practical test #1

Question 1

shoulder tests

Answer 1

empty can
apprehension test
cross body adduction test
yergason’s test

Question 2

elbow tests

Answer 2

tinel’s tap test
valgus stress test
varus stress test
medial epicondylitis test

Question 3

hand/wrist tests

Answer 3

finkelstein’s test
valgus stress test
varus stress test
phalen’s test

Question 4

yergason’s test

Answer 4

ID SLAP lesion, shoulder
- goal to activate biceps

initial: patient holds arm at 90deg flexion and pronated

try to flex, supinate, and externally rotate all at once
- therapist: holds wrist to resist motion, palpate long head of biceps tendon w other hand

pain and if tendon pops off (transverse humeral ligament tear)

Question 5

empty can test

Answer 5

shoulder impingement

patient: holds arm at 45 deg b/w flexion and extension

ask to turn hand like emptying can onto floor

therapist: one hand on scapula, other on upper arm to resist motion

BILATERAL, looking for weakness

Question 6

cross body apprehension test

Answer 6

searching for AC joint sprain

point tenderness, painful horizontal adduction bcs moves joint inwards

put arm at 90deg flexion, then REACH for shoulder…not just touch, put reach past
- therapist can apply overpressure if feel nothing

Question 7

apprehension test

Answer 7

for GH dislocation or subluxation

positive: pain, apprehension in mvmnt

support shoulder and move thru 90deg of flexion
- laying down, hold arm normally

Question 8

tinel’s tap test

Answer 8

ulnar nerve entrapment

positive: pain, tingling thru forearm and hand, numbness

support patient’s arm, distal of elbow
- tap PROXIMALLY to the cubital tunnel w finger

Question 9

elbow valgus stress test

Answer 9

stresses UCL, look for sprain/tear

positive: lig laxity or pain

patient: supinate hand, 30-40deg flexion (ask them to put arm straight, then move for them)

apply valgus force thru joint line…move joint, DO NOT rotate arm

therapist: palpate medial epicondyle

BILATERAL

Question 10

elbow varus stress test

Answer 10

stresses LCL complex

positive: lig laxity or pain

palpate radial head and lateral epicondyle

BILATERAL

Question 11

medial epicondylitis test

Answer 11

positive = pain at medial epicondyle, no joint laxity

extend the wrist, stress wrist flexors

90 deg flexion, while supinated extend wrist and go thru full ROM extension
- palpate epicondyle at same time`

Question 12

hand valgus stress test

Answer 12

neutral wrist or w palm facing down

apply valgus force, see pain or laxity

UCL strain/tear

BILATERAL

Question 13

hand varus stress test

Answer 13

RCL strain/tear

BILATERAL

Question 14

phalen’s test

Answer 14

carpal tunnel syndrome, cubital tunnel

pain or tinging of median nerve…1st, 2nd, 3rd digits

put backs of hands tgt for 1 minute
- don’t shrug shoulders bcs will compress median nerve

can do bilateral, one at a time

Question 15

finkelstein test

Answer 15

for de quervain’s tenosynovitis

positive: pain in abductor pollicis longus and extensor pollicis brevis tendons, over radial styloid process

can be passive or active test

hold wrist over table, patient opposes thumb and holds w other fingers + ulnar deviation wrist
- after this, can apply overpressure to wrist or thumb

therapist can also start by pulling fingers into ulnar deviation, no thumb involvement

BILATERAL