Patient touches superior and inferior aspects of opposite scapula
Loss of ROM = Rotator Cuff problem
passively ABducting the patient's shoulder, then observing as patient slowly lowers the arm to the waist.
Rotator cuff TEAR (if arm drops to the side)
arm is fully pronated, then placed into forced flexion
Subacromial IMPINGEMENT of S-I-T-S tendons (impingement of the rotator cuff tendons under the coracoacromial arch)
Forward flexion of the shoulder to 90 degrees, then forcible INTERNALLY rotated
Supraspinatus tendon IMPINGEMENT (subacromial impingement or rotator cuff tendonitis)
Full Can Test
Patient's arms are held at 90 degrees of shoulder ABduction with thumbs up. Operator applies downward pressure against patient's resistance.
Empty Can Test
The patient's arms are held at 90 degrees of shoulder flexion, intenral rotation (thumbs down) and 30 degrees of horizontal adduction....operator applies a downward pressure against patient's resistance
pain/weakness with Supraspinatus
The patient elevates (flexes) the affected shoulder to 90 degrees, then actively adducts it
Acromioclavicular joint arthritis
Spine extended with head rotated to affected shoulder while axially loaded
Cervical nerve root disorder
The patient's arm is ABducted to 90 degrees, while the examiner EXTERNALLY rotates the arm & applies anterior pressure to the humerus
Anterior glenohumeral instability
Posterior force on humerus while externally rotating the arm
Anterior glenohumeral instability (if a decrease in pain/apprehension following a positive Apprehension test)
Pulling downward on elbow or wrist while observing the shoulder area for a depression lateral or inferior to the acromion.
INFERIOR glenohumeral instability (if there is a presence of a depression upon testing)
Elbow flexed to 90 degrees with forearm pronated --> Examiner resists the patient's active attempts to supinate the arm and flex the elbow
Biceps tendon instability or tendonitis
The patient's elbow is flexed 20-30 degrees with the forearm in supination and the arm in about 60 degrees of flexion. The examiner resists forward flexion of the arm while palpating the patient's biceps tendon over the anterior aspect of the shoulder.
Biceps tendon instability or tendonitis...used to examine the proximal tendon of the long head of the biceps
Rotation of loaded shoulder from extension through forward flexion
Load & Shift Test
Grasp the humeral head & stabilize the shoulder. Seat the humerus on the glenoid fossa & push anterior and posteriorly to check for instability