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HOW TO PERFORM TEST |
POSITIVE SIGN |
INDICATION |
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Client Seated
Clasp hands together with one heel of the palm on the clavicle and the other on the spine of scapula. Squeeze hands together |
Pain or excessive mobility in A/C joint. | A/C Joint Pathology | |
HOW TO PERFORM TEST |
POSITIVE SIGN |
INDICATION |
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Client Standing
Ask client to touch hands together behind back by placing one hand over the shoulder (lateral rotation with abduction), and the other hand under the shoulder (medial rotation with adduction). |
Inability to touch hands together (due to decreased R.O.M. in G/H joint) | G/H Joint Pathology | |
HOW TO PERFORM TEST |
POSITIVE SIGN |
INDICATION |
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Client Seated or Supine
Abduct the client’s arm to 90 degrees. Slowly laterally rotate the shoulder. |
Look of apprehension from the client | Previously Dislocated G/H Joint | |
HOW TO PERFORM TEST |
POSITIVE SIGN |
INDICATION |
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Client Upright
Ask client to slowly abduct arm to 180 degrees. |
Pain at 60-120 degrees or at 170-180 |
60-120: G/H Joint (subacromial bursitis, rotator cuff tendonitis)
170-180: A/C Joint |
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HOW TO PERFORM TEST |
POSITIVE SIGN |
INDICATION |
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Client Standing
Abduct client’s arms to 90 degrees. Ask client to slowly lower arms to neutral position |
Inability to slowly drop arm or Severe pain in shoulder |
Rotator Cuff Tear | |
HOW TO PERFORM TEST |
POSITIVE SIGN |
INDICATION |
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Client Standing
1. Have client stand with arms straight out. Apply a downwards pressure against client resistance. 2. Have client turn wrists inwards (as if emptying cans), then apply pressure against resistance again |
Weakness or pain in shoulder during part 2 of the test. | Supraspinatus Tear | |
HOW TO PERFORM TEST |
POSITIVE SIGN |
INDICATION |
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Client Upright
Place clients arm at 90 degrees of forward flexion. Flex elbow to 90 degrees. Forcibly medially rotate the shoulder |
Pain in the shoulder | Supraspinatus Tendinitis | |
HOW TO PERFORM TEST |
POSITIVE SIGN |
INDICATION |
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Client Upright
Resist client’s forward arm flexion from neutral position. (concentric) 1st with forearm supinated. 2nd with forearm pronated. (can also forward flex clients arm to 90 degrees, then ask client to resist an eccentric movement into extension) |
Increased tenderness in bicipital groove | Biceps Tendinitis (Long Head of Biceps) | |
HOW TO PERFORM TEST |
POSITIVE SIGN |
INDICATION |
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Client Upright
Place clients arm at side in 90 degree flexion with wrist pronated. Resists client’s supination and lateral rotation while palpating LHB tendon. |
Tenderness in biceps tendon or Displacement of tendon from bicipital groove | Biceps Tendinitis (Long Head of Biceps) | |
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