Shoulder Special Tests

What position is the patient in during the Apprehension Test for Anterior Instability?

• Supine

• Seated

• Standing

• Prone

What is the purpose of the Apprehension Test for Anterior Instability?

• To assess the integrity of the rotator cuff musculature

• To measure the strength of the supraspinatus

• To assess the integrity of the inferior glenohumeral ligament

• To assess GH instability, subluxation, or dislocation anteriorly

What additional force is applied in the Relocation Test (Fowlers Sign)?

• Posterior force to the head of the humerus

• Anterior force to the shoulder

• Lateral force to the elbow

• Medial force to the wrist

What does a positive result in the Jerk Test indicate?

• Subluxation of humeral head

• Fracture of the clavicle

• Tear in the rotator cuff

• Dislocation of the elbow

What is the test position for the Apprehension Test for Anterior Instability?

• Shoulder in full adduction with IR behind the back and slowly moved into elbow flexion

• Shoulder abducted to 45 degrees and slowly moved into internal rotation

• Shoulder abducted to 90 degrees and slowly moved into external rotation

• Shoulder extended fully and moved into internal rotation

What test(s) might you pair with the Hawkins-Kennedy Test when examining the shoulder?

• Neer Impingement

• Yocum

• O'Brien's

• Sulcus Sign

In the Yocum Test, where does the patient place the hand of their involved side?

• On the opposite elbow

• On the opposite shoulder

• On the back of their head

• On the opposite scapula

What are the 2 parts of O'Brien's test?

• Part 1: Shoulder flexed to 180 with full ER and PT pushes into extension

  Part 2: Shoulder is in full IR and PT pushes into extension

• Part 1: Shoulder flexed to 90 with full ER and PT pushes into extension

  Part 2: Shoulder is in full abduction and PT pushes into extension

• Part 1: Shoulder flexed to 90 with full IR and PT pushes into extension

  Part 2: Shoulder is in full ER and flexed to 90 and PT pushes into extension

• Part 1: Shoulder flexed to 45 with full IR and PT pushes into extension

  Part 2: Shoulder is in full ER and PT pushes into extension

What can a positive test Empty Can test indicate?

• Supraspinatus tear or subscapular nerve pathology

• Infraspinatus tear

• Supraspinatus weakness only

• Supraspinatus tear or suprascapular nerve pathology

Which of the following is/are true regarding the External Rotation Lag Sign and the Lateral Rotation Lag Sign? (Select all that apply)

• ER Lag sign is completed with arm abducted to 20 degrees while Lateral Rotation Lag sign is completed at 90 degrees of scaption.

• ER Lag sign can indicate infraspinatus and/or supraspinatus pathology where as Lateral Rotation Lag sign can indicate infrapsinatus and teres minor weakness.

• Both assess for signs/symptoms of rotator cuff impingement

• Both are performed either in sitting or standing.