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Clinical Practice 2 > Week 1 > Flashcards

Week 1 Flashcards

1
Q

list the 7 tests for subacromial impingement

A 
hawkins-kennedy 
Neers test
painful arc
empty can 
crossbody add
scapular assist 
scapular repositioning
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2
Q

hawkins- kenedy

A

supraspinatus impingement

90 shld flex + 90 elbow + IR to end range

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3
Q

+/- hawkins kennedy

A

+: pain in either directions

-: no pain

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4
Q

Neers test

A

shld impingement (reduction of subacromial space)

arm straight + IR full of arm + end range shld flexion

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5
Q

painful arc

A

supraspinatus tendinosis or impingement

AROM of abd of arm

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6
Q

+/- painful arc

A

+: pain between 60-120 degrees

-: feels better after 120 degrees

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7
Q

empty can test

A

supraspinatus tear (w/ weakness) or tendinitis

scapular plane + arm straight +IR at the hand + resistance at wrist

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8
Q

+/- empty can test

A

+: pain with resistance, can have weakness (Tear) or pain with strength (tendinitis)

-: no pain

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9
Q

cross body adduction test

A

indicate AC pathology or shld supraspinatus tendinitis

Passive + 90 shld flex + palm down + end range

stop with pain

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10
Q

+/- cross body test

A

+: pain at any point of passive rom

-: no pain full range

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11
Q

scapular assist

A

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

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12
Q

i+/- scapular assist

A

+: if relief of symptoms and indicates weakness

-: normal

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13
Q

scapular repositioning

A

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

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14
Q

+/- scapular repositioning

A

+: if it feels better than indicates weakness

-: does not improve symptoms

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15
Q

Rotator cuff tear tests (8)

A 
drop arm 
ER lag
infraspinatus 
hornblowers sign 
IR lag sign 
belly press test 
lift off test 
empty can
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16
Q

drop arm test

A

indicates large (full) RC tear

120 of shld ABD passive + slowly lower it down

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17
Q

+/- drop arm

A

+: patient lets arm drop can slowely lower it

-: patient can lower it down controlled

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18
Q

ER lag

A

RC tear bias infraspinatus and teres minor

Passive 20 of abd + end range ER + then let go and see if they can hold it

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19
Q

+/- ER lag

A

+: they drop slightly because their IR’s are stronger than ER’s

-: they can hold on their own

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20
Q

infraspinatus muscle test

A

infraspinatus and teres minor tendinitis or tear

arm at side + elbow bent at 90 + resisted IR

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21
Q

Hornblowers sign

A

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

22
Q

+/- hornblowers

A

+: repoduction of symptoms for tear

-: pain and weakness

23
Q

IR lag sign

A

subscapularis tear

place hand at arc of back + shld ext + ask to hold it there

24
Q

+/- IR lag

A

+: patient cant hold position and rests arm at back

-: patient can hold it

25
Q

Belly press test

A

subscapularis tear rule in or out

hand on belly and ask to press into belly

+: can do it
-: cant

26
Q

lift off

A

subscapularis tear

arm at arc lower lumbar + ask to actively IR and lift off back

27
Q

lift off test +/-

A

+: patient cant lift hand off

-: patient can do on own

28
Q

scapular dysfunction tests (2)

A

scap assistance and scap repositioning

29
Q

GH joint instability tests (2)

A

ant apprehension test

relocation test

30
Q

ant apprehension test

A

ant GH instability

patient supine + bring into passive ER

31
Q

+/- ant apprehension test

A

+: patient guarding or repo

-: all good

32
Q

relocation test

A

ant GH instability

+ ant apprehension test + push post on humeral head

33
Q

+/- relocation test

A

+: patient feels better

-: no change

34
Q

Tests for GH joint posterior or inferior instability

A

jerk test

sulcus sign

35
Q

jerk test

A

post GH instability due to sublux

be carful + clunk is joint dislocating

shld 90 abd+ elbow @ 90 +IR + compress + bring into add

36
Q

sulcus sign

A

laxity of GH joint bias inf

arm at side + grab shld and wlbow + pull down at elbow

37
Q

+/- sulcus sign

A

+: looking for gapping or depression on the skin

-: looks the same as it did before

38
Q

labral tear tests (8)

A 
Obrien test 
biceps loads II
ant slide test
compression rotation 
yergasons test
speeds test
ant apprehension test
relocation test
39
Q

obrien test

A

shld @ 90 flexion + 10 horiz abd + IR + push down

then after symptom reproduction

er + 10 horiz abd + 90 shld flexion

40
Q

+/- brien test

A

+: hurts more with IR>ER b/c long head of biceps tugs on labrum

-: does not repo symptoms

41
Q

biceps loads II

A

supine + 120 shld abd + forearm supination + resisting elbow flexion

42
Q

+/- bicpes loads II

A

+: reproduces symptoms

-: no symptoms

43
Q

ant slide test

A

hands on hips with thumb pointed backward + we push ant and superior

44
Q

+/- ant slide test

A

+: looking for click or P!

-: no change

45
Q

compression- rotation

A

patient is supine + IR/ER wiggle from 20-90 of shld abd + pushing up

46
Q

yergasons test

A

labrum/ biceps long head/transverse lig pathologies

sitting + elbow at 90 + supinate as ER + apply resistance at wrist

47
Q

speeds test

A

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)

48
Q

+/- speeds test

A

+: pain with either concentric or eccentric

-: no pain

49
Q

AC joint pain

A

palpate the ac joint and see if it reproduces pain

50
Q

AC resisted extension

A

sitting + 90 shld flexion + elbow bent at 90 + IR slight patient pushes back with slight resistance

51
Q

olecranon manubrium precussion test

A

patient sitting, cross arms, steth at manibrium+ tap at elbow to compare sides

+ duller side one side over other

-: sound same

52
Q

popeye sign

A

ruptued bicep

Clinical Practice 2 (3 decks)

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