Upper Limb Special Tests Flashcards
List the tests associated with subacromial impingement (rotator cuff tendinopathies) (4)
Painful arc
Empty can
Neers test
Hawkins Kennedy
Painful arc test
Abduct the arm in the scapular plane
If positive- painfree first 60, pain 60-120 degrees, painfree after 120 degrees
Tests for rotator cuff tendinopathies- supraspinatus
Empty can test
Abduct shoulder to 90 degrees, pronates hand, thumbs down
Push down on arms, pain indicates positive test
Tests for rotator cuff tendinopathies
Neers test
Stabilise scapula, passively flex shoulder whilst arm medially rotated. Pain is a positive test
Tests rotator cuff
Hawkins Kennedy test
Most accurate - most specific test for rotator cuff
Put arm at 90 flexion, then passively medially rotate arm
Pain is positive test
Apprehension test
Tests for GHJ instability
Positive test- anxiety of subluxation
Lie supine, abduct shoulder to 90, flex elbow and passively lat rotate
Sulcus test
Tests GHJ instability inferiorly - lax glenohumeral and Coracohumeral ligaments
Positive test sulcus forms
Sit upright, arms resting by side, apply downward pressure at elbow
Tinels test
Tap over exposed nerve, e.g. ulnar at elbow.
Positive test- tingling and sensory changes
Cozens test
Tests for lateral epicondylalgia .
Resist wrist extension - positive test pain
Medial epicondylitis test
Resist wrist flexion
Tests for medial epicondylalgia
Pain- positive test
Finkelsteins test
Tests for de quervians (tenosynovitis of extensor pollicis brevis and abductor pollicis longus)
Make first around thumb and ulnar deviate
Positive- pain around wrist and thumb
Outcome measure - DASH
Disability of arm, shoulder and hand questionnaire.
30 questions, mark 1-5 about impairment 5- unable to do
Mills test
Lat epicondylalgia
Puts muscles on stretch. Passively flex wrist in supination
Phalans test
Carpal tunnel syndrome
Praying hands, hold for 1 min, any pain or tingling
Lift off test
Subscapularis
Arms behind back and push away whilst therapist pushes towards and resists movement. Pain and weakness positive
