Upper Extremity - Assessment

Question 1

Level one: screening for Yellow Flags

Answer 1

• fear avoidance beliefs questionnaire (FABQ)
• Tampa Scale of Kinesiophobia (TSK)

Question 2

when do we start observations of the patients?

Answer 2

In the waiting room!
- posture
- assess for atrophy

Question 3

Olecranon manubrium percussion

Answer 3

+ test is a lack of crisp sound equal to the noninvolved upper extremity
FOR shoulder trauma

Question 4

Supraspinatus tear screening

Answer 4

tests for supraspinatus tear
+ if there is pain or weakness

Question 5

Infraspinatus/Teres Minor tear screening

Answer 5

Tests for an infraspinatus and/or teres minor tear
+ if patient cannot maintain test position with or without light resistance

Question 6

Subscapularis tear screening

Answer 6

tests for subscapularis tear
* affected arm placed in BBIR Clinician releases support of the arm
+ if patient cannot maintain test position

Question 7

Bony apprehension test

Answer 7

tests for a bony lesions secondary to recurrent instability (hills-sachs lesions, bony Bankart lesions, and erosion of the glenoid).
- BEST for Hill-Sachs lesions
+ demonstrating or station apprehension

Question 8

Apley’s Scratch tests

Answer 8

• opposite shoulder (adduction and IR)
• superior angle of opposite scapula (abduction and ER)
• inferior angle of opposite scapula (IR, adduction and extension)

Question 9

Shoulder Rangle of Motion: flexion

Answer 9

.

Question 10

Shoulder Rangle of Motion: extension

Answer 10

.

Question 11

Shoulder Rangle of Motion: abduction

Answer 11

.

Question 12

Shoulder Rangle of Motion: internal rotation

Answer 12

.

Question 13

Shoulder Rangle of Motion: external rotation

Answer 13

.

Question 14

Selective Shoulder MMTs: Flexion

Answer 14

.

Question 15

Selective Shoulder MMTs: Extension

Answer 15

.

Question 16

Selective Shoulder MMTs: Abduction

Answer 16

.

Question 17

Selective Shoulder MMTs: External Rotation

Answer 17

.

Question 18

Selective Shoulder MMTs: Internal Rotation

Answer 18

.

Question 19

Selective Scapular MMTs: Protraction

Answer 19

.

Question 20

Selective Scapular MMTs: Retraction

Answer 20

.

Question 21

Selective Scapular MMTs: Retraction Lower Trap

Answer 21

.

Question 22

Selective Scapular MMTs: Retraction Rhomboids

Answer 22

.

Question 23

Shoulder Girdle Joint Play testing: scapulothoracic

Answer 23

Question 24

Shoulder Girdle Joint Play testing: GH anterior

Answer 24

Question 25

Shoulder Girdle Joint Play testing: GH Posterior

Answer 25

Question 26

Shoulder Girdle Joint Play testing: GH Inferior

Answer 26

Question 27

Shoulder Girdle Joint Play testing: SC Posterior

Answer 27

Question 28

Shoulder Girdle Joint Play testing: SC Inferior

Answer 28

Question 29

Shoulder Girdle Joint Play testing: AC Posterior

Answer 29

Question 30

Thoracic Spine joint play: upper thoracic central P/A

Answer 30

Question 31

Thoracic spine joint play: mid thoracic central P/A

Answer 31

Question 32

Extra Test: Neurodynamics: Median Nerve

Answer 32

Question 33

Extra Test: Neurodynamics: Radial Nerve

Answer 33

Question 34

Extra Test: Neurodynamics: Ulnar Nerve

Answer 34

Question 35

Upper Quarter Y Balance Test

Answer 35

Question 36

Scapular Dyskinesis Test

Answer 36

Question 37

Scapular Dyskinesis: Scapular Assistance Test

Answer 37

Question 38

Scapular Dyskinesis: Scapular Reposition Test

Answer 38

Question 39

what is subacromial pain syndrome

Answer 39

- pain originating between the humeral head and the acromion - anterior and/or lateral shoulder pain that increases with movements above shoulder height - can come from bursa, RTC, long head of biceps, glenohumeral joint capsule, coracoacromial ligament

Question 40

neer's sign

Answer 40

+if pain is reproduced

Question 41

hawkins-kennedy test

Answer 41

+ if their pain is reproduced Watch for excessive shoulder hiking

Question 42

What is painful arc?

Answer 42

if the client reports pain from approximately 60* to 120* but does not report pain outside of this range of abduction

Question 43

Test cluster to improve diagnostic accuracy for subacromial impingement/pain syndrome?

Answer 43

Hawkins-Kennedy Painful Arc Infraspinatus Test

Question 44

Drop arm test

Answer 44

tests supraspinatus + if client is unable to control the lowering of arm

Question 45

Full can test

Answer 45

Question 46

Empty can test

Answer 46

Question 47

External rotation lag sign (infraspinatus/teres minor

Answer 47

Question 48

Infraspinatus or external rotation resistance test

Answer 48

Question 49

lift-off test (subscapularis)

Answer 49

does not mean full tear; need more info

Question 50

belly press test

Answer 50

(if unable to get arm behind back)

Question 51

Speed's test (proximal biceps tendinopathy)

Answer 51

+ if client's shoulder pain is reproduced

Question 52

Yergason's Test (proximal biceps tendinopathy)

Answer 52

+ if client reports pain over the origin of the biceps

Question 53

Sulcus Sign

Answer 53

Question 54

Anterior Instability: Anterior Apprehension

Answer 54

Question 55

Anterior Instability: Relocation test

Answer 55

should alleviate pain

Question 56

Anterior Instability: Anterior Release (surprise)

Answer 56

patients wont like this

Question 57

Posterior Instability: Posterior Apprehension Test

Answer 57

Question 58

Jerk test

Answer 58

Question 59

Inferior Instability: Hyperabduction

Answer 59

Question 60

Labral pathology and shoulder instability: biceps load I

Answer 60

Question 61

Labral pathology and shoulder instability: biceps load II

Answer 61

Question 62

passive compression test

Answer 62

Question 63

O'Brien's Test for Labral Tear

Answer 63

Question 64

Test cluster to improve diagnostic accuracy for labral pathology

Answer 64

biceps load I biceps load II Speed's test Passive Compression test Active compression test (o'brien's test)

Question 65

Cross body adduction test

Answer 65

Question 66

Ludington's test

Answer 66

Question 67

Resisted Extension Test

Answer 67

Question 68

Test cluster to improve diagnostic accuracy for acromioclavicular joint pathology

Answer 68

cross-body adduction resisted extension test active compression test