Special Tests Flashcards
Apprehension test ant dislocation
pt. Supine should abducted to 90 deg elbow flexed to 90deg, PT lat rotates shoulder, positive = look of apprehension
Apprehension test post dislocation
Pt supine shoulder flexed to 90 w/ medial rotation, PT applies post force through long axis, positive = look of apprehension
Sulcus sign
pt. Standing PT pulls arm inferiority at elbow, positive = depression between acromion and humeral head
Ludigntons test
Sitting hands interlocked behind their head, pt contracts and relaxs bicep muscle, positive = absence of bicep tendon indicating rupture of long head
Speeds test
Pt elbow extended and shoulder flexed to 90 w/ SUPINATION, PT resists active shoulder flex while palpating bicipital groove, positive = pain or tenderness in bicipital groove indicating bicipital tendinitis
Yergasons test
Pt elbow flexed to 90 w/ fore arm pronated, PT resists active forearm supination and shoulder ER, while palpating bicipital groove, p! Or tenderness indicates bicipital tendinitis
Drop arm
Pt arm abducted to 90degrees, pt asked to slowly lower arm to side, presence of pain or instability to lower arm slow = RTC tear
Hawkins-Kennedy
PT moves shoulder into 90 degrees of flexion w/ elbow flexed to 90 and medially rotates shoulder, positive = pain indicating shoulder impingement of supraspinatus
Infraspinatus test
Pt standing elbow flexed to 90 shoulder IR to 45, pt. Resists PT medially directed force, positive = pain or weak indicated Infraspinatus tear
Lateral rotation lag sign
Elbow flexed to 90, PT move shoulder into 20 deg of caption and near end range ER PT asks pt. To hold here, inability to hold position or arm moves into more IR indicates Infraspinatus and/or supraspinatus pathology
Lift off sign (medial rotation lag sign)
Pt. Stand w. Dorsal of hand on low back, asked to move hand away form back, if unable PT moves hand away and sees if they can hold it, inability = positive indicating Subscapularis lesion
Neer Impignment test
Stabilizing posterior aspect of scap, PT moves shoulder through full elevation in scapular plane w/ medially rotated arm, positive = pain or facial grimace indicating shoulder impingement involving supraspinatus
Supine impingement test
Pt. Supine PT moves shoulder into full flexion and ER, adducts and IR shoulder, positive = increase in p! W/ IR, indicating impingement of RTC tenons
Supraspinatus test
pt. Standing shoulder abduction 90 then horizontally adducts 30, thumb down. Pt resists should abduction, p! Or weak indicates supraspinatus tear or impignment of suprascapular nerve
Adsons maneuver
PT monitoring radial pulse, pt. Rotates head toward test side extending neck while PT extends and ER shoulder, absent or diminished pulse indicates TOS
Allen’s TOS test
pt. 90deg abduction and ER and elbow 90deg flex, pt. Rotates head away from test while PT monitors radial pulse, absent or diminished pulse positive TOS
Costoclavicular test
Pt. Sitting, pt. Assumes military posture PT monitoring radial pulse, absent or diminished pulse indicates TOS from compression of subclavian artery between first rib and clavicle
Roos test
Pt. Both shoulder abducted and ER to 90 w/ elbows flexed to 90, pt. Opens and closes hands for 3 mins, weakness, sensory loss, ischemic pain or inability to hold test position indicates TOS
Wrights test TOS
PT moves pt.s arm overhead in frontal plan monitoring radial pulse, absent or diminished pulse indicates compression in costoclacviular space TOS
Acromioclavicular crossover test
PT moves shoulder into 90deg flex, then full horizontally adducts shoulder, p! Over acromioclavicular joint indicates AC injury
Active compression test o’brians test
Pt. Standing shoulder flexed 90, horizontally adducts 10-15, and IR thumb pointed down. Pt. Resists PT applied downward force on arm shoulder ER and same downward force applied, positive = p! With shoulder IR that decreased with ER, indicating superior lateral tear
Glenoid labrum tear test
Pt. Supine, PT places hand on posterior aspect of humeral head, other hand stabilizes humerus proximal to elbow. PT abducts and ER arm over pt’s head and plies anteriorly directed force to humeral head, positive = clunk or grinding indicating glenoid labrum tear.
Jerk test
Pt. Sitting shoulder elevated 90 and IR with elbow flexed to 90. PT provides axial compression force through elbow and horizontally adducting shoulder. Positive = sudden clunk jerk or pain as humeral head subluxes posterior. Indicating shoulder instability or posterior lateral lesion
Elbow cozens test
Pt. Sitting with elbow slight flexion PT places thumb on lateral epicondyle and stabilizes elbow joint. Pt. Makes a fist with pronated arm radially deviated and extended wrist against resistance. Positive = pain or weakness near lateral epicondyle, indicating lateral epicondyle
