Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
33 Cards in this Set
- Front
- Back
Shoulder Joint Positions |
Loose Packed - 55゚ AB, 30゚ horizontal AD, neutral rotation. Closed Packed - max AB and ER Capsular pattern
Joint mob direction Convex humeral head + concave fossa = opposite direction. To improve internal rotation, perform posterior mobilization. To improve external rotation, perform anterior mobilization. To improve AB, perform inferior glide. To improve shoulder flexion, perform posterior inferior glide. |
|
Muscles That Act on the Shoulder |
N |
|
Scapulohumeral Rhythm |
After 30 to 60゚of elevation of the GH joint there will be a 2:1 ratio.
120° at the GH joint + 60 ° at the scapulothoracic joint. |
|
Upward Rotation vs. Downward Rotation of the Scapula |
Upper traps, lower traps, serratus anterior upwardly rotate the scapula when the arm goes overhead. Rhomboids, levator scapula, pectoralis minor downwardly rotate the scapula when the arm comes down. |
|
Shoulder Dislocation |
H |
|
Apprehension Test |
Posterior test is testing for posterior instability. The patient is supine or sitting, 90゚ of flexion. Examiner places posterior force with horizontal ADD and IR. Any apprehension is a positive test Anterior test - testing for traumatic instability. Arm ABD to 90゚. Clinician moves into ER. Any apprehension is a positive test. |
|
Bicep Tendon Pathology |
H |
|
O'Brien's Test |
Testing for a slap lesion of the shoulder. Patient is standing with 90゚ of flexion, max IR, press down. Repeat the test with max ER. Any pain or painful clicking inside the shoulder during IR but not during ER equals positive finding. |
|
Yergason's Test |
Testing for a torn transverse humoral ligament / bicipital tendonitis or tendonosis. Patient is sitting, elbow 90゚ of flexion, forearm pronated. Patient supinates against resistance. Any tenderness in the bicipital groove is a positive test. |
|
Rotator Cuff Pathologies |
Impingement Primary impingement - bony abnormality, hooking of the chromium. Secondary impingement - functional abnormality, rotator cuff dysfunction or weaknes.
Rotator Cuff Tears |
|
Biceps Load Test |
H |
|
Hawkins Kennedy Impingement Test |
Testing for shoulder impingement. Arm in 90゚of flexion and 90° elbow flexion. Examiner moves into internal rotation. Any pain is a positive test. |
|
Neer Impingement Test |
Testing for overuse injury of the supraspinatus muscle or biceps tendon. Patient is in full shoulder flexion. Any pain is a positive test. |
|
Painful Arc |
Testing for subacromial impingements / AC joint.
Patient moves through full AB.
If there is pain at 60 to 120゚= Subacromial Impingement Sundrome.
If there is pain at 170 - 180 = AC joint pain. |
|
Empty Can / Jobe Test |
H |
|
Speeds Test |
This is a test for a superior labral or tendonitis of the shoulder.
90° of shoulder flexion with full elbow extension and supination. The examiner pushes downward.
Tenderness or pain in the biciptal groove is a positive test. |
|
Drop Arm Test |
Testing for rotator cuff tear (supraspinatus) Patient is upright, arm AB 90 - 120°. They are asked to slowly lower the arm. If the patient cannot return the arm slowly or has severe pain - positive test. |
|
Internal Rotation Lag Sign |
IR lag sign is testing for subscapularis tear (rotator cuff) Patient is sitting and placed into IR. If the patient is unable to maintain IR position once PT lets go - positive sign. |
|
Thoracic Outlet Syndrome |
H |
|
Adson Maneuver |
H |
|
Roos Test |
H |
|
Allen Test |
H |
|
Adhesive Capsulitis |
H |
|
Supraspinatus Test |
The ER lag sign is testing for a tear of the supraspinatus or infraspinatus tendon (rotator cuff) The patient is sitting and put into ER. If they're unable to maintain ER once the PT lets go, this is a positive test. |
|
Infraspinatus Test |
H |
|
Cozen's Test |
H |
|
Valgus / Varus Stress Test |
H |
|
Lateral Epicondylitis Test |
H |
|
Medial Epicondylitis Test |
H |
|
Epicondylitis |
H |
|
Elbow Ligament Instability |
H |
|
Elbow Joint Positions |
Loose packed Open packed Capsular Patten Joint mobilization rule |
|
Muscles that act on the elbow |
H |