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MS Practical > Tests for Shoulder > Flashcards

Tests for Shoulder Flashcards

1
Q 
How to do the Rent test?
pt position: 
PT position: 
First Hand: 
Second Hand: 
Action: 
Positive:
A

pt position: short sitting
PT position: at pt’s back on side of test
First Hand: fingers at anterior edge of acromion
Second Hand: holding pt’s elbow
Action: PT extends pt’s arm (slightly flex in elbow) and then slowly IR and ER pt’s arm,

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2
Q 
How to do supine imping. test?
pt position: 
PT position: 
First Hand: 
Second Hand: 
Action: 
Positive:
A 
pt position: supine
PT position: at head and side of test
First Hand: wrist
Second Hand: distal humerus
Action: 1=move pt's arm into 170 flexion
2=move pts arm into ER (palm facing out)
3=adduct their arm to ear a little
4=rotate hand into IR
Pain equals torn RC/imping.
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3
Q 
Lift off test how?pt position: 
PT position: 
First Hand: 
Second Hand: 
Action: 
Positive:
A

pt position: short sitting with hand bent behind back
PT position: behind
First Hand: n/a
Second Hand: n/a
Action: “lift your hand off of your back”
Inability=positive

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4
Q 
Internal Rotation Lag test how?
pt position: 
PT position: 
First Hand: 
Second Hand: 
Action: 
Positive:
A

pt position: short sitting with hand bent behind back
PT position: behind
First Hand: elbow
Second Hand: wrist
Action: pull arm off back, let go “maintain this position”
Inability=positive

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5
Q 
External Rotation Lag test how?
pt position: 
PT position: 
First Hand: 
Second Hand: 
Action: 
Positive:
A

pt position: short sitting with pts arm=elbow flexed 90, arm ABD 20 in SCAP plane
PT position: behind
First Hand: elbow
Second Hand: wrist
Action: move pts arm to max ER, ask to hold
Positive: lag/can’t hold

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6
Q 
Drop Sign Test how?
pt position: 
PT position: 
First Hand: 
Second Hand: 
Action: 
Positive:
A

pt position: short sitting arm=elbow flexed 90, shoulder/arm ABD to 90 in SCAP plane
PT position: behind
First Hand: elbow
Second Hand: wrist
Action: move pts arm to max ER, ask to hold
Positive: can’t hold/lag sign

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7
Q

Infraspinatus ms actions

A

external/lateral rotation of shoulder

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8
Q

Supraspinatus ms actions

A 
shoulder ABD (the 15 degrees ms)
external/lateral rotation
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9
Q

Teres major ms actions

A

internal/medial rotation of shoulder
shoulder ADD
shoulder extension

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10
Q

Teres minor ms actions

A

external/lateral rotation of shoulder

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11
Q 
Drop Arm test how?
pt position: 
PT position: 
First Hand: 
Second Hand: 
Action: 
Positive:
A

pt position: standing
PT position: in front of pt
First Hand: wrist
Second Hand: n/a
Action: lift pts arm to 90 of ABD and let go “slowly lower your arm”
Positive: not smooth or controlled fashion

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12
Q 
Empty can test how? 2 parts of action that are compared to each other
pt position: 
PT position: 
First Hand: 
Second Hand: 
Action: 
Positive:
A

pt position: standing
PT position: behind
First Hand: on one forearm
Second Hand: on the other forearm
Action 1: ask pt to ABD arm to 90 with thumbs up (not in scap plane), PT presses down
Action 2: pts ABD in SCAP plane with thumbs down, PT presses down
positive: COMPARE STRENGTHS if Empty can weaker=positive

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13
Q

Full can test for?

A

supraspinatus tear

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14
Q 
Full can test how?
pt position: 
PT position: 
First Hand: 
Second Hand: 
Action: 
Positive:
A

pt position: standing
PT position: behind
First Hand: on one forearm
Second Hand: on the other forearm
Action 1: ask pt to ABD arm to 90 with thumbs up, PT presses down
positive: COMPARE STRENGTHS of both sides

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15
Q

posterior impingement sign for?

A

rotator cuff or posterior labral tear

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16
Q 
Posterior impingement sign how?
pt position: 
PT position: 
First Hand: 
Second Hand: 
Action: 
Positive:
A

pt position: like a pitcher throwing a ball elbow 90/110 flexed, arm extended 10, max ER
PT position: behind
First Hand: elbow
Second Hand: arm
Action: you put them into the aforementioned position and see if pain is induced
Positive: deep posterior shoulder pain

17
Q 
Hornblower's sign how?
pt position: 
PT position: 
First Hand: 
Second Hand: 
Action: 
Positive:
A

pt position: seated, elbow 90, arm ABD 90 in SCAP plane
PT position: behind
First Hand: elbow
Second Hand: dorsum of pts hand
Action: ask pt to forcefully ER against your hand (resist their ER)
Positive: can’t

18
Q 
Internal Rotation Resisted Strength Test how? 2 actions compared
pt position: 
PT position: 
First Hand: 
Second Hand: 
Action: 
Positive:
A

pt position: standing, elbow 90, arm ABD 90, 80 ER (so pretty much max ER)
PT position: behind
First Hand: shoulder
Second Hand: 1=dorsal hand 2=anterior wrist
Action: test pts ER and IR, compare
Positive: IR weaker is positive

19
Q

Neer test for? 4

A

subacromial impingement, subacromial bursitis, superior labral tear, RC tear

20
Q 
Neer test how?
pt position: 
PT position: 
First Hand: 
Second Hand: 
Action: 
Positive:
A 
pt position: seated, arm in full flexion
PT position: at side
First Hand: elbow
Second Hand: stabilizing scap
Action: raise their arm into flexion and stabilize the scap, overpressure
Positive: overpressure causes pain
21
Q

Hawkins-Kennedy test for?

