UE Special Test and Impairment Classification Flashcards
What is the Associated ICF Category for Sulcus Sign?
What is the purpose for using the Sulcus Sign?
Movement Coordination Impairment
To determine/assess if there excess laxity, and checking for multidirectional vs unidirectional instabillty
What is a (+) for Sulcus Sign?
If there is a presence of a sulcus sign, (a depression greater than a fingerbreath between the lateral acromion and the head of the humerus) when longitudinal traction is applied to the dependent arm in more than one position
What is the Associated ICF Category for Apprehension Test? (Apprehension and Relocation Test)?
What is the Purpose of this test?
Movement Coordination Impairment
This assesses instability/anterior dislocation
What is considered (+) for the Apprehension Test?
When placed in supine with the arm at 90° of ABD and full ER, and the PT provides overpressure. The patients apprehension, not pain, is considered positive for anterior instability/dislocation.
- Pain with no apprehension may indicate a pathology other than instability (Posterior impingment of the RC)
What is the Associated ICF Category for Yergason’s Test?
What is the purpose of this test?
Movement Coordination
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Muscle Power Deficit
This assesses for Bicep Tendinopathy
What is considered (+) for Yergason’s Test?
The patient has their arm positioned at 90° of flexion and pronated, they are asked to supinate their forearm agaisnt resistance
- A (+) is indicated by pain over the biciptial groove or subluxation of Long Head of Bicep (LHB)
What is the Associated ICF Category for Drop Arm (Codman) Test?
What is the purpose for this test?
Muscle Power Deficit
To assess for Supraspinatus tear
What is considered (+) for Drop Arm Test?
Patient is passively taken to 90° of ABD and is asked to slowly lower their arm with their palm down
(+) If the patients drops at any point of the descent its indicated of a RC tear
What is the Associated ICF Category for Lift-off Sign/Internal Lag sign?
What is the purpose for this test?
Muscle Power Deficit
To assess Subscapularis tear
What is considered (+) for Lift-Off Sign/Internal Lag Sign?
Pt places their hand behind their back, the PT lifts the pts arm off the back and ask them to maintain the position
- (+) when the patient is unable to maintain his or her arm off the back
What is the Associated ICF Category for Active Compression Test/ O’Brien’s Test?
What is the purpose of this test?
Movement Coordination Impairment
To determine the presence of potential pathology of the labrum or AC joint
What is considered (+) for Active Compression/O’Brien’s Test?
2 part test: pt stands with their involved shoulder in 90° of flexion, 10° of HAD and Max. IR with the elbow extended, PT adds resistance downward in the distal arm and ask the pt if there is any P! “on top of the shoulder” (AC joint) or “inside the shoulder” (SLAP). The test is then repeated, but with the arm in Max. ER (instead of IR)
- A (+) test for glenoid labral tear if the pt reports pain of clicking pain “inside the shoulder” with resistive force in IR and relief with ER
What is the Associated ICF Category for Painful Arc?
What is the purpose of this test?
Muscle Power Deficit
To detect subacromial impingement
What is considered (+) for Painful Arc?
Pt stands and ABD their shoulder
- (+) if pt reports pain in the 60-120° range
What is the Associated ICF Category for Neer Impingement Test?
What is the purpose of this test?
Muscle Power Deficit
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Mobility Deficit
Test for shoulder impingement
What is considered (+) for Neer Impingement Test?
Passively take patient’s shoulder into full flexion while maintaining internal rotation looking for pain.
If there are no reproduction of symptoms do this motion again and add overpressure by placing one hand on the scapula and the other in the axilla near the glenohumeral joint applying overpressure into flexion and adduction
- (+) if there is a reproduction of Sx
What is the Associated ICF Category for Hawkins kennedy Test?
What is the purpose of this test?
Muscle Power Deficit
Assess for Subacromial Pain Syndrome
What is considered (+) for Hawkins-Kennedy Test?
The pts arm is taken into flexion, HAD and the shoulder is internally rotated
- (+) if there is a reproduction of Sx
What is the Associated ICF Category for Internal Rotation Resistance Strength Test (IRRST)?
What is the purpose of this test?
Muscle Power Deficit
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Movement Coordination Impairment
To aid in differentiation between outlet (subacromial) impingement vs non-outlet (intra-articular) causes of shoulder pain
What is considered (+) for Internal Rotation Resistance Strength Test (IRRST)?
ABD the pt arm 90° and externally rotate 80°, resist the wrist into ER, assess reproduction of SX, then resist IR
- Positive Test: Weaker and more pain with resistive IR compared to ER; Indicated NON-OUTLET (Intra-articular) impingement
- Negative Test: Stronger and less pain with resistive IR compared to ER; Indicated OUTLET (Subacromial) impingement
What is the Associated ICF Category for Empty Can (Jobe) Test?
What is the purpose of this test?
Muscle Power Deficit
To determine the presence of a potential Supraspinatus impingement or tear and to assess SIS
What is considered (+) for Empty Can (Jobe) Test?
Both arms are in 90° in scaption with the thumbs facing up, apply resistance to both arms, re-test this time with the thumbs down
- (+) would be a decrease in strength or increase in pain with the thumbs down verses thumbs up
What is the Associated ICF Category for Load and Shift Test?
What is the purpose of this test?
Movement Coordination Impairment
To assess excessive anterior or posterior mobility at the Glenohumeral joint
What is considered (+) for the Load and Shift Test?
With one hand stabilize the scap., the other palpates the humeral head. A compressive force is added through the humeral head in an anterior and posterior direction assessing for movement
- Normal motion anteriorly is half of the distance of the humeral head, more movement is considered to be a sign of GH joint laxity.
