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7 Cards in this Set

  • Front
  • Back

Special Tests For




TORNROTATOR CUFF (RC) / IMPINGEMNET




RENT TEST




RC Tear Level 2

PT/ pt position


1) pt short sit with arm extended and F.arm flexed 90°


2) PT behind pt




PT hands


1) ℗ Greater Tuberosity (GT)


2) Grasp the pt’s extended elbow/flexed F.arm




TEST


1) PT: IR arm/F.arm


2) ℗:




Normal if GT glides (disappears) as IR.




Abnormal: GT not glide & rent (finger width depression)




3) PT “How do you feel?”




POSITITVE


℗ GTin IR & rent (finger width depression)

Special Tests For




TORN ROTATOR CUFF (RC) / IMPINGEMNET




Lift- Off Test




Subscap Tear (MR)




Level 2





Patient / PT Position


1) pt short sit


2) pt hand in TP position w/ palm up




PT Hands/Placement of Extremity


NOTE:


This test is causing the patient to do more IR/MR.




Test like ℗of rhomboids




TEST




1) PT “Lift hand your hand off your back and hit my hand.”




2) (O) pt not using Triceps by leading withelbow.




Positive Results (Recreate Pain AND)




pt’s inability to lift hand off back

Special Tests For




TORN ROTATOR CUFF (RC) / IMPINGEMNET




ER Lag Sign




Supra/Infraspinatus Tear Level 1

Patient / PT Position


1) pt short sit




2) PT behind pt




PT Hands/Placement of Extremity




1) Grasp elbow




2) Grasp wrist




NOTE: Supra: Elevation of arm Infra: ER of arm




TEST




1) Elbow in 90° flex & shoulder 20° in Scapular Plane




2) Pass. ER shoulder near end range




3) PT “Hold this position as I let go.”




Positive Results (Recreate Pain AND)




A lagthat occurs with the pt’s inability to hold the position near full ER.

TORN ROTATOR CUFF (RC) / IMPINGEMNET








Drop Sign




Infraspin: Tear or Perm Fatty Degen




Level 2

Patient / PT Position




1) pt short sit




2) PT behind pt




PT Hands/Placement of Extremity




1) Grasp elbow. 2) Grasp wrist.




TEST




1) Elbow in 90° flex & shoulder 90° in Scapular Plane.


2) Pass. ER shoulder near end range


3) PT “Hold this position as I let go.”




Positive Results (Recreate Pain AND)




A lag that occurs with the pt’s inability tohold the position near full ER.

TORN ROTATOR CUFF (RC) / IMPINGEMNET

Patient / PT Position






PT Hands/Placement of Extremity






TEST






Positive Results (Recreate Pain AND)

TORN ROTATOR CUFF (RC) / IMPINGEMNET




Empty Can Test




Supraspinatus RC Tear




Level 2

Patient / PT Position




1) pt standing 2) PT in front




PT Hands/Placement of Extremity




Note:




Tests Suprascapular Nerve and Impingement



Empty can/ scap plane knock out middle deltoid




TEST




1) pt ABd extended UEs with thumb up to 90° in cap plane (full can position)




2) Downward ® given @ DFPW. PT see strength




3) Thumb down. UEs in Scapular Plane. (empty can position)




4) Downward ® given @ DFPW. PT see strength




Positive Results (Recreate Pain AND)




Weaker in Empty Can position, pain or both




(pain from IMP of supraspinatus on acromion)

TORN ROTATOR CUFF (RC) / IMPINGEMNET

Patient / PT Position PT Hands/Placement of Extremity TEST Positive Results (Recreate Pain AND)