Tests UL Flashcards
O’Brian test
SLAP lesion.
Patient hand out in front, internal rotation.
Apply resistive force down @ wrist + stabilise shoulder.
Pain relief in ext rot = +ve.
Speeds test
Bicipital tendinopathy.
Arm out, supinated, slight extension.
Stabilise shoulder, apply down force at hand.
Gerber’s/lift off test
Subscapularis.
Hand behind back.
they pull their hand off back, I apply resistance at wrist.
Jobs’ can test
Supraspinatus
Arm out to side: ext rot, int rot.
Push down on wrist against them.
RIC tests
Abduction, adduction
Int, ext rotation in neutral
Int, ext rotation in 90˚ abduction
BIceps
Hawkins kennedy test
subacromial
rest hand on their shoulder to stabilise.
their arm resting in my elbow crest.
Pull humerus into int rotation at wrist.
move shoulder position around.
Neer’s test
subacromial
in situ, arm up in full shoulder flexion.
stabilise scap and push arm post at elbow.
Crank test
glenoid labrum (SLAP)
In supine, shoulder elevated 160˚, elbow flx 90˚
Hand under side to stabilise scap, push my trunk against their elbow to compress humeral head in glenoid fossa.
grab humerus to add int/ext rotation when compressing to pinch torn labrum
Biceps load tests
glenoid labrum/biceps tendon, prog from speed’s.
supine, shoulder 90˚abd, elbow 90˚ flx, off EOB.
One hand under humerus other pulling wrist away, they try to pull their hand in.
position 2: same but shoulder flxed 120˚
Anterior draw test
anterior stability of gleno-humeral structure.
Supine, arm abducted off EOB.
one hand stabilising under scap with thumb on coracoid process.
Moving hand as prox as possible to humeral head, PA on humeral head.
Apprenhension/relocation test
Gleno-humeral stability.
in supine, shoulder abducted off side of bed, elbow flexed 90˚.
push arm down @ wrist while stabilising elbow - look for facial expression.
THEN, apply AP on humeral head and externally rotate arm more. if there can be more external rotation or pain decrease= +ve ant instability
surprise test by removing AP
Posterior instability test
posterior gleno-humeral.
Supine, arm flexed over to opp side, elbow to ceiling.
Pull humerus laterally, AP through humeral axis, at elbow with other hand.
listen for “clunk”
Sulcus test
inferior stability.
Sitting, elbow flexed infront, support under elbow with one hand, other hand’s thumb on humeral head.
Apply caudal on humeral head with thumb.
Valgus test/MCL
MCL
supine, arm extended out to side
stabilise humerus and push elbow into body
try at different elbow flexions
Varus test/LCL
supine, arm extended out to side
stabilise humerus and push elbow away from body
try at different elbow flexions
Tinel’s sign
neural symptoms of ulnar N.
supine, Arm bent over head to other side, elbow to ceiling.
hold at elbow crease and tap ulnar nerve at olecranon.
tickling/prickling = +ve test
Functional Hand Tests (7)
pinch grip
key grip
fist
grasp
oppening door/jar
thumb opposition
grip strength
Physicological mvmt of radiocarpal joint (active + passive)
flxn, extn
radial, ulnar deviation
Physiological mvmt of inf + sup radioulnar joint (active + passive)
supination - bent elbow, supine
pronation
Physicological mvmt of fingers - MCP, PIP, DIP joints (active + passive)
MCP flxn, extn, abdn, addn
PIP flxn, extn
DIP flxn, extn
Physicological mvmt of thumb (active + passive)
MCP flxn
IP flxn
MCP extn + IP extn
ab/dduction
Passive accessory - inferior radio-ulnar
PA, AP
wrap hand on each side of bones with thumbs on top.
stabilise one and push through thenar emminence on other.
Accessory movement - Radio-carpal joint
Lateral glide: squeeze distal forearm from one side, hold opp side of hand with U grip and push.
Medial glide: switch
Accessory movements - intercarpal
AP
PA
