test procedure
PROM 90 shld flex, max horizontal ADD
Resisted AC Extension test procedure
martial arts block position, resist horizontal ABD
A/P Shear test procedure
cup hands over delt, squeeze
Apprehension/Relocation test procedure
Part 1: supine, PROM ER.
If pain/apprehension, then part 2
Part 2: Ant to post pressure on HH
Sulcus at 0 test procedure
standing/seated, distraction at elbow while palpating acrom-GH space
Rockwood test procedure
PROM ER at 0/45/90/120 ABD
Anterior Load & Shift test procedure
wiggle HH ant/post
Jerk test procedure
martial arts block position
hand on scap, hand on elbow, push together, then horiz ADD
O’Brien test procedure
Part 1: same as empty can test, but w/ slight horizontal ADD.
If pain, then do part 2.
Part 2: repeat resist w/ palm up (supination).
Compression test procedure
supine, ABD 160, scap plane, elbow flex.
axial pressure into elbow, then ER/IR (PROM).
grinding the HH into the labrum
Biceps Load Test II test procedure
supine, ABD 120, elbow flex, forearm supinated, max ER.
resist elbow flexion
SLAPrehension test procedure
Part 1: shld ABD 90, empty can position, AROM into horiz ADD.
If pain w/ part 1, then do part 2
Part 2: repeat w/ supination.
Speeds test procedure
palm up, raise to 60 shld flex against resist
not a break test
Drop Arm test procedure
PROM ABD to 90, tell them to lower down slow
Hornblower test procedure
shld flex 90, elbow 90, scap plane
resist ER
Lift Off test procedure
hand on back, lift off
Belly Press test procedure
hand on belly, resist by pulling off
Yergason test procedure
pancake flip
resist sup/ER/flex while palp bi groove
Adson’s test procedure
neck ext & rotate TOWARDS test side
ext & ER shld
Costoclavicular test procedure
depress & ext shld
distract at wrist
Hyperabduction test procedure
doorway pec stretch position, pull post to end-feel
Allen’s test procedure
shld ABD 90, elbow flex 90, ER 90 (forearm perpendicular to floor).
head rotate AWAY from test side.
Neer tests for…
supraspinatus SIS
Hawkins Kennedy tests for…
supraspinatus SIS
Empty Can tests for…
supraspinatus SIS, RC tear
ER Resist tests for…
infraspinatus SIS
ER lag sign tests for…
supraspinatus RC tear
Cross-Over tests for…
AC
Resisted AC Ext tests for…
AC
O’Brien tests for…
SLAP
AC
BLH
Compression tests for…
SLAP
Bankart
Biceps Load Test II tests for…
SLAP
Speed’s tests for…
BLH
SLAP