Shoulder

Question 1

Yergason’s Test tests for…

Answer 1

Integrity of transverse ligament (also biceps tendinitis)

Question 2

Yergason’s Test is performed by…

Answer 2

patient sitting with shoulder in neutral stabilized against trunk, elbow at 90, and forearm prompted.. resist supination of forearm and ER of shoulder

Question 3

A positive test for Yergason’s Test is…

Answer 3

tendon of biceps long head will pop out of groove (reproduce pain in biceps tendon)

Question 4

Speed’s Test tests for…

Answer 4

bicipital tendonosis

Question 5

Speed’s Test is performed by…

Answer 5

Patient standing with UE in full extension and forearm supinated… resist shoulder flexion (can also place shoulder at 90degrees of flexion and push into extension)

Question 6

Positive Speed’s Test

Answer 6

Pain in long head of biceps tendon

Question 7

what does Neer’s Impingement Test Test for

Answer 7

Impingement of structures in the shoulder (long head of biceps and supraspinatus tendon)

Question 8

How to perform Neer’s Impingement Test

Answer 8

Patient sitting, shoulder passively internally rotated, then fully abducted

Question 9

Positive sign of Neer’s Impingement Test

Answer 9

Symptoms of pain within shoulder region

Question 10

Empty Can Test identifies…

Answer 10

tear or impingement of supraspinatus tendon/subscapular nerve pathology

Question 11

Empty Can Test position

Answer 11

Patient sits with shoulder at 90, and they resist abduction with empty can sign

Question 12

Positive sign of empty can test

Answer 12

Reproduction of pain in supraspinatus tendon

Question 13

Drop Arm Test identifies…

Answer 13

tear/full rupture of rotator cuff

Question 14

Positioning for Drop Arm Test

Answer 14

patient sits with shoulder passively abducted to 120.. instructed to bring arm slowly down to side

Question 15

Positive result for Drop Arm Test

Answer 15

Patient unable to lower arm back down to side

Question 16

Clunk Test tests for…

Answer 16

Glenoid labrum tear

Question 17

Positioning for Clunk Test

Answer 17

Patient supine with shoulder in full abduction.. push humeral head anterior while rotating humerus externally

Question 18

Positive sign for Clunk Test

Answer 18

Audible “Clunk” is heard during performance

Question 19

Anterior Aprehension Sign identifies…

Answer 19

Past history of anterior shoulder dislocation

Question 20

Anterior Aprehension Sign position

Answer 20

Patient supine with shoulder in 90ABD…slowly take shoulder into ER

Question 21

Positive sign for Anterior Aprehension Test

Answer 21

Patient does not allow/does not like shoulder to move in direction

Question 22

AC Shear test identifies …

Answer 22

AC joint dysfunction (arthritis/separation)

Question 23

AC Shear Test patient position

Answer 23

Sitting with arm resting at side.

PR clasps hands and places heel of one hand on spine of scapula and heel of other hand on clavicle

Squeeze hands together. Compresses AC joint

Question 24

AC Shear test positive result

Answer 24

Pain in AC joint

Question 25

Adson’s Test identifies

Answer 25

Pathology of structures that pass through thoracic inlet

Question 26

Adson’s test identifies...

Answer 26

TOS

Question 27

Adson’s test positioning

Answer 27

Patient sits, find radial pulse Rotate head toward extremity Extend and ER shoulder while extending head

Question 28

Adson’s test positive sign

Answer 28

Neuro symptoms/disappearance of pulse

Question 29

Costoclavicular (military brace) test identifies

Answer 29

TOS

Question 30

Costoclavicular test position

Answer 30

Sitting, find radial pulse, depress shoulder and push it back

Question 31

Wright Test identifies...

Answer 31

TOS

Question 32

Wright test poisition

Answer 32

Sitting, find radial pulse Shoulder into ABD/ER rotate head opposite test side

Question 33

Roos elevates test identifies

Answer 33

TOS

Question 34

Roos positioning

Answer 34

Standing SH ER, 90ABD, slight horiz ADD elbow flex 90 Open close hands rapid for 3 min

Question 35

Hawkins-Kennedy identifies

Answer 35

Impingement

Question 36

Hawkins Kennedy positioning

Answer 36

Shoulder into 90 flexion, elbow flexion 90 Therapist passively IRs patients arm

Question 37

Allen’s maneuver identifies

Answer 37

TOS

Question 38

Allen’s maneuver test position

Answer 38

Patient sitting 90ABD, full ER, 90elbow flex Patient rotated head to opposite side of arm PT palpates radial pulse while patient moves arm into neutral position

Question 39

Active compression test identifies... (O’Brien’s)

Answer 39

Labral tear/AC lesion

Question 40

Active compression position (O’Brien’s)

Answer 40

90 shoulder flexion 10 ADD arm is actively IR PT gives inferior force first with thumb down, then thumb up

Question 41

Active compression (O’Brien’s) positive test is

Answer 41

AC: pain with thumb down, decreased with thumb up Labral: painful clicking in joint thumb down, no pain with thumb up

Question 42

Rent sign identifies

Answer 42

Impingement of rotator cuff

Question 43

Rent sign position

Answer 43

Elbow flexed Passively extends shoulder while IR and ER

Question 44

Positive test Rent Sign

Answer 44

Greater tuberosity will be prominent and a depression of 1 finger width felt with rotator cuff present

Question 45

Crank Test identifies

Answer 45

Glenohumeral ligaments/anterior shoulder instability also can be used for labral

Question 46

Crank test position

Answer 46

PT places hand on subjects elbow and proximal humerus Passively elevates patients shoulder to 160 scaption Apply load along long axis of humerus while IR and ER humerus

Question 47

Crank test positive

Answer 47

Pain with or without a click

Question 48

Biceps load test identifies

Answer 48

Labral tear (SLAP lesion)

Question 49

Biceps load test position

Answer 49

Supine 120 ABD full ER 90 elbow flexion Forearm supination Perform elbow flexion against therapist resistance

Question 50

Bear hug test identifies

Answer 50

Subscapularis tear

Question 51

Bear hug test position

Answer 51

Hand placed on opposite shoulder with elbow anterior to body PT applies ER force while patient tries to maintain hand on shoulder

Question 52

Belly compression test identifies

Answer 52

Subscapularis lesion

Question 53

Belly Compression test position

Answer 53

PT puts hand on belly Patient places hand over PT’s Have patient push, move elbow forward