Special Test Shoulder 3

Question 1

Answer 1

4-type classification by Kimpler

Ex: 3 times shoulder elevation in the scaoular plane and 3 times schoulder abduction

Outcomes
Type I: inferior angle prominent (tilts posteriorly)
Type II: Medial border prominent (tilts posteriorly)
Type III: Superior border prominent (is elevated)
Type IV: Symmetrical

Question 2

Wgich are the Scapular Dyskinesis Tests ?

Answer 2

Scapular Dyskinesis Assistance Test (SAT)
4-Type Classification by Kibler

Question 3

Answer 3

SAT
Scapular Assistance Test

Ex: fixate shoulderblade like in the foto. Assist the abduction

Pos: Patient experiences leds pain with assisted movement
This means weakness of stabilizers

Question 4

Subacromial Pain Syndrome (SAPS)

Answer 4

SAPS Cluster:
1. Empty Can
2. Hawkins-Kennedy
3. Neer T
4. External rotarion in zero position
5. Painful arc sign

Pos: 3 or more

Question 5

Answer 5

Painful arc sign

Ex: slowly maximal abduction

Pos: patients familiar pain during 45-69 and 120 for subacromial pain syndrome
And 170-180 for symptomatic AC Joint

Question 6

Answer 6

Hawkins-Kennedy Test

Pos: provocation of patient familiar pain

Question 7

Answer 7

Neer Test

Ex: depression of the scapula with one hand, with other internal rotation and brings in PASSIVE flexion

Pos: provocation of patient familiar pain

Question 8

Shoulder Instability

Answer 8

Anterior:
Apprehension Test
Relocation
Release
Load abd shift T.

Posterior :Miniaci, Load and Shift T.

Inferior: Solcus sign, Gagey

Question 9

Answer 9

Apprehension T.
Pos: fear of luxation

Question 10

Answer 10

Relocation T.

Ex : ER until feeling of apprehension and then AP

Pos: fear of luxation is reduced

Question 11

Answer 11

Realease T.
Pos: fear of luxation returns

Question 12

Answer 12

Load and Shift T.

Ex : stabilize clavicle and scapula
Translate anterior & posterior
Pos : increased translation and familiar symptoms.

Question 13

Answer 13

Solcus sign

Ex : stabilize upper body
Pull distally

Pos : appearance of a dip

Question 14

Answer 14

Gagey T.

Ex : stabilize
Passive glenogumeral Abd until end of range

Pos : passive GH abd exceeds 105° –> laxity of inferior ligament

Question 15

Answer 15

Miniaci T.

Ex: stabilize and in 70-90 Flexion and IR give a posterior force and then move to horiz abduction and external rotation

Pos: clunk is felt durimg the mvm.

Question 16

Labrum Tear

Answer 16

Posteroinferior:
1. Kim’s T.
2. Jerk T.

Posterior:
1. Porcelini T.