Impingement PMA

Question 1

Which ROMs are most likely to be painful if you have supraspinatus tendinopathy?

Answer 1

2: ACTIVE and RESISTED abduction

Things that won’t show up:

ext rot (not a rotator of GH joint, is primarily an abductor)

Adduction (to have this we must already be abducted which would hurt already, can also only abduct to neutral so not super helpful)

*THINK ABOUT SUPRASPINATUS JOB, can’t stretch it because of location

Question 2

Which special test from lab is the most likely to be positive?

Answer 2

Empty can/full can
* Regardless of impingement this identifies supraspinatus)

Question 3

Which ROM tests are most likely to be painful with infraspinatus tendinopathy?

Answer 3

• active and resisted EXTERNAL ROTATION (infraspinatus’s job is external rotation so you’re asking it to contract)
• passive INT. ROT. (Can get to end range and pull the infraspinatus)

Question 4

Where are you most likely to feel pain, if you experience an SAI?

Answer 4

• under the edge of the acromion, could hurt at side or front cause it wraps around (primary pain region)
• can hurt @deltoid
• can get pain at posterior shoulder

Question 5

Which ROMs are most likely to be painful with long head of bicep tendinopathy?

Answer 5

• active and resisted FLEXION of GH joint (sagittal plane)
  Pulled apart with : passive extension but also active

Question 6

Which special test from lab would you use to identify tendinopathy of the long head of the biceps?

Answer 6

Speeds

Question 7

What’s a special test for SAI?

Answer 7

Hawkins - Kennedy

Question 8

What’s a special test for a labral tear?

Answer 8

O’Briens