Positive Tests And Implications Flashcards
(25 cards)
Apley Scratch Test
(+) pt. Is unable to complete each movement
imp: restricted ROM from possible soft or bony pathology
Load and Shift Test
(+) increased movement (laxity)
imp: anterior shoulder instability
Apprehension Test
(+) pt. displays apprehension that the shoulder may dislocate and resists further movement
Imp: anterior capsule, inferior GH ligament, or glenoid labrum have been compromised, allowing the humeral head to dislocate or sublux anteriorly on the glenoid fossa
Relocation Test
(+) decreased pain or increase ROM (or both) compared with the anterior apprehension test
Imp: supports conclusion of increased laxity in the anterior capsule owing to capsular damage or labrum tears
Posterior Apprehension Test
(+) pt. displays apprehension and produces muscle guarding to prevent the shoulder from subluxing posteriorly
Imp: laxity in the posterior GH capsule, torn posterior labrum
Rowe Test for Anterior Instability
(+) apprehension or pain
Imp: anterior shoulder stability
Prone anterior instability
(+) pain and/or increased movement
Imp: shoulder anterior instability
Push pull test
(+) pain, increased movement/laxity
Imp: shoulder posterior instability
Feagin Test
(+) pain with increased movement/laxity
Imp: shoulder inferior instability
Jerk test
(+) clunk that may or may not be painful
Imp: posteroinferior instability with or without posteroinferior labral tear
Sulcus Sign
(+) an indention (sulcus) appears beneath the acromion process
Imp: humeral head slides anteriorly on the glenoid fossa, indicating laxity in the superior GH ligament
Grades based on widening of subacromial space
G1: 1cm or less
G2: 1-2cm
G3: greater than 2cm
Rowe test for multi directional instability
(+) pain with increased movement/laxity
Imp: shoulder instability
Grind test
(+) reproduction of symptoms
Imp: SLAP lesion
Anterior slide test
(+) shoulder pain, pop, or click under the examiners index finger. Patient report of reproduction of symptoms.
Imp: SLAP lesion
Speeds test
(+) pain along the long head of the biceps brachii tendon, especially in the bicipital groove or at the superior shoulder
Imp: inflammation of the LHBT as it passes through the bicipital groove. SLAP lesion (with pain at the superior shoulder)
Yergason’s test
(+) pain or snapping (or both) in bicipital groove. Pain at the superior GH joint (SLAP lesion)
Imp: primary: snapping or popping in bicipital groove indicates tear or laxity of the transverse humeral ligament
Secondary: pain with no popping in bicipital groove may indicate bicipital tendinopathy
Biceps II Load Test
(+) pain during resisted elbow flexion
Imp: SLAP lesion
O’Brien’s Test
(+) pain that is experienced with the arm Internally rotated is decreased during external rotation
Imp: pain or clicking within GH joint = labral tear (SLAP lesion)/pain at the AC joint = AC joint pathology
Supraspinatus (Empty Can) Test
(+) weakness and/or pain accompanying the movement
Imp: supraspinatus tendon is weak, impinged, or partially or fully torn
Drop arm
(+) the arm falls uncontrollably from a position of approximately 90° ABD to the side. Severe pain may be described.
Imp: indicative of lesions to the rotator cuff, especially the supraspinatus
(Gerber’s) Lift Off Sign
(+) inability to lift the hand off the back
Imp: tears or weakness of the subscapular muscle possible C5, C6, C7 nerve root pathology
Belly press
(+) decreased pressure with pain compared to uninvolved side
Imp: subscapularis tear
Neer Impingement
(+) pain in the anterior or lateral shoulder, in the range of 90° to full elevation
Imp: rotator cuff pathology (especially the supraspinatus) or LHBB tendon pathology
Hawkin’s Kennedy impingement test
(+) pain with motion, especially near end ROM
Imp: rotator cuff pathology (especially the supraspinatus) or LHBB tendon pathology
