Special Tests POS/ Indications Flashcards
Apleys scratch test 2nd test
Positive test: significant difference in reach.
Indications: limited GH abduction, external rotation, or scapular elevation and upward rotation
Apleys scratch test 1st test
Positive test: unable
Indication: limited GH adduction, internal rotation or horizontal flexion
Apleys scratch test 3
Positive test: decreased motion on either side.
Indicates: limited GH adduction and int rotation scapular retraction
Pec major contracture test
Positive test: patient is unable to passively have elbows reches the table
Indicates: pec major contracture
Winging scapula test
Pos: the vertebral ( medial) border of the scapula pulls away from the thorax
Indicates: weakness dog the serrated anterior muscle or damage to the long thoracic nerve
SC joint glide
Pos: pain, hyper/ hypo mobility
Indicates: SC joint instability/ adhesions
AC glides
Pos: pain, hyper/hypomobilty
Indication:AC joint instability
Piano key sign
Pos: once the pressure is removed clavicle elevates
Indicates: AC joint instability
Traction( distraction test)
Pos: pain or movement of scapula inferior To clavicle
Indicates: AC CC ligament sprains
Compression/ shear test
Pos: pain or movement of clavicle
Indicates: AC CC ligament sprain
Cross- arm maneuver compression
Pos: pain or movement in the clavicle
Indicates: AC joint; subscapularis, supraspinatus, biceps long head, infraspinatus, Teres minor, posterior capsule
Anterior apprehension test
Pos: facial expression, apprehension in the GH joint
Indicates: anterior GH instability
Jobe relocation
Expression of pain on face
Indication: anterior GH instability
Fulcrum test
Pos: apprehension
Indication: anterior instability
Posterior apprehension test:
Pos: apprehension
Indicates posterior GH instability
Sulcus sign
Pos: excessive inferior humeral translation with step off( sulcus) inferior to the acromion
Indications: multi- directional instability
GH joint glide
Pos: pain hyper/hypomobilty
Indicates GH joint instability/ adhesions labrum, joint capsule
Load and shift
Pos: ant. Or post. Translation greater 25% diameter of humeral
Indication: GH instability