Shoulders Test

Question 1

Adsons test

Answer 1

Tos cuz by Ant scalene
Slight elevate chin and take a deep breath ( to elevates the 1 st rib) compress neurovascular bundle againstThe tight anterior scalene

Question 2

Travels variation on adson

Answer 2

Same as adson but look away

Question 3

Wright hyperabduction test

Answer 3

Pec minor cuz tos

Passively abduct 180 degress then slight extend arm

Question 4

Costoclavicular syndrome

Answer 4

Tos cuz by clavicle n first rib

Question 5

Eden’s test

Answer 5

To furthur asses compression of the neurovascular bundle btw clavicle n first rib
As far into retraction n depression as pssible
+ diminish pulse or reoccurance of symptom

Question 6

ULTT1

Answer 6

Asses c5,6,7 and median nerve
Abduct 110
Extend 10
Extend clt wrist and fingers
+ reproducing clt symptom ( if not sidebend to opposite side)
Bend clt neck back to side being test should diminish

Question 7

ULTT2

Answer 7

Median , musculacutaneuos , auxillary n 
Depress clt shoulder 
Abduct hum to 10 
Extend wrist and fingers 
Fully supinate forarm and extend elbow
\+ if clt reproduce pain

Question 8

ULTT3

Answer 8

Radial nerve 
Depress clt shoulder
Abduct 10 
Flex wrist n fingers and deviate ulnarly 
Fully pronate forearm and extend elbow 
\+ reproduction of clt symptom

Question 9

ULTT4

Answer 9

C8 and T 1 and radial nerve
Depress shoulder
Abduct 90 
Flex elbow
Bring hand toward clt ear 
Supinate forarm
Extend wrist n fingers  and deviate radially

Question 10

Neer impingement

Answer 10

Overuse injury supraspinous tendon
Passively flex clt hum through its ranges
Compressing tendons against acromion

Question 11

Hawkins-Kennedy impingement

variation neer

Answer 11

Flex clt arm 90
Internally rotate
This compress suprasinatus tendon against coracoid process

Question 12

Painful arc test

Answer 12

Subacromial impingement of supraspinus tendons and subacromial bursa
Instruct client to abduct hum through ranges
+ pain starting at 70 degree of abduction , ease of afte130

Question 13

Shoulder apprehension test AF

Answer 13

To explore previous gh dislocation only when the injury has progress to the chronic stage
Instructed move arm and joint to position of injury
Look for apprehension
+ gh joint capsular is unstable ( do not perform passive rom
Continue to AR instead

Question 14

Shoulder apprehension test PR

Answer 14

To pasively asses intregety of GH joint capsule
Move client arm injury took place
Staybilize affected shoulder hand on back of shoulder
Slowly Abduct
Look for sign of apprehension

Question 15

Adhesive Capsulitis Abduction test PR

Answer 15

1Palpate inferior angle of scap with one hand #2monitor its position throughout the test

Test for restricted motion at shoulder resulting from fibrosing and adhesion of the auxillary fold of the inferior gh joint capsule

#3proximal arm slowly , passively abduct
+ painful , leathery end feel , before90 degree of abduction since auxillary fold is fibroused
- leathery end feel encounter at greater than 90

Question 16

Acromioclavicular shear test

Answer 16

To asses integrety of ac joint
Finger interlaced
Cup over clients shoulder
One palm on clavicle and another on spine of scap
Slowly squeeze heel of hand together
+ excessive movement of joint indicate joint pathology , sprain

Question 17

Drop arm test

Answer 17

To asses Integrety of rotator cuff especially
Supraspinatus mm and tendon
Arm abduct90
Instruct to hold and slowly adduct back to starting point
+ unable to return arm smoothly amd slowly to the side

Question 18

Empty can test

Answer 18

Supraspinatus tendinitis , strain or weakness
Abduct hum 90
Adduct horizontally 30
Instruct to internally rotate hum , as were emotying a can
Apply pressure in direction of adduction
+ pain or weakness
note** this test does not distinguish btw supraspinatus or deltoid mm strength

Question 19

Infraspinatus strength test AR

Answer 19

Infraspinatus mm for tendintis or strain or mm weakness
Abduct hum 90
Flex elbow 90
Apply pressure to client wrist to direction of internal rotation while client try to externally rotate the hum
+ pain along infra or weakness
Note* does not dishtinguish btw infra or teres minor strength

Question 20

Subcapularis strength test AR

Answer 20

Subscap tendinitis , strain or weakness
Client attempt internally rotate while therapist force externally rotate
+ pain or weakness
Note* does not distinguish subscap , pecs mj , Lats dorsi , Teres mj strength

Question 21

Speed’s test

Answer 21

Biceps tendinitus
Client fully extend elbow while supinate arm
Resist flexion of arm by placing one hand on the shoulder and another distal to clts elbow
+ pain at tendon on resistance

Question 22

Yerguson’s test

Answer 22

Stability of biceps tendons in the bicipital groove
Or presence of biceps tendinitis

Elbow of affected arm flexed to 90 degree and forearm pronated
Stabilize clt elbow against clt thorax with one hand
With other hand , resist while clt actively supinate the forearm, externally rotate the hum all at the same time

+ biceps instability , loss of intregety of the transverse hum lig indicate by pain and sensation of tendon poping out of bicipital groove
However true tendonitis require true positive tendinitis test

Question 23

Pectoralis Minor Length test

Answer 23

Supine- sit head of table - observe shoulder protraction on the affected side since pec protrac shoulder
Variation - seated - apply palmar surface of one hand to anterior surface of shoulder on the side that pec minor mm length is to be tested on
+ rom shortened pec minor mm

Question 24

Pectoralis major Length test

Answer 24

Clavicle fiber - Abduct arm 90
Sternal fiber - Abduct 150
+arm does not drop below the level of the table

Question 25

Shoulder Adductores Length test

Answer 25

Asses length lats dorsi n teres mj

Supine
Hip knee flex feet flat on table
Low back is held flat on table
Instruct clt raise arm above their head full flexion at gh joint allow posterior arm touch the table
+ gh joint cannot fully flex , arm will not rest on the table
Lat dorsi n teres mj shortness

Question 26

Rhomboids Strength test AR

Answer 26

Prone
Abduct arm 90 affected Arm into extention grade 3 gravity
Stabilize opposite arm 
Apply pressure to distal end of hum 
\+ unable to hold arm

Question 27

Middle trapezius Strength Test AR

Answer 27

Prone
Abducted 90 and externally rotated
Client lift arm into extension against gravity Grade3
Staybilize unaffected shoulder

Other hand apply pressure to distal end of hum

+ weakness of middle fibers