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Shoulder Assessment
Shoulder Assessment by Gilbert Gonzales
| Question | Answer |
|---|---|
| Compare & contrast side to side, looking for differences & pain, possible signs & symptoms- decrease ROM, Pain AROM | Apley Scratch - Length assessment |
| Upper arm (abduction, external rotation) lower arm (adduction, internal rotation) | Apley Scratch - Length assessment |
| Assessing for trigger points in the infraspinatus. The infraspinatus is unable to perform a strong enough contraction to allow for this movement (Travell) | Mouth Wrap |
| Inability to touch the fingers to the corner of the mouth. | Mouth Wrap |
| Assess for possible rotator cuff tendon pathology | Drop-arm Test |
| Inability to abduct arm, inability to hold arm steady during (arm drops), after the tap the arm drops, watch for abnormal compensating movement patterns. | Drop-arm Test |
| Assessing for a possible impingement of supraspinatus | Empty can Test |
| Sharp pain or discomfort on the anterior shoulder near, deep to the acromion process. | Empty can Test |
| Assess for possible Biceps Tendinopathy | Speeds Test |
| Pain anterior at the long head of the biceps tendon | Speeds Test |
| Assessing for the possible pectoralis minor hypertonicity. Compression of brachial-plexus by the pectoralis minor- Pectoralis minor syndrome. | Wrights Abduction |
| Positive sign - radiating pain, numbness, & tingling, fatigued, temperature changes down the medial side of the arm to the 5th, 4th & 1/2 of the middle finger (symptoms of TOS) | Wrights Abduction |
| Assessing for possible compression of brachial-plexus between the clavicle & the first rib causing thoracic outlet symptoms... Costoclavicular syndrome | Military Brace |
| Positive sign - radiating pain, numbness, & tingling, temperature changes down the medial side of the arm to the 5th, 4th & 1/2 of the middle finger (symptoms of TOS) | Military Brace |
| Hypertonic upper trapezius | Shoulder abduction assessment |
| Engagement of the scapula before 30 degrees of abduction. Possible glenohumeral dysfunction, frozen shoulder, rotator cuff tear,medially rotated shoulder. | Scapulohumeral Rhythm |
| Possible signs & symptoms: Intense pain in the deltoid region, pain may radiate down the arm pain is wores with shoulder motion (especially external rotation) | Scapulohumeral Rhythm |