Special Tests POS/ Indications

Question 0

Apleys scratch test 2nd test

Answer 0

Positive test: significant difference in reach.

Indications: limited GH abduction, external rotation, or scapular elevation and upward rotation

Question 1

Apleys scratch test 1st test

Answer 1

Positive test: unable

Indication: limited GH adduction, internal rotation or horizontal flexion

Question 2

Apleys scratch test 3

Answer 2

Positive test: decreased motion on either side.

Indicates: limited GH adduction and int rotation scapular retraction

Question 3

Pec major contracture test

Answer 3

Positive test: patient is unable to passively have elbows reches the table
Indicates: pec major contracture

Question 4

Winging scapula test

Answer 4

Pos: the vertebral ( medial) border of the scapula pulls away from the thorax
Indicates: weakness dog the serrated anterior muscle or damage to the long thoracic nerve

Question 5

SC joint glide

Answer 5

Pos: pain, hyper/ hypo mobility
Indicates: SC joint instability/ adhesions

Question 6

AC glides

Answer 6

Pos: pain, hyper/hypomobilty
Indication:AC joint instability

Question 7

Piano key sign

Answer 7

Pos: once the pressure is removed clavicle elevates
Indicates: AC joint instability

Question 8

Traction( distraction test)

Answer 8

Pos: pain or movement of scapula inferior To clavicle
Indicates: AC CC ligament sprains

Question 9

Compression/ shear test

Answer 9

Pos: pain or movement of clavicle
Indicates: AC CC ligament sprain

Question 10

Cross- arm maneuver compression

Answer 10

Pos: pain or movement in the clavicle
Indicates: AC joint; subscapularis, supraspinatus, biceps long head, infraspinatus, Teres minor, posterior capsule

Question 11

Anterior apprehension test

Answer 11

Pos: facial expression, apprehension in the GH joint
Indicates: anterior GH instability

Question 12

Jobe relocation

Answer 12

Expression of pain on face

Indication: anterior GH instability

Question 13

Fulcrum test

Answer 13

Pos: apprehension
Indication: anterior instability

Question 14

Posterior apprehension test:

Answer 14

Pos: apprehension

Indicates posterior GH instability

Question 15

Sulcus sign

Answer 15

Pos: excessive inferior humeral translation with step off( sulcus) inferior to the acromion
Indications: multi- directional instability

Question 16

GH joint glide

Answer 16

Pos: pain hyper/hypomobilty

Indicates GH joint instability/ adhesions labrum, joint capsule

Question 17

Load and shift

Answer 17

Pos: ant. Or post. Translation greater 25% diameter of humeral
Indication: GH instability

Question 18

Feagin test

Answer 18

Pos: sulcus sign
Indicates: ant/ inf GH instability, with or without labral tear

Question 19

Jerk test

Answer 19

Pos: clunk, may be with or without pain
Indications: pos/ inf GH instability with or without labral tear

Question 20

Anterior drawer

Answer 20

Pos: translation of humeral head relative to the scapula/ glenoid fossa… Apprehension
Indicates: anterior instability

Question 21

Clunk test

Answer 21

Pos: a positive clunk/ grinding

Indications year of labrum/ apprehension if ant. Instability

Question 22

O’briens test

Answer 22

Pos:deep ant. Shoulder pain, clicking or give way weakness or AC joint
Indication: anterosuperior labral or biceps anchor injury. Pain with internal rotation, slap lesion. AC jt with cross arm

Question 23

Compression rotation

Answer 23

Position: Snapping/ catching
Indicates: labral tear.

Question 24

Grind test

Answer 24

Grinding/ clunking sensation Glenoid labral tear

Question 25

Crank test

Answer 25

Pain or clicking Glenoid labrum pathology

Question 26

Jerk test

Answer 26

Clunk, with or without pain Posterior/ inferior GH instability with/ without labral tear

Question 27

Anterior slide test

Answer 27

Shoulder pain, pop or click under index finger | Slap lesion

Question 28

Passive flexion test

Answer 28

Pos: pain or apprehension Indicates: rotator cuff impingement

Question 29

Drop arm test

Answer 29

Pos: arm does not lower smoothly, or increased pain will occurs during motion Indicates: rotator cuff imp.

Question 30

Empty can test

Answer 30

Pos: noted weakness and pain Indicates: involvement of supraspinatus muscle and impingement or lesion

Question 31

Cross arm maneuver

Answer 31

Pos: superior shoulder pain Anterior shoulder pain posterior shoulder pain Indication: AC subscapularis supra biceps lh infra Teres minor post cap

Question 32

Ne'er impingement

Answer 32

Shoulder pain apprehension Impingement of supraspinatus long head between greater tuberosity of humerus and AC or ca arch

Question 33

Hawkins Kennedy

Answer 33

Shoulder pain apprehension | RC or post labral path internal Impingement

Question 34

Yergasons test

Answer 34

Pain in area of bicipital groove or snapping Bicipital tendinitis transverse ligament stretched torn subluxation tendon

Question 35

Speeds test

Answer 35

Tenderness or pain bicipital groove | Bicipital tendenitis

Question 36

Ludington test

Answer 36

Pos: pain inability to contract or deficit noted biceps | Bicipital tendinitis or rupture of long head

Question 37

Myotome

Answer 37

A group of muscles innervated by a single nerve root

Question 38

C4

Answer 38

Scapular elevation

Question 39

C5

Answer 39

Shoulder abduction

Question 40

C6

Answer 40

Elbow flexion and/ or wrist extension

Question 41

C7

Answer 41

Elbow and/ or wrist flexion

Question 42

C8

Answer 42

Thumb extension and/ or ulnar deviation

Question 43

T1

Answer 43

Abduction and/or adduction of the hand intrinsics

Question 44

Biceps reflex

Answer 44

Place the thumb over the biceps tendon and strike thumb with the reflex hammered (C5 through C6)

Question 45

Triceps reflex

Answer 45

Triceps reflex had arm abducted and extended with the elbow flexed placing the triceps in a straight line C7