SPECIAL TESTS

43問 • 1年前

問題一覧

Anterior drawer test

place hand of affected shoulder to examiner’s axilla, shoulder abd 80-120 deg, forward flex 20 deg and lateral rot to 30 deg, stabilize scapula with opp hand, push spine of scapula forward with index and middle finger, examiner’s thumb exert pressure on coracoid process, using arm that’s holding pt’s hand, examiner places hand around pt’s upper arm and draws humerus forward, compare movement with normal side

In anterior drawer test, click may indicate:

labral tear, slippage of humeral head

Modification of load and shift test

anterior drawer test

In anterior drawer test, patient should be in what position

supine

For anterior instability

anterior drawer test

Empty can test is also known as

supraspinatus, jobe

Position of patient during empty can test

sitting

Empty can test

arm abd to 90 deg with no rotation, examiner provides resistance to abd, shoulder is medially rotated, angled foward 30 deg, thumb pointed to floor, resist while looking for weakness or pain

Thumb pointed to floor

empty can

Thumb’s up

full can

Best for maximum contraction of supraspinatus

full can

Empty can test positive

supraspinatus tear, neuropathy of suprascapular nerve

Grandfather of meniscus test of knee

mcmurray test

Low reliability and sensitivity

mcmurray test

Mucmurray test

supine with complete knee flexion, medially rotate tibia and extend knee, repeat, test entire post meniscus from post horn to mid segment, may be modified by tibia med rot, knee ext, move to full ROM, repeat

Due to pressure of that part if meniscus is not great, this portion is not easily tested

ant half of meniscus

What am i testing?: tibia med rot, knee ext, move to full ROM

lateral meniscus

What am i testing?: tibia lateral rot and repeat

medial meniscus

Wrist flexion test

phalen’s test

Phalen’s test

examiner flex pt’s wrists maximally and hold for 1 min by pushing pt’s wrist together

Positive for Phalen’s test

carpal tunnel syndrome, tingling in thumb, index, middle and lateral half of ring finger

More effective because bone moves tendon during test

speed’s test

Speed’s test

resist shoulder flexion while forearm’s supinated — pronated — elbow complete extension, may also be forward flexed 90 deg, resist eccentric movement into ext — supinated — pronated

Speed’s test: increased tenderness in bicipital groove esp with supination

bicipital paranenonitis or tendinosis

Pain

SLAP type i lesion

Weakness on resisted supination

2nd to 3rd degree rupture strain of distal biceps

Checks ability of transverse humeral ligament to hold biceps in bicipital groove

yergason’s test

Yergason’s test

elbow flexed to 90 deg, stabilized against thorax and forearm pronated, resist supination ahd lateral rot

If palpating biceps tendon in bicipital groove during supination and lateral rot, POP OUT TENDON:

torn transverse humeral ligament

Tenderness in bicipital groove alone without dislocation

bicipital paratenonitis or tendinosis

Hawkin-kennedy test patient position

standing

Hawkin-kennedy test

forward flex arm to 90 deg, forcible med rot shoulder, may also be performed in diff degrees of forward flexion or horizontal add

This movement pushes supraspinatus tendon against anterior coracoacromial lig and coracoid process

forward flex arm to 90 deg, forcibly med rot shoulder

Positive Hawkin-kennedy: pain

supraspinatus paratenonitis, secondary impingement

Related to coracoid impingement sign and Yocum test

hawkin-kennedy test

Same with hawkin-kennedy test but involves horizontal add across body 10-20 deg before med rot

coracoid impingement sign

More likely to approximate lesser tub and coracoid process

coracoid impingement sign

Modified hawkin-kennedy test

yocum test

Pt’s hand placed on opp shoulder and examiner elevates elbow

yocum test

Neer impingement test

arm passively and forcefully elevated and arm med rotated by examiner

This causes greater tuberosity to jam against anteroinferior border of acromion

arm passively and forcefully elevated and arm med rotated by examiner

Positive Neer impingement test: pt’s face show pain

overuse supraspinatus, overuse biceps

Check AC jt

arm passively and forcefully elevated and arm lat rotated by examiner

ROM

Kyla Rafols · 71問 · 2年前

ROM