Week 1 Flashcards
list the 7 tests for subacromial impingement
hawkins-kennedy Neers test painful arc empty can crossbody add scapular assist scapular repositioning
hawkins- kenedy
supraspinatus impingement
90 shld flex + 90 elbow + IR to end range
+/- hawkins kennedy
+: pain in either directions
-: no pain
Neers test
shld impingement (reduction of subacromial space)
arm straight + IR full of arm + end range shld flexion
painful arc
supraspinatus tendinosis or impingement
AROM of abd of arm
+/- painful arc
+: pain between 60-120 degrees
-: feels better after 120 degrees
empty can test
supraspinatus tear (w/ weakness) or tendinitis
scapular plane + arm straight +IR at the hand + resistance at wrist
+/- empty can test
+: pain with resistance, can have weakness (Tear) or pain with strength (tendinitis)
-: no pain
cross body adduction test
indicate AC pathology or shld supraspinatus tendinitis
Passive + 90 shld flex + palm down + end range
stop with pain
+/- cross body test
+: pain at any point of passive rom
-: no pain full range
scapular assist
scap dyskinesia or scap muscle weakness (need strengthening)
have to have pain with active abd
AROM + thumb at lower medial boarder and push while patient moves arm into abd
i+/- scapular assist
+: if relief of symptoms and indicates weakness
-: normal
scapular repositioning
indicates weakness in scap muscles that post tilt scap
opens the subacromial space & pain with active abd
Arom + PT hand at ant AC + forarm @ spine of scap +scap retract
+/- scapular repositioning
+: if it feels better than indicates weakness
-: does not improve symptoms
Rotator cuff tear tests (8)
drop arm ER lag infraspinatus hornblowers sign IR lag sign belly press test lift off test empty can
drop arm test
indicates large (full) RC tear
120 of shld ABD passive + slowly lower it down
+/- drop arm
+: patient lets arm drop can slowely lower it
-: patient can lower it down controlled
ER lag
RC tear bias infraspinatus and teres minor
Passive 20 of abd + end range ER + then let go and see if they can hold it
+/- ER lag
+: they drop slightly because their IR’s are stronger than ER’s
-: they can hold on their own
infraspinatus muscle test
infraspinatus and teres minor tendinitis or tear
arm at side + elbow bent at 90 + resisted IR
Hornblowers sign
tear in ER’s (infraspinatus and teres minor)
shld 90 abd + 90 elbow flex + arm at scaption + IR of arm + PT adds resistance but allows patient to win at pushing up
+/- hornblowers
+: repoduction of symptoms for tear
-: pain and weakness
IR lag sign
subscapularis tear
place hand at arc of back + shld ext + ask to hold it there
+/- IR lag
+: patient cant hold position and rests arm at back
-: patient can hold it
Belly press test
subscapularis tear rule in or out
hand on belly and ask to press into belly
+: can do it
-: cant
lift off
subscapularis tear
arm at arc lower lumbar + ask to actively IR and lift off back
lift off test +/-
+: patient cant lift hand off
-: patient can do on own
scapular dysfunction tests (2)
scap assistance and scap repositioning
GH joint instability tests (2)
ant apprehension test
relocation test
ant apprehension test
ant GH instability
patient supine + bring into passive ER
+/- ant apprehension test
+: patient guarding or repo
-: all good
relocation test
ant GH instability
+ ant apprehension test + push post on humeral head
+/- relocation test
+: patient feels better
-: no change
Tests for GH joint posterior or inferior instability
jerk test
sulcus sign
jerk test
post GH instability due to sublux
be carful + clunk is joint dislocating
shld 90 abd+ elbow @ 90 +IR + compress + bring into add
sulcus sign
laxity of GH joint bias inf
arm at side + grab shld and wlbow + pull down at elbow
+/- sulcus sign
+: looking for gapping or depression on the skin
-: looks the same as it did before
labral tear tests (8)
Obrien test biceps loads II ant slide test compression rotation yergasons test speeds test ant apprehension test relocation test
obrien test
shld @ 90 flexion + 10 horiz abd + IR + push down
then after symptom reproduction
er + 10 horiz abd + 90 shld flexion
+/- brien test
+: hurts more with IR>ER b/c long head of biceps tugs on labrum
-: does not repo symptoms
biceps loads II
supine + 120 shld abd + forearm supination + resisting elbow flexion
+/- bicpes loads II
+: reproduces symptoms
-: no symptoms
ant slide test
hands on hips with thumb pointed backward + we push ant and superior
+/- ant slide test
+: looking for click or P!
-: no change
compression- rotation
patient is supine + IR/ER wiggle from 20-90 of shld abd + pushing up
yergasons test
labrum/ biceps long head/transverse lig pathologies
sitting + elbow at 90 + supinate as ER + apply resistance at wrist
speeds test
labrum/ bicipital tendinitis or tendinopathy
sitting tell them to lift arm to above 120 while lifting apply resistance but allowing mvm and vice versa for second part (concentric and eccentric exp with pain)
+/- speeds test
+: pain with either concentric or eccentric
-: no pain
AC joint pain
palpate the ac joint and see if it reproduces pain
AC resisted extension
sitting + 90 shld flexion + elbow bent at 90 + IR slight patient pushes back with slight resistance
olecranon manubrium precussion test
patient sitting, cross arms, steth at manibrium+ tap at elbow to compare sides
+ duller side one side over other
-: sound same
popeye sign
ruptued bicep
