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Questions and Answers
What does the Rockwood Test primarily assess?
What does the Rockwood Test primarily assess?
What position should the patient be in during the Rockwood Test?
What position should the patient be in during the Rockwood Test?
Who performs the Rockwood Test?
Who performs the Rockwood Test?
Which procedure is not part of the Rockwood Test for assessing anterior instability?
Which procedure is not part of the Rockwood Test for assessing anterior instability?
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What is a significant symptom indicating a positive Rockwood Test?
What is a significant symptom indicating a positive Rockwood Test?
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What position should the elbow be in during Yergason's Test?
What position should the elbow be in during Yergason's Test?
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Which condition is indicated by the sensation of tendon popping out during testing?
Which condition is indicated by the sensation of tendon popping out during testing?
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Which of the following movements is applied during Yergason's Test?
Which of the following movements is applied during Yergason's Test?
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What is the primary goal of the Yergason's Test?
What is the primary goal of the Yergason's Test?
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What is the initial position for the patient's forearm during Yergason's Test?
What is the initial position for the patient's forearm during Yergason's Test?
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What does a decrease or elimination of painful clicking during a shoulder test indicate?
What does a decrease or elimination of painful clicking during a shoulder test indicate?
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What position is the arm in during the AC Horizontal Adduction Test?
What position is the arm in during the AC Horizontal Adduction Test?
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What indicates a positive result for the AC Shear Test?
What indicates a positive result for the AC Shear Test?
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During which phase of the test is the patient fully passive?
During which phase of the test is the patient fully passive?
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What symptom is associated with an AC joint lesion during testing?
What symptom is associated with an AC joint lesion during testing?
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What action may produce clicking in the shoulder during the eccentric load test?
What action may produce clicking in the shoulder during the eccentric load test?
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If a patient experiences localized pain of the SC joint during testing, what could it indicate?
If a patient experiences localized pain of the SC joint during testing, what could it indicate?
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What is the thumb position of the arm in the overhead test for labral injury?
What is the thumb position of the arm in the overhead test for labral injury?
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What is indicated if the scapula moves before 30˚ during movement?
What is indicated if the scapula moves before 30˚ during movement?
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In the scapulohumeral rhythm test, what movement should be observed?
In the scapulohumeral rhythm test, what movement should be observed?
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What might a prominent inferior angle of the scapula suggest?
What might a prominent inferior angle of the scapula suggest?
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What condition is suggested by coracoid tenderness and malposition?
What condition is suggested by coracoid tenderness and malposition?
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What would likely occur if the scapula elevates more than it rotates?
What would likely occur if the scapula elevates more than it rotates?
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What should the thumb's position be during the initial phase of the isometric resistance test?
What should the thumb's position be during the initial phase of the isometric resistance test?
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What likely causes dysfunction in arm abduction related to the shoulder?
What likely causes dysfunction in arm abduction related to the shoulder?
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What is a sign of impingement syndrome?
What is a sign of impingement syndrome?
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What does the examiner apply during the Drop Arm Test?
What does the examiner apply during the Drop Arm Test?
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Which condition is primarily assessed by the Drop Arm Test?
Which condition is primarily assessed by the Drop Arm Test?
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What is a key indicator of a positive Drop Arm Test?
What is a key indicator of a positive Drop Arm Test?
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Which muscle is most commonly associated with rotator cuff strains assessed during the Drop Arm Test?
Which muscle is most commonly associated with rotator cuff strains assessed during the Drop Arm Test?
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When performing the Drop Arm Test, how is the patient's arm positioned initially?
When performing the Drop Arm Test, how is the patient's arm positioned initially?
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What happens when the examiner removes support during the Drop Arm Test?
What happens when the examiner removes support during the Drop Arm Test?
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Which reaction indicates severe pain during the Drop Arm Test?
Which reaction indicates severe pain during the Drop Arm Test?
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What is another name for the Drop Arm Test?
What is another name for the Drop Arm Test?
