Clin3 Shoulder

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Author:
barbostick
ID:
99113
Filename:
Clin3 Shoulder
Updated:
2011-09-02 17:05:15
Tags:
Soma Clin clinical integration shoulder
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Description:
Review for Clin 3 midterm
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  1. AROM- Shoulder flexion
    160-180
  2. AROM- Shoulder extension
    60
  3. AROM- Shoulder medial & lateral rotation
    90 (each)
  4. AROM- Shoulder abduction
    180
  5. AROM- Shoulder adduction
    50-75
  6. PROM Shoulder end feel- flexion
    • tissue stretch (soft)
    • Also soft- medial rotation and abduction
  7. PROM Shoulder end feel- firm tissue stretch (2)
    • Extension
    • Lateral rotation
  8. MRT shoulder flexion- what muscles are being tested?
    • Coracobrachialis
    • Deltoid (ant)
    • Pec major
    • Biceps brachii
  9. MRT Shoulder Extension- what muscles are being tested?
    • Lats
    • Deltoid (post)
    • Teres major
    • Triceps
  10. MRT shoulder medial rotation- what muscles are being tested?
    • Lats
    • Pec major
    • Subscap
    • Teres major
    • Deltoid (ant)
  11. MRT shoulder lateral rotation- what muscles are being tested?
    • Infraspinatus
    • Teres minor
    • Deltoid (posterior)
  12. MRT shoulder abduction- what muscles are being tested?
    • Deltoid
    • Supraspinatus
  13. MRT shoulder adduction- what muscles are being tested?
    • Lats
    • Pec major
    • Teres minor
    • Teres major
    • Coracobrachialis
  14. Apley Scratch Test
    • Tests for ROM limitations in the shoulder
    • Test is ct complains of pain during shoulder movement, which interfere with ADLs.
  15. Codman's Drop Arm Test
    • Tests for supraspinatus tear or rupture.
    • Test if client is unable to abduct (rupture) or is weak with action; pain with abduction (injury)
    • To perform: abduct affected arm 90 degrees. Ct. holds position then slowly lowers.
  16. Supraspinatus strength/ empty can test
    • Tests for supra tendonitis or strain.
    • Test if sharp/local pain at supra insertion; pain with abduction; weakness with abduction; history of repetitive trauma to shoulder
    • To perform: Ct adducts arms to 45 degrees. Ct inernally rotates (empties can) then resists downward pressure applied to distal arm
    • Positive test is sharp/local pain and/or weakness
  17. Painful Arc Test
    • Tests for subacromial impingement of supra tendon and subacromial bursa.
    • Test if sharp/local pain near acromion, pain between approx 60-130 of abduction (no pain below 60 and above 130); por shoulder posture; history of repetitive stress.
    • To perform: standing, ct performs full abduction of humerus (w/o external rotation)
  18. Speed's test
    • Tests for biceps long head tendinitis.
    • Test if sharp/local pain over bicipital groove with activity (overhead actions); weakness with use of shoulder (return from flexion)
    • To perform: Ct seated or standing with shoulder flexed to 90, elbow fully extended and forearm supinated. Resist shoulder flexion by bracing at forearm; palpate BLH with thumb to located lesion site.
    • Positive test: pain with resisted shoulder flexion.
  19. Cross Over Test
    • Tests for hypermobility of AC joint, tear or rupture of AC ligament.
    • Test if point tenderness with palpation of AC joint, pain with overhead activities.
    • To perform: seated or standing, therapis brings client's arm across the chest in full horizontal adduction.
    • Positive test: gapping of AC joint, sharp/local pain at AC joint/ligament.

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