isapuso mo beybe

Question 1

apprehension/crank test

Answer 1

tests for anterior traumatic instab

pt in supine and PT abd the arm to 90° and ER shoulder of pt slowly

+ apprehension
+ pain
+ dislocation
+ muscle guarding

Question 2

fulcrum test

Answer 2

same sa apprehension but PT places fist under GH joint and applies mild anteriorly directed force

+ posterior pain = impingement

Question 3

relocation test

Answer 3

to confirm GH instab, impingement, posterior SLAP lesion

pt in supine then PT abd shoulder 110°-120° then applies posterior translation stress to head of humerus and ER arm

• apprehension
  dec. pain
  dec post pain = posterior superior internal impingement

Question 4

surprise test

Answer 4

tests for anterior instab, bankart or SLAP, bicipital tendon affectation

after releasing the posterior translating force in relocation test - humeral head pops up again

+ forward translation test

Question 5

jerk test

Answer 5

tests for posterior instab, posterioinferior labral tear

pt sits w shoulder in IR and flexed 90° then PT axially loads humerus and horizontally add arm

+ jerk/clunk - head slides off glenoid tas may 2nd jerk pag nag relocate

Question 6

sulcus

Answer 6

tests for inferior instab

stands c arm at side and shoulder relaxed; grasp pt’s forearm below elbow and pull distally

(+) sulcus sign
(+) pain/ache or shoulder does not feel right

Question 7

coracoid impingement sign

Answer 7

tests for coracoid impingement

pt stands c arm flexed 90°, add 10° and IR

(+) pain on area of coracoid

Question 8

hawkins-kennedy

Answer 8

tests for supraspinatus secondary impingement

pt stands and forward flexes arm 90° then PT forcibly IR shoulder

(+) pain

Question 9

neer impingement

Answer 9

tests for supraspin or biceps tendon overuse injury

pt stands and arm is passively of forcibly elevated in scapular plane c arm IR

(+) pain

Question 10

supine impingement

Answer 10

tests for impingement and rot cuff pathology

pt supine and PT holds pt’s wrist + humerus and elevates pt’s arm to end range then ER and adducts into further elevation then IR

(+) inc pain on IR

Question 11

yocum

Answer 11

tests for impingement

pt’s hand is placed on the opposite shoulder and PT elevates elbow

(+) pain

Question 12

zaslav

Answer 12

follow up if (+) neer’s; differentiate subacromial and intra-articular problem

pt stands c arm abd to 90° and ER; PT applies resistence to ER then IR

(+) internal impingement if IR weak
(+) external anterior impinge if ER weak

Question 13

active compression test of O’Brien

Answer 13

test for SLAP type 2

pt standing c arm forward flexed to 90°, elbow fully ext then arm horizontally add 10°-15° IR the PT resists downward then reset tas supinated then resist

(+) pain on joint line
(+) painful clicking

Question 13

clunk test

Answer 13

tests for labral tears

pt in supine c PT hand on post aspect over humeral head and other hand abducts pt’s elbow while ER

(+) clunk/grinding
(+) apprehension

Question 14

kim test I

Answer 14

tests posteroinferior labral lesion

pt sits c back supported and arm abd 90° c elbow supported 90° flexion

PT applies axial compression while arm is elevated diagonally upward other hand applies downward and backward force to proximal arm

(+) click
(+) post shoulder pain

Question 14

scapular load test

Answer 14

tests for scapular dyskinesia

pt stands w arms at waist then load arm ant, post, inf, sup

Question 14

horizontal adduction

Answer 14

tests for AC joint

pt stands and reaches the hand across opposite shoulder pwede din passive

(+) localized pain over AC joint

Question 15

paxinos sign

Answer 15

tests for AC joint

pt seated c arm relaxed at side the PT stands behind test arm c thumb on posterolat acromion and index on middle part of clavicle then squeeze

(+) inc pain in AC joint

Question 16

speed’s test

Answer 16

tests bicipital tendon affectation

pt stands c forward flexion of arm 90° elbow extended then FA supinated then PT resists down the reset pronated tas same process

