Flashcards in Shoulder Special Tests Deck (24)
List the special tests used to assess glenohumeral joint ANTERIOR instability.
1. Apprehension Test
2. Relocation Test (Job’s)
List the special tests used to assess glenohumeral joint posterior and inferior instability
1. Jerk test (posterior)
2. Sulcus Sign
List the test used to assess subacromial impingement
1. Hawkins-Kennedy test
2. Neer Test
3. Painful arc
4. Empty Can
List the tests used to assess rotator cuff pathology
1. Drop arm test
2. External rotation lag sign
3. Infraspinatus muscle test
4. Hornblower sign
5. Internal lag sign
6. Lift off Sign (IR lag sign)
List test used to assess acromoclavicular joint pathology
1. Horizontal adduction test (acromion crossover test)
2. Paxinos sign
List the special test used to assess SLAP (superior Labrum anterior to posterior) lesion.
1. Active compression (O’Brien) test
2. Biceps load II test
3.Anterior slide test
4. Compression-rotation test
5. Yergason’s test
6. Speed’s test (biceps straight arm)
A therapist is wanting to determine if the patient is presenting with peripheral nerve dysfunction. What special tests can he/she perform to stress the neurological tissues of the upper extremities.
Upper limb tension tests I-IV
List all the special tests used to assess Thoracic outlet syndrome.
1. Adson’s test
2. Roo’s elevated arm stress test (EAST)
3. Wright Maneuver
4. Halstead maneuver
5. Cervical rotation lateral flexion
A therapist is using adson’s maneuver to test for throacic outlet syndrome. What structures is the therapist specifically testing when using adson’s maneuver?
Therapist is testing for scalene involvement
A therapist is using Wright’s maneuver to test for throacic outlet syndrome. What structures is the therapist specifically testing when using Wright’s maneuver?
Therapist is testing for costoclavicular compression (b/t pec minor and rib)
A therapist is using Halstead maneuver to test for throacic outlet syndrome. What structures is the therapist specifically testing when using Halstead maneuver?
Therapist is testing for costoclavicular compression (b/t rib cage and clavicle)
A therapist is using Cervical rotation lateral flexion to test for throacic outlet syndrome. What structures is the therapist specifically testing when using Cervical rotation lateral flexion?
Therapist is assessing for elevated 1st rib, or hypomobile 1st rib that is causing compression
A therapist is performing Adson’s maneuver, which way she he ask the patient to rotate their head?
Rotate head to ipsilateral side (test shoulder) (scalenes) and extend their head while therapist passively ER and extends shoulder (clavicle)
A therapist is having his/her patient perform roo’s test, for how long should the patient actively perform opening and closing of the hands?
A therapist is describing the cervical rotation lateral flexion test to a patient. what should his/her instructions be to the patient in regards to positioning.
Therapist should instruct patient to rotate neck to CONTRAlateral side, side bend to IPSILATERAL side
During speed’s test a therapist when would the therapist expect a patient to have pain when testing for bicipital tendionsis?
During resistance with UE in full extension in supination (bicep is active)
*bicep is not active during pronation
True or False: a positive speed’s test may also indicate a SLAP lesion due to the biceps attachment to the labrum
During empty can test what should the initial position of the arm be and what position should it be moved to to target supraspinatus?
Initial position: 90 degrees abduction and neutral rotation (palm facing down)—this deltoid
Supraspinatus position: IR (thumb points down toward floor), moved into 30 degrees scaption (also exposes infraspinatus)
A therapist had their patient perform painful arc, and determined that the pain was reproduced at 60-120 degrees. This indicates what?
The results indicate glenohumeral subacromial impingment
If pain was only felt from 170-180, this would indicate AC joint pathology
What is are the cluster tests for Rotator Cuff Tear?
1. Night pain
2. Age>65 yo
3. Weakness in ER
What are the cluster tests for a full thickness Rotator cuff tear?
1. Drop arm
3. Painful arc
What are the cluster tests for impingement?
3. Painful arc
What are the cluster tests for traumatic anterior Instability?