Shoulder Complex Injuries & Tests 1

Which of the following correctly explains the difference between active and passive ROM?

• Active range of motion means the athlete moves the joint through its ROM. Passive range of motion involves the medical professional moving a joint for the athlete.

• Passive range of motion means the athlete moves the joint through its ROM. Active range of motion involves the medical professional moving a joint for the athlete.

• Active and passive can be used interchangeably.

• None of these are correct.

When testing a shoulder movement should you test passively, actively or both?

• passively only

• actively only

• both

• neither

Which of the following best describes how to test shoulder internal rotation ROM?

• Position: seated upright

  Step 1: Ask the athlete to place one hand behind their back.

  Step 2: Have the athlete raise their hand as high as possible (keeping it behind the back). Repeat 1 & 2 on the other side.

  Step 3: Note any difference in ROM (levels and quality) between the involved and uninvolved side. 

  Step 4: Note any pain the athlete may feel.

• Position: seated upright

  Step 1: Have the athlete place one hand behind the head.

  Step 2: Instruct them to reach for the opposite shoulder blade. (repeat 1 & 2 with the other hand).

  Step 3: Note any difference in ROM (levels and quality) between the involved and uninvolved side. 

  Step 4: Note any pain the athlete may feel.

• To test the ROM in shoulder internal rotation ask the athlete to perform these movements through a pain free ROM. 

  Compare the uninvolved side to the involved side noting any differences and/or pain. 

  These tests can be performed actively and passively. 

Which of the following best describes the steps of testing shoulder external rotation ROM?

• Position: seated upright

  Step 1: Have the athlete place one hand behind the head.

  Step 2: Instruct them to reach for the opposite shoulder blade. (repeat 1 & 2 with the other hand).

  Step 3: Note any difference in ROM (levels and quality) between the involved and uninvolved side. 

  Step 4: Note any pain the athlete may feel.

• Step 1: Ask the athlete to place one hand behind their back.

  Step 2: Have the athlete raise their hand as high as possible (keeping it behind the back). Repeat 1 & 2 on the other side.

  Step 3: Note any difference in ROM (levels and quality) between the involved and uninvolved side. 

  Step 4: Note any pain the athlete may feel.

• To test the ROM in shoulder external rotation ask the athlete to perform these movements through a pain free ROM. 

  Compare the uninvolved side to the involved side noting any differences and/or pain. 

  These tests can be performed actively and passively. 

Which manual muscle test should be performed if you suspect an injury to the infraspinatus or teres minor.?

• external rotation strength test

• internal rotation strength test

• extension strength test

• empty can test

Which manual muscle test should be performed if you suspect an injury to the posterior deltoid?

• extension strength test

• flexion strength test

• adduction strength test

• abduction strength test

Which manual muscle test should be performed if you suspect an injury to the subscapularis, teres major, pectoralis major, or pectoralis minor?

• internal rotation strength test

• external rotation strength test

• empty can test

• flexion strength test

Which manual muscle test should you perform is suspect an injury to the anterior deltiod?

• flexion strength test

• extension strength test

• adduction strength test

• abduction strength test

Which injury to the shoulder complex does the following best describe?

will cause point tenderness and a decrease in the ROM

Contact sports, football, lacrosse, soccer, motocross, and BMX are high risk

Symptoms will include pain on palpation and possible swelling, deformity, and crepitus. The athlete will often hold their arm to the side and will be unable to lift it.

• fracture

• strain

• impingement

• tendonitis

Select all that apply. Which of the following tests should be done if you suspect a fracture?

• percussion

• compression

• sulcus

• drop arm