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UE - SHOULDER TESTS

DefinitionTerm
lesion involving superior labrum SLAP lesion
Indication of atraumatic GH instability with >25% anterior translation Load/Shift test (Anterior)
Hand rests on opposite shoulder, patient actively moves elbow downward, positive = pain/no movement Dugas test
Indication of dislocation’s reduction when pain/no movement occurs Dugas test
Supine, arm abducted, hand behind head, PT fist under humeral head, positive = clunk/grinding sound Rowe test
Indication of anterior instability or anterior labrum tear with clunk/grinding Rowe test
Supine, shoulder abducted 90°, lateral rotation, passive, fulcrum anterior force causes apprehension, relocation posterior force decreases apprehension Apprehension (Crank) test
Indication of traumatic GH instability with apprehension signs Apprehension (Crank) test
Sitting, shoulder abducted to 45°, 90°, 120°, repeatedly laterally rotated, positive uneasiness/apprehension Rockwood test
Indication of anterior instability and posterior instability depending on angle Rockwood test
Sitting, load/shift posterior translation of humeral head, supine with IR, normal = 50%, positive >50% translation Load/Shift test (Posterior)
Indication of atraumatic GH instability with >50% posterior translation Load/Shift test (Posterior)
Supine/sitting, shoulder 90° elevated in scapular plane, add + IR + posterior force on elbow, positive = apprehension Posterior Apprehension/Stress test
Indication of posterior instability or dislocation with apprehension Posterior Apprehension/Stress test
Supine, shoulder abducted 60–100°, ER 90°, elbow flexed 90°, add IR + posterior push, thumb pushes humeral head posteriorly, positive = click/slip Norwood Stress test
Indication of posterior instability when humeral head slips posteriorly Norwood Stress test
Supine, shoulder abducted 90° + forward flexion 30°, pull wrist up, push humeral head down, positive >50% posterior translation Push-pull test
Indication of posterior instability with >50% posterior translation Push-pull test
Step 1: push humerus posteriorly + horizontal abduction, Step 2: return, positive = clunk Jerk test
Step 1 indicates posterior instability, Step 2 indicates posterior inferior labral tear Jerk test
Standing, circumduction from extension/abduction to forward flexion/adduction, positive = subluxation Circumduction test
Indication of posterior instability or SLAP lesion with subluxation Circumduction test
Standing, abducted/lat rot arm 90° with elbow extended and forearm supinated, eccentric adduction force applied, positive = reproduction of symptoms Biceps tension test
Indication of SLAP lesion with reproduced symptoms Biceps tension test
Arm abducted 90°, elbow extended, forearm pronated, horizontal adduction causes pain in bicipital groove, absent when supinated SLAP Prehension test
Indication of SLAP lesion when pain present in pronation but absent in supination SLAP Prehension test
lesion involving anteroinferior labrum Bankart lesion
Standing with arms by side, pull arm inferiorly, positive = sulcus between acromion and humeral head Sulcus Sign
Indication of inferior instability/GH laxity graded by sulcus depth Sulcus Sign
Standing, arm abducted, hand rests on therapist shoulder, PT pushes humeral head ant/inf, positive = sulcus above coracoid Feagin test
Indication of multidirectional instability (inferior GH ligament) with sulcus above coracoid Feagin test
Sitting, hand on waist (“masakit ang tiyan ko pose”), push elbow ant/sup, humeral head slides with pop/crack Anterior Slide test
Indication of labral lesion with humeral head sliding/pop Anterior Slide test
Supine, passive, elevate arm fully + lat rot, push humeral head anteriorly with fist, positive = clunk/grinding Clunk test
Indication of labral tear with clunk/grinding Clunk test
Sitting/standing, PT forcibly elevates arm medially, positive = facial pain Neer Impingement test
Indication of overuse injury of supraspinatus or biceps with pain Neer Impingement test
lesion involving superior labrum lesion involving superior labrum
Created by: ly8li
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