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What is the primary position of the arm during the Empty Can Test?
What is the primary position of the arm during the Empty Can Test?
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In which position should the patient be when applying isometric resistance for testing?
In which position should the patient be when applying isometric resistance for testing?
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What type of resistance is applied at the distal forearm while testing the biceps tendon?
What type of resistance is applied at the distal forearm while testing the biceps tendon?
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What might indicate a supraspinatus lesion during the testing?
What might indicate a supraspinatus lesion during the testing?
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Which of the following movements can be performed during the strength testing of the biceps tendon?
Which of the following movements can be performed during the strength testing of the biceps tendon?
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What is the common finding when testing for strain or tendinopathy in the upper extremity?
What is the common finding when testing for strain or tendinopathy in the upper extremity?
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What indicates the need for further investigation of a tendinopathy?
What indicates the need for further investigation of a tendinopathy?
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Which of the following statements is true concerning the testing positions?
Which of the following statements is true concerning the testing positions?
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Study Notes
Shoulder Special Tests
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Rockwood Test: Assesses anterior instability. Positive if marked apprehension with posterior (capsule) pain at 90-degree arm position, or apprehension and pain occur in other positions. Seated patient, examiner behind.
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Push-Pull Test: Evaluates posterior instability. Positive if more than 50% posterior translation of humeral head. Patient supine, examiner facing head.
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Feagin Test: Examines inferior instability. Positive if a sulcus sign (space) is observed above the coracoid process. Seated patient, examiner beside.
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Hawkins-Kennedy Test: Assesses subacromial impingement (supraspinatus involvement). Positive if pain is reproduced in the subacromial space during passive forward flexion and maximum medial rotation. Seated or standing patient, examiner beside.
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Neer Impingement Test: Another subacromial impingement test, looking for pain at the joint line, potentially from supraspinatus, biceps tendon involvement or labral lesion. Seated or standing patient, examiner beside.
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Active Compression Test of O'Brien: Evaluates SLAP (superior labrum anterior-to-posterior) tears. A click in the first position that lessens or disappears in the second. Seated or standing.
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AC Horizontal Adduction Test: Assesses AC (acromioclavicular) joint lesions. Localized pain over the AC joint. Seated or standing.
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AC Shear Test: Examines AC joint separations. Pain and abnormal movement. Seated.
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Drop Arm Test: Screens for rotator cuff strain, often involving the supraspinatus. Severe pain when attempting to slowly lower the abducted arm. Standing.
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Lift-Off Sign: Evaluates subscapularis lesions (strain). Inability to lift the hand away from the back. Standing, examiner behind.
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Speed's Test: Assesses biceps brachii tendinopathy, specifically pain in the proximal portion of the biceps tendon. Seated or standing.
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Empty Can Test: Checks for supraspinatus lesions or strains. Weakness to resistance when the arm is abducted and medially rotated (empty can position). Standing.
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Yergason's Test: Assesses transverse humeral ligament tears. Pain and sensation of tendon popping out due to ligament loss. Seated.
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Scapulothoracic Rhythm Test: Checks for dysfunction, impingement, or adhesive capsulitis. Evaluating scapular movement patterns during abduction. Standing.
Additional Notes from the Document
- Several tests have variations in patient position (supine, seated, standing) and examiner positioning (behind, beside).
- Many tests involve passive and active movements of the arm, applying pressure or resistance.
- Positive findings in tests are usually pain or other abnormal results.
- Tests often target specific shoulder structures and potential injuries.
- Specific locations of pain are also important indicators in diagnoses.
- Scapular movements with shoulder elevation are mentioned in some tests as potential points for abnormal findings.
- The document includes mention of other shoulder diagnoses.
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Description
This quiz covers various special tests for assessing shoulder conditions, including anterior, posterior, and inferior instabilities as well as impingement issues. Each test's methodology and positive indicators are outlined to aid in understanding shoulder assessment techniques. Perfect for students and professionals in the field of physical therapy or sports medicine.
