Shoulder

Question 1

What is the normal ROM for flexion, extension, abduction, horizontal abduction/adduction, and internal/external rotation

Answer 1

Flexion = 180˚
Extension = 60˚
Abduction = 180˚
Horizontal abduction = 130-145˚
Horizontal adduction = 45-50˚
Internal/external rotation = 90˚

Question 2

What is the normal ROM of the AC joint?

Answer 2

10˚

Question 3

SC joint abduction and adduction are described as what movements?

Answer 3

Abduction = shrugging
Adduction = return from shrugging

Question 4

SC joint flexion and extension are described as what movements?

Answer 4

Flexion = pt. prone, arm flexed to 90˚, reach toward ceiling
Extension = return from reaching toward ceiling

Question 5

What muscles are associated with the 6 movements of the scapula?

Answer 5

Retraction - Rhomdoids
Protraction - Serratus anterior
Elevation - Levator scap., upper trap
Depression - Lower rhomboids, lower trap
Upward rotation - Serratus anterior, upper trap
Downward rotation - Levator scap, lower trap

Question 6

What does the empty can test test for and how is it performed?

Answer 6

Supraspinatus
Pt. shoulders flexed to 90˚ and abducts to 45˚
Dr. press down on forearms while pt. resists

Question 7

What does the drop-arm test test for and how is it performed?

Answer 7

Supraspinatus tear
Pt. shoulder abducts arm 90-180˚ then slowly drops arm
+ = arm drops too quickly

Question 8

What is the apprehension test testing for and how is it performed?

Answer 8

Shoulder instability from dislocation
Pt. shoulder abducted 90˚ and elbow flexed 90˚
Dr. force arm into external rotation

Question 9

How is the sulcus sign test performed?

Answer 9

Grasp pt. elbow and apply inferior traction

+ = indention in area beneath acromion

Question 10

What is the yergason test testing for and how is it performed?

Answer 10

Bicipital tendonitis
Pt. arm at side, flexed 90˚ at elbow then supinate/externally rotate against resistance while Dr. palpates bicipital groove

Question 11

What is the speed’s test testing for and how is it performed?

Answer 11

Bicipital tendonitis
Pt. arm flexed 50-90˚ at shoulder, supinated, slightly flexed at albow
Pt. further flexes shoulder against resistance

Question 12

What is the neer impingement test testing for and how is it performed?

Answer 12

Subacromial bursa/rotator cuff impingement

Passively flex shoulder with forearm pronated

Question 13

What is the hawkins test testing for and how is it performed?

Answer 13

Subacromial bursa/rotator cuff impingement
Pt. flex shoulder/elbow to 90˚
Dr. slightly adduct and passively rotate humerus into internal rotation

Question 14

What is the lift off test testing for and how is it performed?

Answer 14

Subcapularis weakness/tear
Pt. arm into internal rotation and adduction behind back
Pt. extends arm against resistance