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ROM-MM-Ortho test > Shoulder > Flashcards

Shoulder Flashcards

1
Q

Flexion

A

180

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2
Q

Extension

A

60

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3
Q

Int/Ext rotation

A

90/80

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4
Q

Abduction

A

180

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5
Q

Adduction

A

35

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6
Q

Horizontal Add/ Abd

A

130/45

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7
Q

Flexor

A

Delt ( ant)
Pec mj( upper fiber)
Biceps brachii
Coracobrachialis

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8
Q

Extensor

A 
Delt( post)
Lats 
Teres mj
Pec mj ( lower fiber)
Tricep brachii( long head)
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9
Q

Horizontal Abduction

A

Delt( posterior)

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10
Q

Horizontal adduction

A 
Delt ( ant)
Pec major ( upper fiber)
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11
Q

Abduction

A

Delt ( all fibers)

Supraspinatus

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12
Q

Adduction

A 
Lats
Teres mj
Infraspinatus
Teres minor
Pec mj ( all fibers)
Tricep brachii ( long head)
Coracobrachialis
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13
Q

Lateral rotation( external rotation )

A

Delt ( post fiber)
Infraspinatus
Teres minor

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14
Q

Medial rotation( Internal rotation)

A 
Delt ( ant fibers)
Lats 
Teres mj
Subscapularis
Pec mj ( all fibers)
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15
Q

Adson’s test

A

P: tos caused by ant Scalene
Clt :
1: seated
2:stand behind clt
3: extend and slight ext rotate clt affected arm
4 : monitor Radial pulse of this arm
5: instruct clt to turn head Towords affected arm / slight elevate chin to take a deep breath / hold at least 15-20 secs ( this elevates ribs , compressing neurovascular bundle against tight ant Scalene)
+ = diminished radial pulse or symptom occur

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16
Q

Travell’s

A

Same as adson
For Middle scalene
Same as Adson
But Look AWAY from affected side

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17
Q

Wrights Hyperabduction

A

Tos - pec minor
Monitor pulse
NO need to HOLD breath

18
Q

Costoclavicular

A

Tos - clavicle . First ribs cause it
Passively depress and retract shoulder
Monitor Radial pulse

19
Q

Eden’s test

A

Tos- clavicle , first rib

Instruct clt to bring shoulder as far in retracti and depressin as possible

20
Q

ULTT 1

A

P: c5,6,7 Median Nerve as source of clt painful shoulder
Clt:
Beginning n what th One hand on clt shoulder and apply constant repressive force
1: abduct GH 110 - extend Arm to 10 degree below Coronal plane
60 Ext Rot
2:Extens Clt wrist / fingers
3: Fully supinate the Forearm / slowly extend elbow
+ = Reproduction of pain is positive
If not reproduce
1:.Client turn Head away
If reproduced bend clt head back toward the sde being test - symptom should diminish

21
Q

ULTT2

A

P : Median - Musculocutaneous - Auxillary
Clt :
1: Depress clt shoulder Abduct GH to 10 Degree
2: Slow extend the Wrist and Fingers
3: Fully Supinate and extend the Elbow / Tissue tightness in the shoulder or elbow or tingling in the elbow
+= reprocduction of pain

22
Q

ULTT3

A

P: Radial nerve
Clt:
1: Depress shoulder - Abduct to 10 degree
2:Slowly flex and fingers / Deviate them Ulnarly
3: Fully pronate the forarm and extend Elbow As tightness and tingling are normal

23
Q

ULTT4

A

P: c8, T 1 and Radial Nerve
Clt:
1: Depress the clt shoulder and Abduct the Humerus to 90 Degree
2: Flex the Elbow , Bringing the Hand towards the Clt Ears
3: Supinate the Forearm
4: Slow extend the Wrist and Fingers and Deviate Radially / As tissue tighness and tingling are normal

24
Q

Neer Impingement

A

P: assess overuse injury to the Supraspinatus tendon
Clt :
1:Seated
2: passively Flex the Client Humerus forword through its Range - Compressing the Tendons against Acromion

25
Q

Hawkins - Kennedy Impingement

A

Variation Neer
Arm forward at 90 degree
Internally Rotate the GH

26
Q

Painful Arc

A

P: Subacromial Impingement of Supraspinatus Tendon and Subacrmial Bursa
Clt : Instruct Client to Abduct GH through its Range

1: positive Pain starting at 70 Degree of Abduction , WHICH Ease OFF after 130 degree of Abduction ( this range Soft tissue compressed by humerus against Acromion , before and after the range the tissue are no longer compressed . Pain must lessen above 130 degree.
When the client cannnot actively move beyond this range , assist client to 130 degree and then ask to continue if possible

27
Q

Apley’s Scratch test

A

P: assess the combined movement at shoulder
Clt:
1: seated
2:Stand behind clt observe rom of shoulder
3:instruct reach head to touch cown to spine as much as possible with fingertips ( this asses external Rotation and Abduction of one gh joint)
4: other hand reach up same time , check for int rot and adduction
5: note location of fingertips
6: instruct or reverse
7:repeat test asses full rom of gh

28
Q

Shoulder Apprehension AF test

A

P: explore previous gh dislocation only when injury progressed to the chronic stage
Clt
1: instruct clt to move arm slowly into position which the dislocation took place e .g abduction
LOOK: apprehension on clt face or unwilling to complete the rom is POSITIVE ( if so Do not Perform PRROM) Instead AR Isometric test mm cross the joint

