Card Set Information
Soma Clin clinical integration shoulder
Review for Clin 3 midterm
AROM- Shoulder flexion
AROM- Shoulder extension
AROM- Shoulder medial & lateral rotation
AROM- Shoulder abduction
AROM- Shoulder adduction
PROM Shoulder end feel- flexion
tissue stretch (soft)
Also soft- medial rotation and abduction
PROM Shoulder end feel- firm tissue stretch (2)
MRT shoulder flexion- what muscles are being tested?
MRT Shoulder Extension- what muscles are being tested?
MRT shoulder medial rotation- what muscles are being tested?
MRT shoulder lateral rotation- what muscles are being tested?
MRT shoulder abduction- what muscles are being tested?
MRT shoulder adduction- what muscles are being tested?
Apley Scratch Test
Tests for ROM limitations in the shoulder
Test is ct complains of pain during shoulder movement, which interfere with ADLs.
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)
: abduct affected arm 90 degrees. Ct. holds position then slowly lowers.
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
: 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
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.
: standing, ct performs full abduction of humerus (w/o external rotation)
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)
: 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.
: pain with resisted shoulder flexion.
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.
: seated or standing, therapis brings client's arm across the chest in full horizontal adduction.
: gapping of AC joint, sharp/local pain at AC joint/ligament.