Upper Extremity - Assessment Flashcards
Level one: screening for Yellow Flags
- fear avoidance beliefs questionnaire (FABQ)
- Tampa Scale of Kinesiophobia (TSK)
when do we start observations of the patients?
In the waiting room!
- posture
- assess for atrophy
Olecranon manubrium percussion
+ test is a lack of crisp sound equal to the noninvolved upper extremity
FOR shoulder trauma
Supraspinatus tear screening
tests for supraspinatus tear
+ if there is pain or weakness
Infraspinatus/Teres Minor tear screening
Tests for an infraspinatus and/or teres minor tear
+ if patient cannot maintain test position with or without light resistance
Subscapularis tear screening
tests for subscapularis tear
* affected arm placed in BBIR Clinician releases support of the arm
+ if patient cannot maintain test position
Bony apprehension test
tests for a bony lesions secondary to recurrent instability (hills-sachs lesions, bony Bankart lesions, and erosion of the glenoid).
- BEST for Hill-Sachs lesions
+ demonstrating or station apprehension
Apley’s Scratch tests
- opposite shoulder (adduction and IR)
- superior angle of opposite scapula (abduction and ER)
- inferior angle of opposite scapula (IR, adduction and extension)
Shoulder Rangle of Motion: flexion
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Shoulder Rangle of Motion: extension
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Shoulder Rangle of Motion: abduction
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Shoulder Rangle of Motion: internal rotation
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Shoulder Rangle of Motion: external rotation
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Selective Shoulder MMTs: Flexion
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Selective Shoulder MMTs: Extension
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Selective Shoulder MMTs: Abduction
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Selective Shoulder MMTs: External Rotation
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Selective Shoulder MMTs: Internal Rotation
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Selective Scapular MMTs: Protraction
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Selective Scapular MMTs: Retraction
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Selective Scapular MMTs: Retraction Lower Trap
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Selective Scapular MMTs: Retraction Rhomboids
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Shoulder Girdle Joint Play testing: scapulothoracic
Shoulder Girdle Joint Play testing: GH anterior
Shoulder Girdle Joint Play testing: GH Posterior
Shoulder Girdle Joint Play testing: GH Inferior
Shoulder Girdle Joint Play testing: SC Posterior
Shoulder Girdle Joint Play testing: SC Inferior
Shoulder Girdle Joint Play testing: AC Posterior
Thoracic Spine joint play: upper thoracic central P/A
Thoracic spine joint play: mid thoracic central P/A
Extra Test: Neurodynamics: Median Nerve
Extra Test: Neurodynamics: Radial Nerve
Extra Test: Neurodynamics: Ulnar Nerve
Upper Quarter Y Balance Test
Scapular Dyskinesis Test
Scapular Dyskinesis: Scapular Assistance Test
Scapular Dyskinesis: Scapular Reposition Test
what is subacromial pain syndrome
- pain originating between the humeral head and the acromion
- anterior and/or lateral shoulder pain that increases with movements above shoulder height
- can come from bursa, RTC, long head of biceps, glenohumeral joint capsule, coracoacromial ligament
neer’s sign
+if pain is reproduced
hawkins-kennedy test
+ if their pain is reproduced
Watch for excessive shoulder hiking
What is painful arc?
if the client reports pain from approximately 60* to 120* but does not report pain outside of this range of abduction
Test cluster to improve diagnostic accuracy for subacromial impingement/pain syndrome?
Hawkins-Kennedy
Painful Arc
Infraspinatus Test
Drop arm test
tests supraspinatus
+ if client is unable to control the lowering of arm
Full can test
Empty can test
External rotation lag sign (infraspinatus/teres minor
Infraspinatus or external rotation resistance test
lift-off test (subscapularis)
does not mean full tear; need more info
belly press test
(if unable to get arm behind back)
Speed’s test (proximal biceps tendinopathy)
+ if client’s shoulder pain is reproduced
Yergason’s Test (proximal biceps tendinopathy)
+ if client reports pain over the origin of the biceps
Sulcus Sign
Anterior Instability: Anterior Apprehension
Anterior Instability: Relocation test
should alleviate pain
Anterior Instability: Anterior Release (surprise)
patients wont like this
Posterior Instability: Posterior Apprehension Test
Jerk test
Inferior Instability: Hyperabduction
Labral pathology and shoulder instability: biceps load I
Labral pathology and shoulder instability: biceps load II
passive compression test
O’Brien’s Test for Labral Tear
Test cluster to improve diagnostic accuracy for labral pathology
biceps load I
biceps load II
Speed’s test
Passive Compression test
Active compression test (o’brien’s test)
Cross body adduction test
Ludington’s test
Resisted Extension Test
Test cluster to improve diagnostic accuracy for acromioclavicular joint pathology
cross-body adduction
resisted extension test
active compression test
