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AROM- Shoulder flexion
160-180
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AROM- Shoulder extension
60
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AROM- Shoulder medial & lateral rotation
90 (each)
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AROM- Shoulder abduction
180
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AROM- Shoulder adduction
50-75
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PROM Shoulder end feel- flexion
- tissue stretch (soft)
- Also soft- medial rotation and abduction
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PROM Shoulder end feel- firm tissue stretch (2)
- Extension
- Lateral rotation
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MRT shoulder flexion- what muscles are being tested?
- Coracobrachialis
- Deltoid (ant)
- Pec major
- Biceps brachii
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MRT Shoulder Extension- what muscles are being tested?
- Lats
- Deltoid (post)
- Teres major
- Triceps
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MRT shoulder medial rotation- what muscles are being tested?
- Lats
- Pec major
- Subscap
- Teres major
- Deltoid (ant)
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MRT shoulder lateral rotation- what muscles are being tested?
- Infraspinatus
- Teres minor
- Deltoid (posterior)
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MRT shoulder abduction- what muscles are being tested?
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MRT shoulder adduction- what muscles are being tested?
- Lats
- Pec major
- Teres minor
- Teres major
- Coracobrachialis
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Apley Scratch Test
- Tests for ROM limitations in the shoulder
- Test is ct complains of pain during shoulder movement, which interfere with ADLs.
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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.
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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
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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)
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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.
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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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