29
Q

Shoulder Apprehension Test PR

A

P: passive asses integrety of gh capsule following chronic dislocation
1: SLOWLy men ve arm and joint toward position of injurt
2: Slowly Abduct clt arm
3: Monitor face for sign of apprehension
+ = look of apprehension or pulls away from the therapist to stop motion - empty end feel joint capsule is not fully healed

30
Q

Adhesive Capsulitis Abduction Test PR

A

P: restricted motion at shoulder resulting from fibrosing and adhesion of the axillary fold of the inferior gh joint capsule
Clt:
1: Seated
2: Stand behind
3 : Palpate inferior angle of scapula with one hand monitor its position throuout the test
4: other hand just proximal on clt Elbow , Slowly Abduct client humerus , noting when inferior angle begins to move
In a normal shoulder , Leathery end feel encoutered at 90 degree of Abduction , the auxillary fold is stretched and scapula begins to move along with gh at greater 90 degree
+ = painful , leathery end feel encountered anywhere before 90 degree of abduction , since auxillary fold is Fibrosed , the scapula begins to move before 90 degree

31
Q

Acromclavicular shear test

A

P: asses intregity of ac joint
1 : seated
2: stand behind
3: cupped hands over client shoulder , fingers interlaced , with one palm on clavicle other on spne of scapula
4: slowly squeeze heels of hands together
+ = pain. Assessive movemt of joint = joint pathologies , ac joint sprain

32
Q

Drop Arm Test

A

P: asses integrety of rotator cuff , especially supraspinatus tendon
1: seated
2:Abduct arm to 90 , Instruct Clt to hold this position
3: instruct the client to slowly abduct the starting point
+ = unable to return smoothly and slowly to side and if theres is pain on te attempt

33
Q

Supraspinatus strength Test AR ( Empty Can test)

A

P : asses supraspinatus Tendonitis , strain and weakness
1: seated
2:instruct abduct arm to 90 , then adduct humerus horizntally to 30 Degree
3 Instruct client internally rotate the humerus , as if they were holding Can full of liquid hen emptying it .
4: apply pressure to humerus in direction of adduction , instruct client not let arm be adducted
+= pain or Weakness

Variation : meet client resistance while client try to abduct ( this does not distinguish Deltoid )

34
Q

Infraspinatus strength test AR

A

Asses the infraspinatus muscle for tendonitis , strain or weakness
1:Seated or Prone
2: Abduct humerus to 90 and flex elbow to 90
3: apply pressure on client wrist while they try to externally rotate
+ = pain along infra or weakenss
Does not Distinguish Teres minor

35
Q

Subscapularis strength test AR

A

P: subscap tendonitis , strain , weakenss
1: seated, Supine
2: Humerus by side , Elbow flex 90
Apply resistance while client try to internally rotate
+ = pain along subscap
Does not Distinguish btw subscap , pec mj, lats , Teres mj

36
Q

Speed’s test

A

P: asses for Bicep tendonitis
1: seated
2: completely extend elbow while supinating e arm
3: resist flexion of arm by placing one hand on the shoulder and other hand Distal to client elbow
+ = pain at tendon on resistance indicates positive

37
Q

Yerguson’s test

A

P: asses stability of biceps tendon in bicipital groove
1: seated , elbow of affected arm flexed 90 degree and forarm pronated
2: stabilize client elbow agaisnt clients thorax with one hand
3: with other hands , apply resistance while clt actively supinates the forearm , extend the elbow and externally rotates the humerus at the same time
+= pain biceps tendons instability and loss of integrety of transverse ligament HOWEVER ; motion of tendon along groove is required for true positive tendonitis test

38
Q

Pec Minor Length test

A

Muscle length
1: Supine
2: Sit at Head of the Table
3: observe shoulder protraction on affected side , since they protract scapula
Variation:
1:supine or seated
2: Apply palmar surface one hand to ant surface of shoulder test on
3: compress affected shoulder posteriorly into table / if seated , stabilize mid thoracic spine wih other hand then push client s affected shoulder into retraction
+ = reduce rom in retraction

39
Q

Pec mj length test

A

P: mm length
1: supine
2: asses superior or clavicle fibre , instruct clt to abduct affected arm to 90 degree
+ = short clavicle fiber= arm does not drop below level of table into extension and external rotation
Abduct150 degree for sternal fiber

40
Q

Shoulder Adductor Length test

A

Asses Lats and Teres Major
1: supine
2: flex hips and knee with plantar both feet on table ( pelvis posterior tilt so low back is flat on table)
3: instruct client Raise both arms above Head , Through Full Flexion at gh joint , allow posterior surface of arm to contact table
+= gh cannot fully flexed , arm des not rest on table above client head

41
Q

Rhomboids strength test

A

Strengh of rhomboids
1: prone , affect humerus abducted to 90 and internally rotate
2:.ask client to lift arm into extension , 3 on mm scale if clt hold agaisnt gravity
Stabilize the unaffected shoulder with one hand / with other hand apply pressure to distal end of anterior direction
+ = unable to hold arm in the original position

42
Q

Middle traps strength test

A

1: prone with affect shoulder abducted 90 and externally rotate
2: Ask client lift arm into Extension grade 3 against gravity
3: stabilize unaffected shoulder with one hand
4: other hand apply pressure to distal end of affected humerus in anterior direction
+ = unable to hold arm or weakeness

ROM-MM-Ortho test (8 decks)

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