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Week 1 Flashcards

1
Q

list the 7 tests for subacromial impingement

A 
hawkins-kennedy 
Neers test
painful arc
empty can 
crossbody add
scapular assist 
scapular repositioning
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2
Q

hawkins- kenedy

A

supraspinatus impingement

90 shld flex + 90 elbow + IR to end range

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3
Q

+/- hawkins kennedy

A

+: pain in either directions

-: no pain

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4
Q

Neers test

A

shld impingement (reduction of subacromial space)

arm straight + IR full of arm + end range shld flexion

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5
Q

painful arc

A

supraspinatus tendinosis or impingement

AROM of abd of arm

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6
Q

+/- painful arc

A

+: pain between 60-120 degrees

-: feels better after 120 degrees

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7
Q

empty can test

A

supraspinatus tear (w/ weakness) or tendinitis

scapular plane + arm straight +IR at the hand + resistance at wrist

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8
Q

+/- empty can test

A

+: pain with resistance, can have weakness (Tear) or pain with strength (tendinitis)

-: no pain

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9
Q

cross body adduction test

A

indicate AC pathology or shld supraspinatus tendinitis

Passive + 90 shld flex + palm down + end range

stop with pain

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10
Q

+/- cross body test

A

+: pain at any point of passive rom

-: no pain full range

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11
Q

scapular assist

A

scap dyskinesia or scap muscle weakness (need strengthening)

have to have pain with active abd

AROM + thumb at lower medial boarder and push while patient moves arm into abd

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12
Q

i+/- scapular assist

A

+: if relief of symptoms and indicates weakness

-: normal

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13
Q

scapular repositioning

A

indicates weakness in scap muscles that post tilt scap

opens the subacromial space & pain with active abd

Arom + PT hand at ant AC + forarm @ spine of scap +scap retract

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14
Q

+/- scapular repositioning

A

+: if it feels better than indicates weakness

-: does not improve symptoms

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15
Q

Rotator cuff tear tests (8)

A 
drop arm 
ER lag
infraspinatus 
hornblowers sign 
IR lag sign 
belly press test 
lift off test 
empty can
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16
Q

drop arm test

A

indicates large (full) RC tear

120 of shld ABD passive + slowly lower it down

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17
Q

+/- drop arm

A

+: patient lets arm drop can slowely lower it

-: patient can lower it down controlled

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18
Q

ER lag

A

RC tear bias infraspinatus and teres minor

Passive 20 of abd + end range ER + then let go and see if they can hold it

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19
Q

+/- ER lag

A

+: they drop slightly because their IR’s are stronger than ER’s

-: they can hold on their own

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20
Q

infraspinatus muscle test

A

infraspinatus and teres minor tendinitis or tear

arm at side + elbow bent at 90 + resisted IR

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21
Q

Hornblowers sign

A

tear in ER’s (infraspinatus and teres minor)

shld 90 abd + 90 elbow flex + arm at scaption + IR of arm + PT adds resistance but allows patient to win at pushing up

22
Q

+/- hornblowers

A

+: repoduction of symptoms for tear

-: pain and weakness

23
Q

IR lag sign

A

subscapularis tear

place hand at arc of back + shld ext + ask to hold it there

24
Q

+/- IR lag

A

+: patient cant hold position and rests arm at back

-: patient can hold it

25
Belly press test
subscapularis tear rule in or out hand on belly and ask to press into belly +: can do it -: cant
26
lift off
subscapularis tear arm at arc lower lumbar + ask to actively IR and lift off back
27
lift off test +/-
+: patient cant lift hand off -: patient can do on own
28
scapular dysfunction tests (2)
scap assistance and scap repositioning
29
GH joint instability tests (2)
ant apprehension test relocation test
30
ant apprehension test
ant GH instability patient supine + bring into passive ER
31
+/- ant apprehension test
+: patient guarding or repo -: all good
32
relocation test
ant GH instability + ant apprehension test + push post on humeral head
33
+/- relocation test
+: patient feels better -: no change
34
Tests for GH joint posterior or inferior instability
jerk test sulcus sign
35
jerk test
post GH instability due to sublux **be carful + clunk is joint dislocating** shld 90 abd+ elbow @ 90 +IR + compress + bring into add
36
sulcus sign
laxity of GH joint bias inf arm at side + grab shld and wlbow + pull down at elbow
37
+/- sulcus sign
+: looking for gapping or depression on the skin -: looks the same as it did before
38
labral tear tests (8)
``` Obrien test biceps loads II ant slide test compression rotation yergasons test speeds test ant apprehension test relocation test ```
39
obrien test
shld @ 90 flexion + 10 horiz abd + IR + push down then after symptom reproduction er + 10 horiz abd + 90 shld flexion
40
+/- brien test
+: hurts more with IR>ER b/c long head of biceps tugs on labrum -: does not repo symptoms
41
biceps loads II
supine + 120 shld abd + forearm supination + resisting elbow flexion
42
+/- bicpes loads II
+: reproduces symptoms -: no symptoms
43
ant slide test
hands on hips with thumb pointed backward + we push ant and superior
44
+/- ant slide test
+: looking for click or P! -: no change
45
compression- rotation
patient is supine + IR/ER wiggle from 20-90 of shld abd + pushing up
46
yergasons test
labrum/ biceps long head/transverse lig pathologies sitting + elbow at 90 + supinate as ER + apply resistance at wrist
47
speeds test
labrum/ bicipital tendinitis or tendinopathy sitting tell them to lift arm to above 120 while lifting apply resistance but allowing mvm and vice versa for second part (concentric and eccentric exp with pain)
48
+/- speeds test
+: pain with either concentric or eccentric -: no pain
49
AC joint pain
palpate the ac joint and see if it reproduces pain
50
AC resisted extension
sitting + 90 shld flexion + elbow bent at 90 + IR slight patient pushes back with slight resistance
51
olecranon manubrium precussion test
patient sitting, cross arms, steth at manibrium+ tap at elbow to compare sides + duller side one side over other -: sound same
52
popeye sign
ruptued bicep

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