GH lectures

Question 1

Scapular elevation correlates with GH…

Answer 1

Extension

Question 2

Scapular depression correlates with GH…

Answer 2

Flexion

Question 3

Scapular upward rotation correlates with GH…

Answer 3

Abduction

Question 4

Scapular downward rotation correlates with GH…

Answer 4

Adduction

Question 5

Scapular protraction correlates with GH…

Answer 5

Horizontal adduction or medial rotation

Question 6

Scapular retraction correlates with GH…

Answer 6

Horizontal abduction or lateral rotation

Question 7

Scapular anterior tilt correlates with GH…

Answer 7

Hyperextension

Question 8

Drop arm test application

Answer 8

Watch the patient make slow snow angel arms. Then, to intensify, apply downward pressure to both arms.

Question 9

Upper extremity test

Answer 9

Observes standing active shoulder abduction.

Question 10

What do you do if the drop arm test is negative?

Answer 10

Move on to the empty and full can tests

Question 10

Positive sign of drop arm test

Answer 10

Pain, apprehension or weakness

Question 11

Mechanics of drop arm test

Answer 11

Downward pressure causes deltoid to contract, squeezing the subacromial space.

Question 12

Drop arm test tests for…

Answer 12

Subacromial impingement, either by the suprascapular tendon or subacromial bursa

Question 13

Prolonged injury of the subacromial space can lead to what?

Answer 13

Adhesive capsulitis

Question 13

Empty can test application

Answer 13

Patient holds arms at 90 degrees, then rolls hand forward to “empty the can.” Apply downward pressure.

Question 14

Structures tested in the full and empty can tests

Answer 14

Subacromial impingement.

Question 15

How is adhesive capsulitis treated with massage?

Answer 15

Generalized massage on the shoulder muscles to improve mobility.

Question 16

Structure tested with Speed’s test

Answer 16

The long head of the biceps tendon. This passes through the bicipital groove.

Question 17

Speed’s test application

Answer 17

View active GH flexion with slow extension. If this is not painful, place the practitioner thumb on the tendon. Press to a 7 on a pain scale and hold this pressure for 7 seconds.

Question 18

Speed’s test positive sign

Answer 18

The pain gets worse or stays the same throughout 7 seconds.

Question 19

Structure tested with Yergeson’s test

Answer 19

The capacity of the annular ligament across the bicipital groove to hold the tendon in the groove.

Question 20

Yergeson’s test application

Answer 20

Have the bicep in a contracted position. Medially and laterally rotate the arm. Practitioner feels to see if they feel the tendon snapping. To intensify, add load to the hand.

Question 21

Yergeson’s test positive signs

Answer 21

Pain

Question 22

AP glide test application

Answer 22

Drawer test for the GH. Hold the scap still with one hand and move the humerus with the other.