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all upper limb special tests Flashcards

(74 cards)

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1
Q

What is the Hawkins kennedy test testing for?

A

sub-acromial impingement

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2
Q

description of Hawkins Kennedy

A

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

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3
Q

Positive Hawkins Kennedy?

A

reproduction of symptoms (pinching)

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4
Q

Neer’s test?

A

Sub acromial impingement

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5
Q

Description of Neer’s test

A 
stand beside patient
anatomical position 
one hand on scapula 
other above elbow
flex shoulder (Painful arc)
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6
Q

Positive Neer’s

A

reproduction of symptoms (Pinching)

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7
Q

Empty can

A

supraspinatus integrity

sub-acromial impingement

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8
Q

Description of empty can

A

abduct arem
Internally rotate / thumbs down
apply downward force

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9
Q

Positive empty can

A

reproduction of symptoms

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

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10
Q

Full can test

A

Supraspinatus integrity

distinguish between supraspinatus and deltoid

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11
Q

Description of full can

A

abduct and externally rotate arm /thumbs up

apply downward force

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12
Q

Positive full can

A

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

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13
Q

Apprehension test

A

shoulder instability /impingement

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14
Q

Description of Apprehension

A

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

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15
Q

positive apprehension test

A

client does not allow full ROM

apprehension on face

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16
Q

Jobe relocation

A

shoulder instability

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17
Q

description of jobe relocation

A

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

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18
Q

positive jobe relocation

A

client more comfortable

can take shoulder through range

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19
Q

Gerber’s lift off

A

disruption of subscapularis

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20
Q

description of Gabers lift off

A

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

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21
Q

positive Gabers lift off

A

reproduction of symptoms

weakness

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22
Q

belly press

A

disruption of subscapularis

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23
Q

description of belly press

A

hand on upper belly

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

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24
Q

positive bell press

A

look for posterior movement of elbow

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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

special tests (3 decks)

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