-
Rockwood Test: Anterior Instability
- pt sitting, RMT behind
- Middle finger on humeral head, index on coracoid process
- ABD shoulder to 45 degrees, EXT ROT and EXT shoulder
- Palpate humeral head for anterior movement
- + Increased Ant movement
- + Apprehension
- + Pain
-
Feagin: Inferior Instability
- pt sitting, examiner kneeling at pt side
- Support pt arm on examiner's shoulder, do Inf Glide + slight Ant glide
- + Increased Inf movement
- + Apprehension
- + Pain
-
Pull-Pushl: Posterior Instability
- pt supine, examiner holds arm at elbow, with other hand @ proximal Humerus
- Move pt arm into scapular plane (90 ABD, 30 H-ADD)
- Distract @ elbow, plus Post glide @ GH
- + more than 50% translation
- + Apprehension
-
-
Neer's Impingement Test
- pt seated
- Stabilize GH jt
- Int Rot GH jt
- Passively Flex/ABD into scapular plane, forcibly to endpoint
- + Pain
-
Impingement Syndrome Test: Hawkins Kenedy
- pt seated
- Passively Flex shoulder to 90 with elbow bent
- Then passive Int Rot (driving greater tubercle into arch)
- + Pain
-
Speeds Test: Bicipital Tendonitis
- pt sitting, RMT palps @ bicipital tendon
- Shoulder FLEX to 90 degrees, palm up
- Push down on arm while pt resists with eccentric contraction
- + Pain in bicipital groove
-
Drop Arm Test (Codman's)
- pt seated
- Passively ABD arm to 90, ask pt to hold there
- pt slowly lowers arm to side in a controlled fashion
- + Pain
- + Inability to do it slowly
- = Usually superspinatus, or Rotator cuff tear
-
Provocative Elevation Test: Vascular Insufficiency
- pt seated
- Elevate both arms over head
- pt opens/closes hands 15 times
- + Tingling or Cramping
-
Halsteads: TOS
- pt seated
- Find radial pulse, extend arm
- pt looks away and extends neck
- + pulse disappears
-
Empty Can Test: Supraspinatus Pathologies
- pt standing or seated
- pt actively ABD arms to 90 degrees
- Therapist adds resistance
- + Pain
- pt actively bring arms into scapular plane
- pt "empties can" with Int Rot
- Therapist adds resistance
- + Pain
-
Yergason Test
- pt sitting, arm @ side, elbow flexed
- Stabilize elbow, resist @ wrist
- Resist while pt does SUP and LAT ROT
- + Pain, and Biceps tendon will pop out of groove
-
Adson Test: TOS
- pt seated
- Locate radial pulse
- pt looks towards test shoulder, then EXT neck
- Therapist laterally rotates shoulder
- pt takes deep breath in, Holds
- + Radial pulse disappears
|
|
