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Clinical Tests for Shoulder

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Medical Education
Clinical Tests for Shoulder
Shoulder Examination TestsShoulder Examination Tests
Anterior Apprehension TestAnterior Apprehension Test
Anterior Drawer TestAnterior Drawer Test
Biceps Load TestBiceps Load Test
Biceps Load Test 2Biceps Load Test 2
Empty Can/Full Can TestEmpty Can/Full Can Test
Hawkins-Kennedy TestHawkins-Kennedy Test
Inferior Sulcus TestInferior Sulcus Test
Jobe Relocation TestJobe Relocation Test
Lift-Off TestLift-Off Test
Load & Shift TestLoad & Shift Test
Neer Impingement SignNeer Impingement Sign
OBriens TestOBriens Test
Pain Provocation TestPain Provocation Test
Posterior Drawer TestPosterior Drawer Test
SLAPprehension TestSLAPprehension Test
Speeds TestSpeeds Test
Yergasons TestYergasons Test
The Shoulder Symptom Modification Procedure (SSMP)The Shoulder Symptom Modification Procedure (SSMP)



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Anterior Apprehension Test

Jo Gibson

In supine the patient is positioned with the scapula supported by the edge of the examining table. The arm is positioned in 90 abduction and external rotation. With increasing external rotation the examiner watches for apprehension on the part ofthe patient. This test is often performed in sitting in the clinic setting and the examiner exerts an anterior translatory force with their thumb placed posteriorly on the humerus. However their fmgers are anterior to control any sudden instability episode that may occur.

Essentially this test must produce an apprehension (see note regarding apprehension) response from the patient. Pain alone does not = a positive test. In the case of a positive test then proceed to the relocation test. Record the amount of external rotation achieved at onset of Sx/response. A positive test is usually correlated with a labral lesion and/or bony lesion at the anterior inferior rim of the glenoid.

Meister (2000) reports a modification of the Apprehension test known as the posterior Impingement sign. This places the shoulder in the late cocking position. 90-100 abduction, 10-15 extension and maximal external rotation. Reproduction of pain in the posterior aspect of the shoulder is greater than 90% sensitive for the detection of tears to the posterior labrum and/or rotator cuff.

at the back; behind
A firm, white structure that forms a ring around the glenoid cavity (the cup of the ball and socket shoulder joint). It deepens the socket, providing stability to the joint.
The labrum is a firm, white structure that forms a ring around the glenoid cavity (the cup of the ball and socket shoulder joint). It deepens the socket, providing stability to the joint.
joint is unstable; it repeatedly slips out of it's socket, recurrently dislocates or feels unstable.
at the botom; towards the feet
bone of the upper arm - connecting the shoulder to the elbow
at the front; in front
moving of a body part away from the central axis of the body


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