Shoulders Test Flashcards
Adsons test
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
Travels variation on adson
Same as adson but look away
Wright hyperabduction test
Pec minor cuz tos
Passively abduct 180 degress then slight extend arm
Costoclavicular syndrome
Tos cuz by clavicle n first rib
Eden’s test
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
ULTT1
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
ULTT2
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
ULTT3
Radial nerve Depress clt shoulder Abduct 10 Flex wrist n fingers and deviate ulnarly Fully pronate forearm and extend elbow \+ reproduction of clt symptom
ULTT4
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
Neer impingement
Overuse injury supraspinous tendon
Passively flex clt hum through its ranges
Compressing tendons against acromion
Hawkins-Kennedy impingement
variation neer
Flex clt arm 90
Internally rotate
This compress suprasinatus tendon against coracoid process
Painful arc test
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
Shoulder apprehension test AF
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
Shoulder apprehension test PR
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
Adhesive Capsulitis Abduction test PR
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
Acromioclavicular shear test
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
Drop arm test
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
Empty can test
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
Infraspinatus strength test AR
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
Subcapularis strength test AR
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
Speed’s test
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
Yerguson’s test
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
Pectoralis Minor Length test
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
Pectoralis major Length test
Clavicle fiber - Abduct arm 90
Sternal fiber - Abduct 150
+arm does not drop below the level of the table
