special tests Flashcards
1
Q
O’Brien’s Test
A
- Standing shoulders to 90 degrees of flexion and 10 degrees of horizontal adduction and max IR/pronation (actively)
- PT applies force inferiorly at wrists, patient to resist, perform again with patient in max Er and supine (palms flat)
- Positive = pain is decreased in 2nd position (than it was in first) (more pain in the first position than the second position = positive)
- Indicates a SLAP lesion (by itself)
o However, it’s also part of the test cluster for AC joint pathology
2
Q
AC Resisted Extension Test
A
- Pt seated
- Passively flex shoulder to 90 degrees, elbow to 90 degrees, then 90 degrees of IR, then patient performs resisted horizontal abduction
- Positive = Pain near the AC joint
- Part of test cluster for AC joint pathology
3
Q
Cross Body Adduction Test
A
- Seated
- Passively flex shoulder to 90 degrees then into max horizontal Adduction
- Positive = Pain near the AC joint
- Part of the test cluster for AC joint pathology
4
Q
Gilcrest Palm up Test
A
- Pt sitting or standing hold 5 lbs weight in hand
- Palpate the bicipital groove as pt raises arm in ER and Supination (abduction on the way up)
- Positive = pain / tenderness to palpation – May hear a snap
- Indicates a LBH tendinopathy
5
Q
Speed Test
A
- Pt Standing w/ arm at 90 degrees of shoulder flexion in full supination
- Resist shoulder flexion at wrist
- Positive = pain in anterior shoulder
- LHB tendinopathy
6
Q
Yergasons Test
A
- Sitting or Standing, elbow at 90 degrees, full pronation, arm at side
- PT = palpate bicipital groove
- Pt performs resisted supination against PT resistance
- Positive = LHBT popping out of grove = Tear of the transverse humeral ligament
- Positive = Tenderness / pain = Bicipital tendinosis / SLAP lesion
7
Q
Posterior Impingement sign
A
- Pt is supine
- Passively move shoulder into 90-100 degrees of abduction, 10 degrees of extension and max ER, elbow at 90 degrees of flexion
- Positive = deep posterior shoulder pain
- Indicates Articular-Sided Internal impingement syndrome
8
Q
Crank Test
A
- Pt seated or supine
- Passively bring shoulder to 160 degrees of scaption, axially load GH joint and ER/IR
- Positive = clicking (with or without pain) or apprension of test
- Part of test cluster for anterior Bankart lesion / labral tear (not strong on its own)
o Bankart lesion goes through the humerus (or is the humerus) and this part of the glenoid cavity (if its boney)
9
Q
Biceps Load 2
A
- Pt is supine
- Flex elbow to 90 degrees, abduct shoulder to 120 degrees, resist elbow flexion
- Positive = pain
- Indicates a SLAP lesion
10
Q
Biceps Load 1
A
- Pt is in supine
- Hold arm at elbow/wrist, at 90 degrees of elbow flexion and shoulder abduction, passively ER to max, then have patient perform resisted elbow flexion
- NOTE: Make sure to not let elbow move out of that abduction the entire time
- Positive = Pain
- Indicates a SLAP lesion
11
Q
Jerk Test
A
- Pt is sitting
- Passively move shoulder into 90 degrees of abduction and slight IR (w/ elbow flexed)
- Positive = clunk or instability of the humeral head
- Positive = Posterior / inferior labral tear
12
Q
Kim Test
A
- pt seated w/ back support
- PT starts by holding the elbow of pt at 90 degrees of flexion and shoulder at 90 degrees of abduction
- Apply axially load with body and use other hand to inferiorly translate proximal humerus while you bring shoulder in/up on a diagonal (think dabbing)
- Positive = Pain, clinic in posterior shoulder
- Indicates a Posterior/inferior labral lesion
13
Q
Anterior Load and Shift Test
A
- Seated
- Behind pt, grasp head of humerus between fingers and thumb
- Shift the head of the humerus anteriorly and posteriorly (stabilizing w/ posterior hand)
- Positive = Clunking / subluxation dislocation replication of symptoms
- Part of test item cluster of anterior Bankart lesion/labral tear
14
Q
Sulcus Sign
A
- Seated
- Grab pts arm just proximal to the elbow and pull inferiorly gradually (over hand is on distal clavicle and wraps over to posterior side to support the scapula – this hand acts only as support and does not move)
- Positive = subluxation, excessive humeral translation inferiorly (getting 3 fingers in space = positive) – looking for little dip under the acromion (sub acromial space)
- Part of test cluster for anterior Bankart lesion/labral tear
15
Q
Jobe Relocation Test
A
- Pt in supine
- Passively abduct to 90 degrees and ER maximally with elbow at 90 degrees of flexion, opposite hand then provides posterior pressure when apprehension starts
- Positive = decreased apprehension when pressure is added
- Part of test item cluster for anterior Bankart lesion / labral tear
