Shoulder Exam/Eval - Special Tests

Question 1

4 tests for subacromial impingement

Answer 1

1. Hawkins-Kennedy
2. Neer impingement
3. Painful Arc
4. Yergason’s

Question 2

impingement tests with highest spec (2)

Answer 2

Hawkins-Kennedy and Neer

Question 3

3 tests for tendonitis

Answer 3

1. empty can
2. speed’s test
3. Gerber lift-off

Question 4

empty can is specific to which muscle?

Answer 4

supraspinatus

Question 5

speeds test which muscle?>

Answer 5

biceps tendonitis

Question 6

Gerber lift off which muscle?

Answer 6

subscapularis

Question 7

tendonitis test with highest spec?

Answer 7

gerber lift off for subscapularis

Question 8

6 tests for RTC injury

Answer 8

1. Passive elevation

Question 9

Hornblowers biased to which 2 muscles

Answer 9

infraspinatus and teres minor

Question 10

drop arm for which muscle

Answer 10

supraspinatus

Question 11

3 tests for labral tears

Answer 11

1. active compression
2. crank test
3. biceps load test

Question 12

tests for ACJ pathology

Answer 12

1. palpation
2. resisted extension
   3 ??

Question 13

2 tests for shoulder instability

Answer 13

1. apprehension

2. relocation

Question 14

shoulder instability test with highest spec

Answer 14

apprehension

Question 15

tendonitis of the ___ and ___ can be caused by impingement

Answer 15

biceps and supraspinatus

Question 16

Hawkins-Kennedy impingement test

Answer 16

• elbow and GHJ (shoulder) at 90 degrees flexion
• PT puts arm into IR (normal end feel is hard)
• positive if painful with IR

Question 17

3 things potentialy invovled with positieve Hawkins-Kennedy impingement test

Answer 17

supraspinatus, biceps tendon, bursa

Question 18

Neer impingement test

Answer 18

stabilize scapula, passively elevate humerus (arm) above head while arm is in IR to jam greater tuberosity into subacromial space

Question 19

neer positive indicates what?

Answer 19

positive with pain, possible impingment of supraspinatus or bursa

Question 20

painful arc test

Answer 20

Active motion! PT doesn’t do anything
positive if painful between 60-100
impingement test
positive could also be RTC tear

Question 21

Yergason Test

Answer 21

• biceps impingement
• shoulder down, elbow at 90 degrees flexion, full forearm pronation
• therapist instructs pt to ER shoulder and supinate
• therapist applies resistance against ER ad supination
  positive = pain in bicipital groove

Question 22

classic symptom with biceps tendonitis

Answer 22

pain reaching across body

Question 23

2 primary ways to diagnose tendonitis

Answer 23

1. palpation

2. resisted contraction in a lengthened range

Question 24

empty can is for what

Answer 24

tendonitis of supraspinatus

Question 25

empty can test

Answer 25

patient actively elevates arm to 90 deg scaption and IR (thumb down) therapist applies downward force positive = pain or weakness

Question 26

most painful motion if patient has biceps tendonitis

Answer 26

shoulder flexion

Question 27

Speed's test

Answer 27

- biceps tendonitis - arms at 90 deg shoulder flexion, full elbow extension and forearm supination therapist pushes down while palpating bicipital groove positive = pain and tenderness in biciptal groove

Question 28

gerber lift off test is for

Answer 28

subscapularis tendonitis

Question 29

gerber lift off test

Answer 29

patient puts both hands behind back (ext and IR) lift arms away from back must hold position tear = unable to lift arms away from body subscap tear doesn't happen often lesion = painful high specificity (.88)

Question 30

hornblowers sign is for which muscles

Answer 30

infraspinatus and teres minor (RTC injury)

Question 31

hornblowers sign

Answer 31

- 90 degrees scaption, patient ER against resistance into IR positive = pain and or weakness high sen and spec!!

Question 32

drop arm test - which muscle

Answer 32

supraspinatus (RTC injury)

Question 33

drop arm test

Answer 33

arm passively abducted to 90 patient attempts to slowly lower (or hold position) positive= arm flops can also apply downward force to see if pt is weak or painful

Question 34

Active compression test is for?

Answer 34

labraltears

Question 35

active compression test

Answer 35

- labral tear - in sitting, pt puts arm into 90 flexion, elbow ext - PT adducts arm 10 degrees with full IR - PT applies downward force - test repeated with arm in ER - psoitive = less pain with ER. also click/pain with IR

Question 36

positive active compression test

Answer 36

less pain with ER than IR

Question 37

sen/spec of active compression test

Answer 37

both very high!!! good for labral tears

Question 38

Bankart tear

Answer 38

anterior, inferior labral tear | often occurs with dislocations

Question 39

crank test

Answer 39

- for slap or bankart lesion - pt supine, arm at 160 scaption - apply compression while IR and ER arm positive = pain or click high sen and spec

Question 40

biceps load test is for

Answer 40

slap lesion

Question 41

biceps load test

Answer 41

- slap lesion - pt supine - arm abducted to 90, elow at 90, forearm supinated! - ER until apprehensive, then patient flexes elbow against PT's resistance positive = pain or apprehension