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1

What is the Hawkins kennedy test testing for?

sub-acromial impingement

2

description of Hawkins Kennedy

face client
arm into shoulder and elbow flexion with internal rotation
one arm ontop of shoulder and under elbow
apply pressure to wrist internal rotating

3

Positive Hawkins Kennedy?

reproduction of symptoms (pinching)

4

Neer's test?

Sub acromial impingement

5

Description of Neer's test

stand beside patient
anatomical position
one hand on scapula
other above elbow
flex shoulder (Painful arc)

6

Positive Neer's

reproduction of symptoms (Pinching)

7

Empty can

supraspinatus integrity
sub-acromial impingement

8

Description of empty can

abduct arem
Internally rotate / thumbs down
apply downward force

9

Positive empty can

reproduction of symptoms
poor strength to keep arm in position may identify complete rupture of supraspinatus

10

Full can test

Supraspinatus integrity
distinguish between supraspinatus and deltoid

11

Description of full can

abduct and externally rotate arm /thumbs up
apply downward force

12

Positive full can

anterior deltoid fibres will contract if in tact, meaning supraspinatus injury

13

Apprehension test

shoulder instability /impingement

14

Description of Apprehension

supine
abduct and externally rotate shoulder
flex elbow
push down on wrist

15

positive apprehension test

client does not allow full ROM
apprehension on face

16

Jobe relocation

shoulder instability

17

description of jobe relocation

abduct and externally rotate shoulder
elbow flexed
stabilise shoulder
push down on wrist

18

positive jobe relocation

client more comfortable
can take shoulder through range

19

Gerber's lift off

disruption of subscapularis

20

description of Gabers lift off

stand behind
client hand onto lower back
client attempts to move hand away while movement resisted

21

positive Gabers lift off

reproduction of symptoms
weakness

22

belly press

disruption of subscapularis

23

description of belly press

hand on upper belly
client places palm on examiners hand and tries to push against it

24

positive bell press

look for posterior movement of elbow

25

bear hug

rotator cuff pathology

26

description of bear hug

client places hand on opposite shoulder
apply pressure on forearm while client resists

27

positive bear hug

unable to keep palm on shoulder

28

anterior drawer

shoulder laxity

29

description of anterior drawer

stand behind
stabilise scapula with thumb and and clavicle with fingers
find humeral head between thumb and fingers and push forwards

30

positive anterior drawer

clear movement/gapping

31

posterior drawer

shoulder laity

32

Description of anterior drawer

stand behind
stabilise scapula with thumb and and clavicle with fingers
find humeral head between thumb and fingers and pull backwards

33

positive anterior drawer

clear movement/gaping

34

sulcus test

shoulder laxity

35

description of sulcus test

stand behind one hand on shoulder holding humeral head
pull arm down above elbow

36

positive sulcus test

increase / visible gap
groove appears below edge of cromion

37

scarf tests

ACJ

38

description of scarf

face client
shoulder flexed 90
assist adduction while slightly being the elbow
hand and wrist should lie on opposite shoulder
apply pressure to back of elbow

39

positive scarf

pain in joint

40

monkey grip

ACJ

41

description of monkey grip

elbow flexed
shoulder abducted
internal rotation
link fingers and full apart

42

positive monkey grip

ACJ pain = positive test

43

O'Briens

SLAP lesion

44

Description of O'Briens

90 shoulder flexion
internal rotation
10 adduction (across body)
client resists downward pressure

45

positive O'Brien's

pain on resistance external rotate, if this is pain free= positive test

46

Yergarson's

bicep brachii strain

47

description of Yergarson's

fully extended arm
forearm pronated
on hand on shoulder other on wrist
client attempt to flex and supinate forearm against resistance

48

positive Yergarsons

reproduction of symptoms
pain/weakness

49

speeds test

bicep brachii strain particularly long head

50

description of speeds test

client extends elbow and supinates wrist
one hand on shoulder other on wrist
client attempts to flex shoulder to 90 with resistance

51

positive speeds test

reproduction of symptoms
pain/weakness

52

Phalens

carpal tunnel syndrome

53

description of Phalens

backwards prayer

54

positive phalens

numbness in area of distribution of median nerd =carpal tunnel compression

55

Tinels

carpal tunnel

56

description of Tinels

light tap of median nerve

57

positive tinels

tingling in thumb, index and middle finger

58

Tests for Sub-acromial impingement

Hawkins Kennedy
neers
empty can

59

Tests for suprispinatus integrity

Empty can
full can

60

Tests for shoulder instability

Apprehension
Jobe relocation

61

tests for Subscapularis

Lift off
belly press

62

tests for rotator cuff

bear hug

63

test for shoulder laxity

anterior/posterior drawer
sulcus

64

origin and insertion of subscapularis

Origin - subscap fossa
Insertion lesser tubercle of humerus

65

what determines shoulder laxity

shape of glenoid cavity
ligaments

66

what ligaments around the shoulder

glenohumeral (Superior middle, inferior)
coracohumeral
Transverse humeral

67

Tests for ACJ

Scarf
monkey grip

68

How many types of ACJ are there

6

69

Test for SLAP lesion

O'briens

70

what is SLAP

superior labrum tear from anterior to posterior

71

how many types of SLAP

4

72

tests for biceps

Yergarssons
speeds

73

tests for carpal tunnel

Phalanx
Tinels

74

what is carpal tunnel

thickening of the ligaments