+ in Special Tests
What is a + results for the Crank Test?
pain and/or clicking in labral area
The examiner passively abducts the subject's involved arm to 90 degrees and then instructs the subject to lower the arm to the side.
+ is patient is unable to slowly return the arm to the side and/or has pain performing task
Drop Arm
Clicking, grinding or clunking sensation can be indicative of what pathology
glenoid labral tear
The examiner passively abducts the subject's involved arm to 90 degrees and then instructs the subject to lower the arm to the side.
+ is patient is unable to slowly return the arm to the side and/or has pain performing task
Drop Arm
What muscle inserts on the lesser tubercle?
Subscapularis
Name 3 special tests have positive results if the patient looks apprehensive or expresses feelings of apprehension towards further movement
Anterior and Posterior Apprehension Tests, Job Relocation Test, Surprise/Relocation Test
This special test is used to test for bicipital tendinitis. The patient is seated with their elbow flexed at 90. The clinician resists the subject's attempt to actively supinate the forearm and externally rotate the shoulder.
Yergason Test
A + Anterior Drawer Test may be indicative of what type of pathology (must be specific)
Anterior instability
The subject stands with both shoulders abducted to 90 degrees, horizontally adducted 30 degrees, and internally rotated so the subject's thumbs face the floor.
The examiner resists the subject's attempts to actively forward elevate both shoulders.
Empty Can (Supraspinatus) Test
What are the origin(s) and insertion(s) of the Biceps Brachii muscle?
Must get all parts to be correct
Origin:
long head: superior labrum
Short head: coracoid process
Insertion: bicipital aponeurosis, radial tuberosity
What is the + findings in Speed's Test?
tenderness and/or pain in the bicipital groove
This Special Test is considered to be the most accurate test for assessing SLAP lesions; however, the sensitivity of this and other SLAP lesion tests are questionable!
O'Brien (Active Compression) Test
Two parts:
What is the MOI for an SC Sprain?
What else must be ruled out when evaluating for an SC Sprain?
-direct blow, FOOSH
-Clavicle fx
The subject sits or stands with the humerus internally rotated and the hand placed behind the back. The examiner stands directly behind the subject.
The examiner asks the subject to lift the hand off the back looking for activation of the subscapularis muscle.
Gerber's (Lift- Off) Test
What does "SLAP" stand for?
Superior Labral Tear Anterior to Posterior
What is a + finding for Adson's Maneuver?
diminished or decreased radial pulse
Name 3 Special Tests used to clinically diagnose an AC sprain
Cross-Over Impingement Test, AC Compression (shear) Test, AC Distraction Test, Piano Key Sign
Allen's Test is traditionally used for what pathology?
Thoracic Outlet Syndrome
The subject sits or stands with both upper extremities relaxed. The examiner stands with one hand on the scapular (posteriorly) and the other hand grasping near the subject's elbow.
With the subject's scapula stabilized, the examiner passively and maximally forward-flexes the test shoulder.
Neer Impingement Test
Where does the pec minor insert?
coracoid process of scapula
For O'Brien Test (Active Compression), what is + test result (be specific; must have all parts to be correct)?
pain/popping present in the internally rotated position but absent in the externally rotated position
The patient is in the supine position with the shoulder in 120 degrees of elevation and full external rotation, while the elbow is in 90 degrees of flexion, and the forearm in supination. The patient is then asked to flex the elbow as the clinician provides resistance
Biceps Load II Test
The Surprise Test (Active Release Test) is used for what two pathologies that are highly linked together?
anterior instability, shoulder dislocation/subluxation
Subject is seated or lying down with arms resting by side. The examiner places an axial load along the shaft of humerus and attempted to compress humeral head into glenoid fossa. With the load applied, the examiner translates the humeral head, first anteriorly then posteriorly.
Load and Shift Test
- Lat. dorsi
-Pec Major
- action of muscle (MMT/ROM findings), palpation of muscle, MOI