| Special Test |
 |
|
| Tests for... |
|
|
| Positive (+) Test |
|
|
| Anterior Drawer Test (Shoulder) |
Tests for anterior instability
|
(+) sign is clicking and/or anterior subluxation |
| Posterior Drawer (Shoulder) |
posterior GH instability |
clicking and/or posterior subluxation |
| Jobe Relocation Test |
anterior instability |
decreased pain and discomfort when humeral head is relocated (A/P) |
| Apprehension Test |
instability |
pain, discomfort, look of apprehension on patient's face, feeling that shoulder will dislocate |
| Clunk Test |
labral tear |
grinding or palpable "clunk" in shoulder with movement |
| Sulcus Sign |
multi-directional instability |
increased gapping as the humeral head displaces inferiorly |
| AC Compression |
AC and/or coracoclavicular ligement sprain |
pain or laxity at AC joint |
| AC Distraction |
AC and/or coracoclavicualr ligament sprain |
pain with or without passive movement |
| Grind Test |
labrum tear |
pain and/or obvious deformity (step-off, piano key) |
| Drop Arm |
rotator cuff patholgy |
inability to lower arm in a controlled manner from 90 to 0 degrees (ADD) |
| O'Brien (Active Compression) |
SLAP Lesion |
pain with IR but decreased with ER; pain/clicking with movement |
| Empty Can |
supraspinatus weakness, impingement |
decreased strength on involved side; pain with resistance |
| Active Impingement |
Impingement of active structures in shoulder |
pain in mid-arc of ROM |
| Hawkins-Kennedy |
impingement of the supraspinatus tendon |
pain upon IR |
| Neer Impingement |
impingement of biceps or supraspinatus tendon |
pain with motion, especially near terminal end point |
| SC stress test |
SC ligament sprain and instability |
elbows do not touch the table (active test) |
| Gerber Lift-Off |
subscapularis weakness/pathology |
inability to lift hand off of spine; pain with movement |
| Speed's |
biceps tendinitis |
pain @ bicipital groove and/or weakness in shoulder FLEX |
| Yergason's |
biceps tendonitis or subluxation |
pain with movement or "popping" as tendon subluxes |
| Ludington's |
biceps tendon rupture |
tendon can not be palpated; no active biceps contraction |
| Adson's Maneuver |
compression of subclavian a. by scalenes |
diminished/absent radial pulse |
| Allen |
(TOS) compression of NV by pectoralis minor |
diminished/absent radial pulse |
| Military Brace |
(TOS) compression of subclavian a. by costoclavicular structures |
diminished/absent radial pulse |
| Roos |
Thoracic Outlet Syndrome |
Inability to maintain test position, diminished motor function, and/or loss of sensation |
| Load/Shift Test |
translation:
25-50% = grade1
>50% w/reduction = grade 2
>50% w/o reduction = grade 3 |
Inability to maintain test position, diminished motor function, and/or loss of sensation |
| Cross-over impingement test |
shoulder impingement |
superior pain indicative of AC joint pathology; anterior pain indicates subscapularis, biceps tendon, or supraspinatus pathology; posterior pain indicates infraspinatus, teres minor or posterior capsule pathology |
| piano key sign |
AC joint instability |
(blank) |
| Appleys scratch test |
adduction/IR or abduction/ER |
(blank) |
or...
