MSPT I - PRACTICAL 1 Flashcards

(51 cards)

1
Q

Apley’s Scratch Test

A

IR/Add/Ext –> T6

ER/Abd/Flex –> T2

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2
Q

Neer Impingement Test

A

Supraspinatus, biceps tendon

(+) Pain in face; reproduce symptom

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2
Q

Hawkins-Kennedy Impingement Test

A

Supraspinatus tendinosis, secondary impingement

(+) Pain

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2
Q

Posterior Interval Impingement Test

A

Rotator cuff pathology

(+) Pain posterior shoulder

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2
Q

Drop Arm Test

A

RCT

(+) Unable to lower slowly or pain

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2
Q

Empty and Full Can Test

A

Supraspinatus tear, suprascapular neuropathy

(+) Weakness or pain

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2
Q

Lateral Rotation Lag Sign

A

Infraspinatus/TM tear

(+) Cannot hold position; increased passive IR

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2
Q

Lift-off Test

A

Subscapularis tear, scapular instability

(+) Unable to lift hand away
(+) Increased ER when PT pushes on hand

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2
Q

Abdominal Compression Test

A

Subscapularis tear

(+) Unable to maintain pressure
(+) Extension of shoulder

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2
Q

Speed’s test

A

Biceps tendinitis/osis

(+) Increased tenderness in bicipital groove, especially in supination
(+) Profound weakness in resisted supination

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2
Q

Yergason’s Test

A

Torn transverse humeral lig
(+) Tendon subluxates
Tendinosis
(+) Tenderness in groove without dislocation

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2
Q

O’Brien Test

A

SLAP tear

(+) Pain or painful clicking inside shoulder with IR; decreased/eliminated with ER

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2
Q

Compression Rotation Test

A

Bankart or SLAP lesion

(+) Snapping or catching sensation
(+) Pain

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2
Q

Biceps Load Test

A

SLAP, bicipital tendinitis

(+) Increased apprehension, pain, or clunk

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2
Q

Crossover Impingement / Horizontal Adduction Test

A

ACJ or SCJ pathology

(+) Pain localized over joint

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2
Q

Load and Shift Test

A

Anterior/Posterior Shoulder Instability

(+) Excessive translation

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2
Q

Anterior Apprehension (Crank) Test

A

Anterior shoulder instability

(+) Pain, apprehension

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2
Q

Jobe Relocation Test

A

GH instability

(+) Loss of apprehension, decreased pain, further ER allowed

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2
Q

Surprise Test

A

GH instability, labral lesion, bicipital tendinosis

(+) Pain or humeral head dislocation

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2
Q

Sulcus Sign

A

Inferior instability, GH laxity

+) Sulcus between acromion and deltoid (unilateral

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2
Q

Posterior Apprehension Test

A

Posterior instability or dislocation

(+) Pain or apprehension

2
Q

Lateral Distraction

A

Testing joint

2
Q

Caudal glide

A

Increase abduction or reposition superior humeral head

2
Q

Posterior glide

A

Increase flexion, IR

2
Anterior glide
Increase extension, ER
2
SCJ: Posterior/superior glide
Posterior: increase retraction Superior: increase depression of clavicle
2
Scapulothoracic elevation, depression, protraction, retraction, rotation
Increase scapular motions
2
Mobilization with movement for IR
Increase IR
2
Active release for IR
Increase IR for tight infraspinatus
2
Active release for ER
Increase ER for tight subscapularis
2
Valgus stress test
MCL instability (+) laxity, decreased mobility, altered pain
2
Moving valgus stress test
Partial tear of MCL (+) repro pain between 120 and 70 deg.
2
Varus stress test
LCL instability (+) laxity, soft end feel
2
Cozen’s test
Lateral epicondylitis (+) pain over lateral epicondyle
2
Mill’s test
Lateral epicondylitis (+) pain over lateral epicondyle
2
Resisted middle finger
Lateral epicondylitis (+) pain at lateral epicondyle Radial neuritis (+) Weak flexor digitorum
2
Medial epicondylitis (active and passive)
Medial epicondylitis (+) pain at medial epicondyle
3
Tinel’s test
Ulnar nerve dysfunction (+) paresthesias in ulnar distribution
4
Elbow flexion test
Ulnar nerve dysfunction (+) paresthesias in ulnar distribution
5
Humeroulnar distraction / distal glide
Increases elbow flexion
6
Humeroradial distraction
Increases general mobility, flexion
7
Humeroradial dorsal glide
Increase elbow extension
8
Humeroradial volar glide
Increase elbow flexion
9
Proximal radioulnar dorsal glide
Increase pronation
10
Proximal radioulnar volar glide
Increase supination
11
Distal radioulnar dorsal glide
Increase supination
12
Distal radioulnar volar glide
Increase pronation
13
Lateral distraction with belt
with active/passive elbow flexion
14
Scoop technique with belt
with active/passive elbow flexion
15
Hold-relax for elbow flexion/extension
Increase ROM
16
Muscle release CFT/CET
Epicondylitis