Karteikarten
Shoulder
Karten in diesem Stapel (28)
- 1Anterior Load and Shift TestStabilize Clavicle and Scapula
Grab humeral head
Apply pressure anteriorly
25 % or Greater translation = + - 2Posterior Load and Shift TestStabilize Clavicle and Scapula
Grab humeral head
Apply pressure posteriorly
25 % or Greater translation = + - 3Sulcus SignStabilizes the clavicle and scapula
other hand grabs humeral head
apply and inferior traction
Sulcus of greater than 1 finger width is considered +
take up slack of scapular movement to avoid a false positive - 4Hawkins-Kennedy Impingement Test HKITShoulder impingement particularly of the supraspinatus tendon**
Flex shoulder 90
and then internal rotate the arm
pain= impingement - 5HKIT(2) POSITIONThis position impinges the supraspinatus and the biceps as the Greater Tuberosity comes up and locks the AC joint
- 6O'BrienSLAP
Superior labral tear from anterior posterior lesion
90 degrees forward flexion
30-45 horizontal adduction
RESIST FORWARD FLEXION
REPEAT IN ER positon - 7Obrien FindingsPain/popping in IR but not in ER= SLAP REGION
pain at the AC region(top of shoulder)- AC PATHOLOGY
Pain deep in the joint indicates a possible SLAP lesion - 8Yergason Testbicipital tendinitis
Elbow flexed at 90
forarm pronated
We resist the patients attempt to actively supinate the forearm and externally rotate the humerus
pain- tendinitis at the bicipital - 9Speed's TestBicipital tendinitis
shoulder flexed at 90
elbow fully extended and forearm supinated
RESIST SHOULDER FLEX
tenderness/pain in biceps groove is indicative of biceps tendinitis - 10Apprehension TestDislocation of glenohumeral joint
supine shoulder in 90 abduction and elbow in 90 degrees of flexion
slowly external rotate the shoulder
apprehension or unwillingness to allow therapist to continue with the motion = + - 11Relocation TestDislocation of Glenohumeral
supin
shoulder in 90 degrees abduction
elbow in 90 degrees of flexion
posteriorly directed force to anterior aspect of the shoulder
prevents the humeral head from translating anteriorly
a reduction of apprehension - confirmation of anterior instability - 12Full Can Test/ Empty can TestSupraspinatus tendinitis
shoulder at 90 abduction
horizontal abudction to 30
and internally
EMPTY CAN
resists shoulder abduction
then external rotation FULL CAN
indicates weakness or pain is + for suprapsinatus tendonitis - 13Which is more useful full can or empty can to detect supraspinatus tendon tornUsing this indicator, both tests are equivalent in terms of accuracy, but considering pain provocation, the full can test may be more beneficial in the clinical setting.
- 14Drop Arm TestRotator Cuff Pathology
shoulder in 90 of abduction
slowly release arm and observe
can the patient hold their up up with out any compensations?
Keep hand closely under the arm - 15Adson's Sign Think of Alex's arm lolTOS
throacic outlet syndrome
arm in 90 degrees abduction
palpate the radial pulse
take a deep breath(PATIENT)
and look straight ahead(PATIENT)
then turn head towards examiner
diminished or absent radial pulse - TOS
subclavian artery is compressed but he scalenes - 16Hyperabduction TestTOS
shoulders brought into abduction and external rotation with elbow flexion
HYPERABDUCTION
15-20 sec hold
pain tingling coldness in hands indicative of TOS - 17Roos TestTOS
both shoulder 90 abduc
ER
elbow in 90 degrees
patient rapidly opens and closes hands for 3 mins
pain weakness tingling and an inability to continue the test for 3 mins = + - 18Pattern for ShoulderConvex Humerus on concave Scapula
- 19Inferior glideimproves flexion and abduction
- 20Anterior mobanterior directed force
increase extension
Horizontal abduction
External rotation - 21posterior mobFlexion
IR
horrizontal adduction - 22Long axis tractionif elbow pathology
anchor right above epicondyles
long axis traction with gentle oscillations
incorporate ER as you progress into abduction to avoid impingement - 23Distractionhumerus from glenoid
abduction
pull humerus towards you - 24Scapula Elevation/Depressionone hand around clavicle
other hand use web space at the inferior angle of the scapula - 25Scapula protraction/Retractionpull on medial wall bringing the scapula towards you into abduction and then push the scapula into adduction
- 26Scapular Upward/Downward rotationbring patient into upward rotation
pull the inferior angle towards you
inferior angle towards spine
for downward rotation - 27Scapular Carvingmedial aspect soft tissue work
patient will muscle guard
grab under medial border of scapulaa and distract pulling scap away from the body - 28Latissmus Dorsi StretchFlat against wall
arms into flexion and external rotation
be cause of lumbar lordosis as a compensation
Informationen
- Beschreibung
- Karteikarten am Shoulder, erstellt von edoulos am 12/11/2014.
- Erstellt von
- edoulos
- Aufrufe
- 8
- Bewertung
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