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  1. posterior apprehension test (magee) supine
    • arm flexed to a bit less than 90 so it's in line w scap
    • elbow flexed a bit more than 90
    • forearm in IR so it's over the lower contralat nipple
    • press down on elbow to push the hum head posteriorly
    • observe the pt's face 
  2. posterior apprehension test (magee) seated
    one hand on pt's elbow, other hand on post shoulder, feeling for hum head
  3. sulcus sign/test at shoulder
    •  seated
    • pull south on humerus
    • look at shoulder for distance created btwn hum head and acromion
  4. Faegin Test - what's it for?
    inverior instability at shoulder joint
  5. how to do the Faegin test
    • seated or standing
    • pt's arm in 90 degrees abduction, resting on your shoulder or being cradled in your armpit
    • put hour hands on his prox hum and depress, looking at humeral head inferior subluxation.

    Inferior Glenohumeral Ligament
  6. Rowe test
    • it's for multidirectional instability
    • pt leans forward at waist (one foot ahead, or hand on table for support) so arm can hang vertically
    • PT stabilizes GH joint proximally and glides the prox hum ant, post, inf
  7. 3 tests for the bicesp
    • bicipital groove (transverse ligament)
    • yergason
    • speeds (w 2 positions)
  8. the bicipital groove / transverse lig test for the biceps
    • (magee)
    • palpate the biciptal groove
    • feel the tendon rolling under yr fingers in the groove as you go thru rotation
    • shouldn't feel it clicking out of the sulcus - should be held by the transverse humeral lig
  9. Yergason test ... what's it for?
    tests the quality of the bicipital tendon
  10. Yergason test - how?
    • pt is seated w elbow flexed, forearm pronated
    • PT palpates/stabilizes bicipital groove
    • PT passively abd the arm 10-20 degrees
    • NOW, have pt move to supination & ER against resistance from the PT
    • (can also resist elbow flexion at the same time)
    • positive sign is pain or "snap" of long head of biceps tendon
  11. Speed's test - 2 varieties
    • pt has arm in 90 degrees shoulder flexion, ER, sup, elbow straight (palms up shoulder flexion)
    • PT provides isometric resistance

    • pt has arm in ext, ER, elbow straight (thumb up)
    • resists moving into flexion isometricly

    pos sign: pain in bicipital groove area
  12. drop arm test looks at what?
    supraspinatus, specifically its eccentric control over arm descent from abd
  13. drop arm test - how?
    • pt lifts arm into abd and then slowly lowers it to side
    • if pt can do this, tap the arm during the test
    • apply pressure to the arm
    • ... be ready to catch the arm, it might fall

    can be done "empty can" or "full can"
  14. empty vs full can tests - how?
    • empty = thumbs down
    • elevate arm to 90 degrees scaption
    • see if pt has pain or weakness when doing an isometric contraction agains the PT's applied force
  15. 3 tests that look at impingement in the shoulder (suprahumeral joint - tests the supraspinatus' ability to move in there)
    • Neer (close to the ear)
    • Hawkins-Kennedy (hike & crank)
    • Yocum (yolk)
  16. Neer test
    • pt seated or standing
    • bring arm into full flexion with ER, then do it again with IR
    • see if there's pain or limitation

    pos sign is pain 2/2 compresion of structures under coracoacromial lig and acromion
  17. Hawkins-Kennedy test - for what? how?
    • shoulder impingement
    • arm at 90 degrees flexion or in plane of scapula
    • elbow at 90
    • PT applies sudden overpressure for the arm cranking it into IR
    • look for pain

    pos sign is pain 2/2 compresion of structures under coracoacromial lig and acromion
  18. Yocum test - for what, how?
    • put affect hand on opposite shoulder
    • pt lifts elbow to face (or PT tries if pt can't)
    • pos sign is pain 2/2 compresion of structures under coracoacromial lig and acromion
  19. 4 tests for labral tears
    • labral crank test (labral pathology)
    • o'brien's shoulder test (superior labral problem vs AC jt)
    • mimori new pain provocation (superior labral problem)
    • biceps load test (superior labral pathology in pts w recurrent dislocation)
  20. labral crank test
    • pt arm in 160 degrees abd in scap plane, elbow bent 90
    • PT stabilizes pt's post shoulder and pushes the elbow bringing it back by the ear (into ER) while puttin gsome pressure on it to screw it home to the labrum
    • pos sign: pain w ER or reprodcution of the cardinal sign during overhead activities
  21. O'Brien's test aka active compression test  - tests for what? how?
    • labral tears
    • pt flexes arm to 90, elbow straight, shoulder in IR (pronation)
    • part 1: PT give isometric downward force
    • part 2: repeart w arm in sup
    • pos sign: pain w part 1 and no pain in part 2 ... if pain in both, may be AC jt problem
    • (differs from Speed's by pos of hand)
  22. the pt can stick out her arms straight in 90 degrees flexion and you can push on them, and depending on when pain (pronation, sup, both), it means...?
    • If painful only in pronation, it's O'Brien's and it's labral.
    • If painful only in sup it's Speed's and it's the biceps tendon.
    • If painful in both it may be an AC joint problem
  23. Mimori New Pain Provocation Test
    tests for what? how?
    • labral tears
    • PT moves pt's arm abd to 90, elbow at 90, full ER, pronation
    • repeat w supination
    • pos sign: pain provoked w pronation or pain greater in pro than sup
  24. Biceps load test -- for what? how?
    • labral tears
    • pt supine, same as ant apprehension test, but now add resistance to isometric elbow flexion at 90 degrees
    • pos sign: feeling of apprehension increases when elbow flex is resisted
    • neg sign: if resisted elbow flexion relieves sx
  25. accessory motion testing and mobilization techniques can look so similar... basic diffs?
    • assessment/testing: checking joints ability to move, done in resting pos
    • mobs: done with a grade (1234), can be in various positions
  26. how to do ant glide mobilization of GH jt
    • pt prone
    • arm in resting pos
  27. how to do lat GH joint mob
    • arm in resting pos
    • PT's hand right  up in axilla, other hand creating counter-pressure at distal humerus
Card Set:
2013-02-28 00:26:12

rosen & pivko spring 2013
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