Block 2 Physical Exam Of Upper Extremities

Front 1

How do you test the Subscapularis muscle?

Back 1

patient with both hands behind back at top of buttocks and they push palms away from body against your resistance

Front 2

How do you test infraspinatus and teres minor?

Back 2

external rotator test=externally rotates their arm against resistance when elbow is at 90 degree angle

Front 3

how do you test supraspinatus?

Back 3

empty can test=internal rotation

Front 4

What is neer's test? what is it used to diagnose?

Back 4

impingement syndrome=passive
examiner internally rotates patients arm, then forward flexes the straight arm if possible. positive result at any angle/observe patient's face

Front 5

what is hawkin's test? what is it used to diagnose?

Back 5

impingement syndrome also=patient forward flexes arm and elbow while examiner internally rotates the arm in attempt to grind humerus against coracoacromial arch.

examiner must stabilize patient's scapula, twist humerus at least 3 times in inward rotation across patient's chest

Front 6

how can you test for an A-C joint problem?

Back 6

crossover test. flex arm to 90 degrees then adduct 45 and touch other shoulder.

examiner keeps finger of AC join.

Front 7

Anterior Shoulder instability test.

Back 7

90 and 90 of elbow and shouler (like they are throwing a pitch) apply pressure on humerus anteriorly, as if to pull humerus out of the socket

Front 8

speed's test indicates for what? how is it performed?

Back 8

speed's manuever examines bicep tendonitis. patient starts at 90 degrees flexion and try to go to 180, examiner resists.

Front 9

Decreased DTR indicates what?

Back 9

a problem in the afferent-spinal cord-efferent loop

Front 10

increased DTR indicates what?

Back 10

loss of control in upper motor neuron causes in increased DTR (classic cause of increased DTR=stroke)