(+) tenderness in bicipital groove
(+) weakness

Question 17

yergason’s

Answer 17

tests for torn transverse humeral lig or bicipital tendon affectation

pt elbow flexed 90° c FA pronated then ER arm while resisting supination from PT

(+) tendon pops out
(+) tenderness

Question 18

empty can

Answer 18

tests for supraspin affectation or suprascap nerve

arm add 90° c thumbs down and in scapular plane then PT provides resistance down

(+) weakness/pain

Question 19

external rotation lag sign (ERLS)

Answer 19

tests for infraspin, supraspin and subscap

pt stands and abd arm 90° and elbow flexed 90° then pt ER and ask to hokd position

(+) arm falls or drops into medial rot

Question 20

lift off sign

Answer 20

tests for sucscap and scapular instab

pt stands and places hand on lumbar spine then asked too lift hand away from back

if able to lift PT shoulder add load

Question 21

medial rotation lag sign (spring back)

Answer 21

test for subscap and rhomboids

pt stands then hand is passively IR as far as possible and asked to hold the pos

(+) cannot maintain pos d/t weakness/pain
(+) rhomboids c medial winging of scap
(+) lag betw passive and active IR = partial tear of subscap

Question 22

infrapsinatus test

Answer 22

test for infraspinatus strain pt stands c arm at side elbow flexed 90° and ER 45° the PT applies IR force that pt resists (+) pain or weakness = infraspin sprain

Question 23

lateral rotation lag sign

Answer 23

tests for infraspin/and teres minor weakness or pain pt seated/standing c arm by side and elbow flexed 90° the PT passively abd arm 90° scapular plane then ER to end range and ask pt to hold it (+) cannot hold pos and hand spring back

Question 24

LSST variation

Answer 24

tests for infraspin/supraspin tear same as normal LSST but arm in 20° abd then same process (+) arm will IR and spring back anteriorly

Question 25

rent test

Answer 25

tests for rot cuff tear pt seated c arm at side the PT from behind palpates anterior acromion while other hand hold pt elbow at 90° then PT passively extends shoulder and IR/ER arm while palpating GT and rot cuff tendons (+) depressions (+) more prominent GT

Question 26

whipple test

Answer 26

tests for partial rot cuff or superior labrum tears pt stands c arm forward flexed to 90° and add until on opposite shoulder the PT pushed downward and pt resists (+) weakness or pain

Question 27

trapezius weakness

Answer 27

tests for traps weakness pt sits down and places hands together over head then PT from behind pushes elbow forward (+) if protracts

Question 28

upper traps test

Answer 28

tests for upper traps, lev scap, rhomboids pt shoulder elevated c slight abd then lateral flexed ehad to opposite side the PT pushes down on arm + weakness

Question 29

middle traps test

Answer 29

pt in prone c arm abd to 90° and ER the PT pushes down on shoulder (+) protraction = weak middle traps

Question 30

lower traps test

Answer 30

pt in prone c arm abd to 120° and ER then PT pushes down on shoulder (+) protraction = weak lower traps

Question 30

punch out test

Answer 30

tests for weak or paralyzed serratus anterior pt in standing and forward flexes arm 90° the PT applies backward force to arm (+) medial border of scap wings (+) diff abd or forward flexing arm above 90°

Question 31

median nerve ULNTI

Answer 31

pt supine c shoulder in depression and abd 110° elbow ext FA supinated wrist and fingers ext contralat neck flexion (+) reproduction of symptoms

Question 32

radial nerve ULNTIII

Answer 32

pt supine c shoulder in depression and abd 110° elbow ext FA pronated wrist and fingers flex and ulnar dev shoulder IR contralat neck flexion (+) reproduction of symptoms

Question 33

median nerve ULNTII

Answer 33

pt supine c shoulder in depression and abd 10° elbow ext FA supinated wrist and fingers ext shoulder ER contralat neck flexion (+) reproduction of symptoms

Question 34

ulnar nerve ULNTIV

Answer 34

pt supine c shoulder in depression and abd 10°-90° elbow flex FA supinated or pronated wrist and fingers ext and radial dev shoulder ER contralat neck flexion (+) reproduction of symptoms