Skip to main content

Key Tests Performed at the Shoulder Depending on Suspected Pathology

                                  Taking a detailed patient history is important. Listen carefully to the patient’s past medical history and history of presenting condition. The narrative given by the patient contains much of the information needed to rule out red flags and guide the shoulder examination.
                                  The patient may report pain local to the involved shoulder. The symptoms may extend toward the scapula, axilla, anterior chest, along with the clavicle, or down the humerus. When taking the patients history it is also important to ask if they have pain or symptoms in other regions such as their cervical or thoracic spine, or elbow. The patient may also report difficulty with overhead activities, lifting objects, activities of daily living, sports or recreational activities.& There are several presentations that may differ depending on the suspected pathology.

{ Click the Test to Read in Detail}

A.For anterior shoulder (glenohumeral) instability:
c. Crank (apprehension) and relocation test👈
d.Fulcrum test👈
e.Load and shift test👈

B.For posterior shoulder (glenohumeral) instability:
a.Jerk test👈
b.Load and shift test👈
c.Norwood test👈
d.Posterior apprehension test👈
e.Posterior drawer test👈

C.For anterior impingement:
a.Coracoid impingement sign👈
b.Hawkins-Kennedy test👈
c.Neer test👈
d.Supine impingement test👈
e.Yokum test👈
f.Zaslav test (internal rotation resistance strength test [IRRST])👈

D.For inferior and multidirectional shoulder (glenohumeral) instability:
a.Feagin test👈
b.Sulcus sign👈

F.For posterior impingement:
a.Posterior internal impingement test👈

G.For labral lesions:
a.Active compression test of O’Brien👈
b.Anterior slide test👈
c.Biceps tension test👈
d.Biceps load test (Kim test II)👈
e.Clunk test👈
f.Compression rotation test👈
g.Dynamic labral shear test👈
h.Forced shoulder abduction and elbow flexion test👈
i.Kim test I (biceps load test II)👈
j.Mayo shear test👈
k.Pain provocation test👈
l.Resisted supination external rotation test (RSERT)👈

H.For scapular dyskinesia:
a.Lateral scapular slide test👈
b.Scapular load test👈
c.Scapular retraction test (SRT)👈
d.Wall/floor pushup👈

I.For ligament pathology:
a.Coracoclavicular ligament test👈
b.Crank test👈

J.For acromioclavicular joint pathology:
a.Horizontal adduction test👈
b.Paxinos sign👈


K.For muscle pathology:
1.Biceps
a.Speed’s test👈
b.Yergason’s test👈

2.Supraspinatus
a.Drop arm test👈
b.“Empty can” test👈

3.Subscapularis
a.Bear-hug test👈
b.Belly press test (abdominal compression or Napolean test)👈
c.External rotation lag sign (ERLS)👈
e.Lift-off sign (Gerber’s test)👈
f.Medial rotation lag or “spring back” test👈

4.Infraspinatus
a.Dropping sign👈

5.Infraspinatus test
a.Lateral rotation lag sign👈

6.Teres Minor
a.Hornblower’s sign👈

7.Rotator Cuff (in general)
a.Rent test👈
b.Whipple test👈

8.Trapezius
a.Trapezius test (three positions)👈

9.Serratus Anterior
a.Punch out test👈

Comments

Popular posts from this blog

What is Anatomical pulley? Example of Anatomical pulley

Understanding the Importance of Anatomical Pulleys in Physiotherapy As a physiotherapy student, it is essential to have a good understanding of the human body's anatomy and how it works. One of the essential structures in the body that plays a significant role in movement and biomechanics is the anatomical pulley. In this article, we will explore what an anatomical pulley is, its types, and its importance in physiotherapy. What is an Anatomical Pulley? A pulley is a simple mechanical machine that consists of a wheel that turns readily on the axle, usually grooved for a rope or a wire cable. In the human body, the pulley is replaced by a bone, cartilage, or ligament, and the cord is replaced by a muscle tendon. The tendon is lubricated by synovial fluid, and the surface of the tendon is covered by a thin visceral synovial membrane. The tendon is lubricated so that it may easily slide over the pulley. Classification of Anatomical Pulleys There are mainly four classes of pulleys

Electrotherapy Simplified by Basanta Kumar Nanda PDF Download

Electrotherapy Simplified  by Basanta Kumar Nanda The aim of this book is to focus on the electrotherapy simplified. Electrotherapy is one of the important aspects among the various approaches of patient management available to a physiotherapist. Electrotherapy Simplified has tried to give comprehensive knowledge on electrotherapy and actinotherapy, starting from basic electricity and magnetism to the theoretical and clinical aspects of the different modalities applied by physiotherapists.  This book consists of 19 chapters, which include an introduction, inflammation, repair, and role of physical agents, electrical fundamentals, magnetic energy, valves, transistors, and rectifiers, electrical measurement systems and distribution of electricity, electrophysiology of nerve transmission, and muscle contraction, low-frequency currents, electrodiagnosis, medium frequency currents, low-intensity laser therapy, ultraviolet radiation, and traction.  About 250 objective question answers have b

Range of Muscle work in Physiotherapy

The degree of the movement done by muscle contraction is known as the Range of muscle work. The range can be measured with the help of a goniometer. Movement is a very complex mechanism, a lot of muscles are working in a group and in synchronized pattern to draw out the perfect desirable movement. As per function we already talked about Agonist, antagonist, Synergist, and fixator muscles.