Special Shoulder Tests

Question 0

What is a slap tear?

Answer 0

Tear of labrum where long head of biceps attaches to labrum.

You can have a labrum tear that isn’t a slap tear…SLAP is just a specific location

Question 1

Anterior instability tests

Answer 1

Anterior load and shift

Apprehension

Question 2

SLAP tests

Answer 2

Crank test

Obrien test

Question 3

How to perform ant. load & shift

Answer 3

Stabilize shoulder & scapula
Grip humeral head with lumbrical grip
Re-center & then translate A/P
(Most ppl have more ant. mobility than post.)

Question 4

How to perform apprehension test

Answer 4

Supine
Shoulder and elbow at 90
Passive ER until signs or report of instability
Checks ant stability, especially if it feels better when u stabilize ant shoulder as u do it

Question 5

How to perform crank test (a SLAP test)

Answer 5

Seated or supine
Abduct in scaption & flex elbow to 90
Axial compression w IR & ER
click, catch, or reproduction of s/s indicate mechanical problem/SLAP tear

Question 6

Obrien SLAP test

Answer 6

Seated/standing
90 shld flex & 15 horizontal add w full IR
resistance to distal forearm
Look for click,catch, or reproduction of s/s
Retest in supination
RC or AC joint can produce false +

Question 7

Long head of biceps tests

Answer 7

Speeds

Yergasons

Question 8

How to perform Speeds test

Answer 8

Seat/stand
Shld flexed to 90 & full supination
Test w resistance
S/s reproduced in bicipital groove
Retest in pronation should decrease symptoms

Question 9

How to perform Yergasons

Answer 9

Seated w elbow flexed to 90, forearm neutral
Resist ER & supination
Pain or snapping in bicipital groove
(Looks like closing a door)

Question 10

What muscle does empty can test?

Answer 10

Supraspinatus

Question 11

AC joint tests

Answer 11

Shear
Obrien
Crossover

Question 12

How to perform shear test

Answer 12

Seated
Post scapular pressure & ant clavicle pressure (cup clavicle)
A/P shearing force reproduces s/s

Question 13

How to perform crossover test

Answer 13

Seated
Shld flex to 90 & IR
Stabilize shld & passively adduct
Reproduction of s/s at A/C joint
(Can use for biceps tendon injuries too)

Question 14

Impingement tests

Answer 14

Neer

Kennedy Hawkins

Question 15

How to perform Neer test

Answer 15

Seated, shld at side in full IR
Stabilize scap & move through flex ROM
Reproduction of s/s

Question 16

Kennedy Hawkins

Answer 16

Seated, flex shld to 90 degrees scap plane
Elbow at 90
Stabilize elbow & passively IR to end range
Reproduction of s/s, look for pain not limited ROM

Question 17

RC tear tests (rotator cuff)

Answer 17

Drop arm

IR/ER lag

Question 18

Drop arm test

Answer 18

Seated
Passively abd shoulder to 90
Remove assistance
They will be unable to maintain abd if RC is torn

Question 19

How to perform IR/ER Lag test

Answer 19

Seated
Arm down and passively moved into IR & ER
Remove assist to see if they can maintain position
If RC is torn they will be unable to

Question 20

Post instability test

Answer 20

Jerk test

Question 21

How to perform jerk test

Answer 21

Seated, stabilize scap, flex shld and wlbow 
to 90
IR shld w axial compression
Horizontally add arm
Look for click,pop, catch,or laxity