Week 1: Shoulder Basic Examination Principles

Question 1

What part of the subjective exam is specific to the shoulder?

Answer 1

Hand dominance

Question 2

What is measured for ROM in the shoulder exam?

Answer 2

• Cervical spine: AROM w/ overpressure for flex/ext, R/L lateral flexion, R/L rotation, Spurling test
• Shoulder: AROM for flex/ext, abd/add, IR/ER

Question 3

Normal ROM for shoulder flex/ext

Answer 3

• Flexion: 180

- Extension: 60

Question 4

Normal ROM for shoulder abduction

Answer 4

180

Question 5

Normal ROM for shoulder IR/ER

Answer 5

• IR: 70

- ER: 90

Question 6

During the function shoulder motion test, at what vertebral level should the hand be able to reach?

Answer 6

T4

Question 7

What info can we gather from comparing AROM and PROM?

Answer 7

• Active flexion + Passive flexion painful= non contractile

- Active flexion + Passive extension painful = contractile

Question 8

Hard capsular end feel

Answer 8

-

Question 9

Soft capsular end feel

Answer 9

-

Question 10

Bone to bone end feel

Answer 10

-

Question 11

Springy end feel

Answer 11

-

Question 12

Empty end feel

Answer 12

-

Question 13

What are the other components of the shoulder exam?

Answer 13

• MMT
• Selective tissue tensioning
• Palpation
• Neuro screen
• Joint mobility assessment
• Special tests