ROM 1
Normal degree(s) of GH flexion
160-180
Normal degree(s) of elbow extension
0-10
Normal end feel for elbow extension
Bone-to-bone
What does a positive biceps squeeze test look like?
When bicep is squeezed, there is no supination of forearm.
What does the drop arm (Codman's) test tell you?
Normal degree(s) of GH circumduction
200
Normal degree(s) of elbow flexion
140-150
Normal end feel for elbow flexion
Tissue approximation
What does a positive digit blood flow test mean?
A level of insufficient blood flow to the hand/fingers.
What structures are you testing with an A/C shear test?
Ligament/Joint
Normal degree(s) of GH abduction
170-180
Normal degree(s) of wrist flexion
80-90
Normal end feel for radial deviation of wrist
Bone-to-bone
What three tests would you think to perform to test carpal tunnel?
Phalen's, reverse Phalen's and carpal compression test.
What is the visual sign of a positive punch-out test?
Winging of the medial border of scapula.
Normal degree(s) of GH adduction
50-75
Normal degree(s) of wrist radial deviation
15
Normal end feel for GH flexion
Tissue stretch
What does a positive Froment's test look like and what does it tell you?
When cx is asked to grasp paper between thumb and index finger, and examiner attempts to remove it, thumb flexes in attempt to hold the paper.
Indicates paralysis of adductor pollicis = anterior interosseus nerve involvement.
What are you testing for with a Speed's test?
Bicepital tendonitis
Normal degree(s) of GH extension
50-60
Normal degree(s) of wrist ulnar deviation
30-45
Normal end feel(s) for GH abduction
Bone-to-bone OR tissue stretch
Explain how you would perform an Allen test on a client.
1. Ask cx to open and close fist several times
2. Compress ulnar and radial arteries
3. Cx opens hand with ongoing compression
4. Release ulnar or radial artery to test refill rate via return of normal tissue color
5. Repeat steps 1-4 for other artery.
How would you perform a Hawkins Kennedy Test?
1. Examiner forward flexes arm to 90
2. Examiner internally rotates shoulder