Physical therapy exam- shoulder special tests – Flashcards
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what does the yergason's test for?
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integrity of transverse ligament; may also identify bicipital tendonosis/tendonopathy
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how do you perform the yergason's test?
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patient sitting with shoulder in neutral, elbow at 90, and forearm pronated. resist supination of forearm and ER of shoulder
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what is a positive yergason's test?
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biceps long head will "pop out" of groove. May also reproduce pain in long head of biceps tendon
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what does the speed's test identify
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bicipital tendonosis/tendonopathy
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how is the speed's test performed?
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patient sitting or standing with upper limb in full extension and forearm supinated. resist shoulder flexion. May also place shoulder in 90 degrees of flexion and push upper limb into extension causing an eccentric contraction of the biceps
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what is a positive speed's test?
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reproduces pain in long head of biceps tendon
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how is the neer's test performed
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patient sitting and shoulder is passively internally rotated then fully abducted
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what 2 things does the empty can test identify?
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1. tear and/or impingement of supraspinatus 2. suprascapular nerve neuropathy
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what does the drop arm test identify?
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tear and/or full rupture of rotator cuff
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what is a positive drop arm test
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pt unable to lower arm back down to side
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what is the posterior internal impingement test?
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indentifies an impingement between rotator cuff and greater tuberosity or posterior glenoid and labrum
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how is the posterior internal impingement test performed?
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patient supine. move shoulder into 90 degrees abduction, maximum ER and 15-20 degrees horizontal adduction
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what is a positive posterior internal impingement test?
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reproduction of pain in posterior shoulder during test
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what does the clunk test identify
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a glenoid labrum tear
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how is the clunk test performed
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patient supine, arm in 160 degrees abduction, push humeral head anterior while rotating humerus externally
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what is a positive clunk test?
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audible "clunk" is head
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anterior apprehension sign identifies?
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past history of anterior shoulder dislocation
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how do you perform the anterior apprehension sign?
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patient supine, with shoulder in 90 degrees abduction. slowly take shoulder into ER
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posterior apprehension sign identifies?
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past history of posterior shoulder dislocations
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how do you perfrom the posterior apprehension sign
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patent supine with shoulder abducted 90 degrees (in plane of scapula) with scapula stabilized by table. place a posterior force through shoulder via force on patient's elbow while simultaneously moving shoulder into medial rotation and horizontal adduction
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what does the AC joint shear test identify?
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identifies dysfunction of AC joint
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how do you perform the AC shear test?
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patent sitting with arm resting at side. examiner clasps hands and places heel on one hand on spine of scapula and heel of other hand on clavicle. Squeeze hands together causing compression of AC joint
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positive AC shear test
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pain
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what does the adison's test identify
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pathology of structures that pass through thoracic inlet
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how do you perform the adson's test?
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patient sitting. find radial pulse of extremity being tested. rotate head toward extremity being tested, and then extend and ER the shoulder while extending the head
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what is a positive adson's test?
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neurological and/or vascular symptoms (disappearance of pulse) will be reproduced in UE
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what does the costoclavicular syndrome (military brace) test
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identifies pathology of structures that pass through thoracic inlet
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how do you perform the costoclavicular syndrome (military brace) test
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patient sitting. find radial pulse of the extremity being tested. move involved shoulder down and back
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what is a positive costoclavicular syndrome (military brace) test
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neurological and/or vascular symptoms (disappearance of pulse) will be reproduced in UE
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what does the wright (hyperabduction) test indentify?
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pathology of structures that pass through thoracic inlet
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how do you perform the wrights test?
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patient sitting. find radial pulse of extremity being tested. Move shoulder into maximal abduction and ER. taking deep breath and rotating head opposite to side being tested may accentuate symptoms.
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what does the roos elevated arm test identify?
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pathology of structures that pass through thoracic inlet
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how do you perform the roos elevated arm test?
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patient standing with shoulders full externally rotated, 90 degrees abducted, and slight horizontal abduction. elbows flexed to 90 and patient opens/closes hands for 3 min slowly
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upper limb tension test (median and anterior interosseous nerve bias)- shoulder, elbow, forearm, wrist, fingers and thumb, and cervical spine
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shoulder- depression and abduction (110) elbow- extension forearm- supination wrist- extension fingers and thumb- extension cervical spine- contralateral side flexion
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upper limb tension test (median, axillary, and musculocutaneous nerve bias)- shoulder, elbow, forearm, wrist, fingers and thumb, and cervical spine
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shoulder- depression and abduction (10) and ER elbow- extension forearm- supination wrist- extension fingers and thumb-extension cervical spine- contralateral side flexion
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upper limb tension test (radial nerve bias)- shoulder, elbow, forearm, wrist, fingers and thumb, and cervical spine
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shoulder- depression and abduction (10) and IR elbow- extension forearm- pronation wrist- flexion and ulnar deviation fingers and thumb- flexion cervical spine- contralateral side flexion
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upper limb tension test (ulnar nerve bias)- shoulder, elbow, forearm, wrist, fingers and thumb, and cervical spine
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shoulder- depression and abduction (10 to 90) with hand to ear (waiter's position) and LR elbow- flexion forearm- supination wrist- extension and radial deviation fingers and thumb- extension cervical spine- contralateral side flexion
