Shoulder Complex

Front 1

Active and Passive Range of Motion

Back 1

Flexion, extension
Abduction and adduction
Internal and external rotatio

Front 2

Test for Sternoclavicular Joint Instability

Back 2

With athlete seated, pressure is applied to the SC joint anteriorly, superiorly and inferiorly to determine stability or pain associated w/ a joint sprain

Front 3

Test for Acromioclavicular Joint Instability

Back 3

Palpate for displacement of acromion and distal head of clavicle
Apply pressure in all 4 directions to determine stability

Front 4

Tests for Glenohumeral Instability
-Glenohumeral Translation

Back 4

Anterior and posterior stability

Front 5

Apprehension test
- what is it used for?

Back 5

Apprehension test used for anterior glenohumeral instability

Front 6

Posterior instability apprehension test

Back 6

athlete lays down on back and puts elbow at 90 degrees across the chest and the A.T. pushes down on the elbow putting pressure on th posterior aspect of the shoulder

Front 7

O’Brien Test (Active Compression Test)

Back 7

Athlete flexes GH joint to 90 degrees and horizontally adducted 15 degrees from the sagittal plane Downward pressure is applied with humerus is fully internally rotated and externally rotated If pain with internal rotation but decreases with external rotation and there is clicking = SLAP lesion Pain in AC joint may indicate AC joint pathology

Front 8

Neer’s test and Hawkins-Kennedy test

Back 8

test for impingement used to assess impingement of soft tissue structures Positive test is indicated by pain and grimace

Front 9

Drop Arm Test

Back 9

Used to determine tears of rotator cuff (primarily the supraspinatus) Athlete abducts shoulder and gradually lowers to starting position Inability to lower arm slowly and controlled will indicate torn supraspinatus

Front 10

Empty Can Test

Back 10

90 degrees of shoulder flexion, internal rotation and 30 degrees of horizontal abduction Downward pressure is applied
Weakness and pain are assessed bilaterally for supraspinatus

Front 11

Test for Serratus Anterior Weakness

Back 11

Wall push-up - looking for winging scapula
Could indicate injury to long thoracic nerve

Front 12

Test for Biceps Irritation

Back 12

Yergason’s test and Speed’s test utilized to determine pain and possible subluxation of biceps tendon Ludington’s test used to assess possible rupture of biceps (feel for contraction while alternating contractions of each biceps)

Front 13

Tests for Thoracic Outlet Compression Syndrome
-list the tests

Back 13

Anterior scalene syndrome (Adson’s test)
Costoclavicular syndrome test (Roo’s test)

Front 14

Anterior scalene syndrome (Adson’s test)

Back 14

Compression of subclavian artery by scalenes is assessed
Disappearance of pulse while athlete turns toward extended arm and takes a breath indicates a positive test

Front 15

Costoclavicular syndrome test (Roo’s test)

Back 15

Compression of artery between clavicle and first rib Test is positive if after opening and closing hands for 3 minutes, strength or circulation decreases
Test is also positive if while in military brace position, head is turned in opposite direction and pulse disappears