A

subacromial impingement, subacromial bursistis, superior labral tear, RC tear

22
Q 
Hawkins-Kennedy Test how?
pt position: 
PT position: 
First Hand: 
Second Hand: 
Action: 
Positive:
A 
pt position: seated
PT position: at side
First Hand: stab. scap
Second Hand: elbow
Action: raise their arm to 90 flexion, (they can bend their arm to make it easier for you to do next part) force humeral head into IR
Positive: pain
23
Q 
Painful arch Test how?
pt position: 
PT position: 
First Hand: 
Second Hand: 
Action: 
Positive:
A 
pt position: standing
PT position: infront
First Hand: n/a
Second Hand: n/a
Action: ask pt to abduct involved shoulder
Positive: pain in 60 to 120 range
24
Q 
Biceps load test how?
pt position: 
PT position: 
First Hand: 
Second Hand: 
Action: 
Positive:
A

pt position: supine with arm ABD 90 and elbow flexed 90
PT position: sits on sit of involved extremity
First Hand: wrist
Second Hand: stab distal hum
Action: move pt’s arm into end range ER AND ask pt to flex elbow against your resistance
Positive: pain in location of biceps tendon

25
Q

what is the apprehension position?

A

end range ER when arm is ABD 90 and elbow is flexed 90

26
Q 
Yergason's test how?
pt position: 
PT position: 
First Hand: 
Second Hand: 
Action: 
Positive:
A

pt position: short sitting with arm at side and elbow flexed to 90 AND pronated
PT position: at side
First Hand: at elbow
Second Hand: at wrist, holding firm to resist supination in next step
Action: “turn your palm up to the ceiling” resist pt’s supination
Positive:

27
Q 
Crank Test how?
pt position: 
PT position: 
First Hand: 
Second Hand: 
Action: 
Positive:
A

pt position: supine, shoulder in 160 of elevation in SCAP plane + elbow flexed to 90
PT position: at side, at level of arm
Action: compress humerus into the glenoid fossa, IR and ER the humerus (crank it in both directions)
Positive: Pain + a CLICK

28
Q 
Kim Test how?
pt position: 
PT position: 
First Hand: 
Second Hand: 
Action: 
Positive:
A

pt position: seated in chair with a back for support, elbow 90, YOU elevate pt’s arm to 90 ABD
PT position: at involved side
Action: with pt’s arm starting in 90 ABD/elbow 90, simultaneously apply a compression force and move arm into 45 deg up diagonally (like up across their face sort of)
Positive: sudden onset of pain

29
Q 
Jerk Test how?
pt position: 
PT position: 
First Hand: 
Second Hand: 
Action: 
Positive:
A

pt position: short sitting with elbow 90 and shoulder at 90 ABD (palm facing down)
PT position: at side and a little behind stabilizing scap
First Hand: making a Y on the scap
Second Hand: elbow
Action: from starting position, load humerus posteriorly into fossa, bring arm straight across into hor ADD and then bring it back to original position
Positive: sudden clunk as humeral head slides off back of glenoid fossa yuck

30
Q 
Anterior Release/Surprise Test how?
pt position: 
PT position: 
First Hand: 
Second Hand: 
Action: 
Positive:
A

pt position: supine, elbow and arm ABD 90
PT position: at side, right below the pt’s arm (in the corner the pt’s arm and torso make)
First Hand: proximal forearm
Second Hand: head of humerus
Action: while applying pressure to the humeral head, rotate arm into max ER, THEN release humeral head
Positive: sudden pain upon releasing humeral head

31
Q 
Apprehension Test how?
pt position: 
PT position: 
First Hand: 
Second Hand: 
Action: 
Positive:
A

pt position: supine, elbow and arm ABD 90
PT position: at side, right below the pt’s arm (in the corner the pt’s arm and torso make)
First Hand: FA
Second Hand: posterior aspect of humeral head
Action: maximally rotate pts arm into ER, then with other hand pull humeral head up
Positive: pain

32
Q 
Speed's Test how?
pt position: 
PT position: 
First Hand: 
Second Hand: 
Action: 
Positive:
A

pt position: standing with arm straight at side, FA fully supinated
PT position: infront of pt
First Hand: superior shoulder
Second Hand: ant surface of wrist
Action: ask pt to bring arm up straight and apply downward force from 0-60 degrees
Positive:

33
Q 
Clunk Test how?
pt position: 
PT position: 
First Hand: 
Second Hand: 
Action: 
Positive:
A

pt position: supine, shoulder ABD 90, elbow 90
PT position: at side
First Hand: posterior humeral head
Second Hand: medial distal humerus (elbow)
Action: provide posterior to anterior force to humeral head (pull up) while the hand on the elbow provides a lateral rotation of the humerus
Positive: a clunk or grinding

34
Q

Rotator cuff ms? how many?

A 
FOUR! 4
infraspinatus
supraspinatus
subscapularis
teres minor

MS Practical (4 decks)

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