Julyan Manahan BSPT-3
UPPER EXTREMITY - SHOULDER TESTS
ANTERIOR INSTABILITY
TEST PROCEDURE + SIGN INDICATION
LOAD/SHIFT - Sitting (N) = 25% ant Atraumatic Gh
TEST - Load & Shift: translation of the instability
Ant. translation humeral head (+)
of humeral head >25% Ant
translation
APPREHENSI - Supine Fulcrum: PT hand Traumatic Gh
ON (CRANK) - Shoulder under Gh joint & put instability
TEST abducted to 90˚ anterior force (+)
& lateral rotation sign of
- Passive apprehension
Relocation: put
posterior directed
force to Gh joint (+)
sign of ↓
apprehension
ROWE TEST - Supine (+) clunk/ grinding Ant. Instability/ Ant
- Arm abducted; sound Labrum tear
pt’s hand placed
behind the head
- PT hand
clenched fist
under humeral
head
POSTERIOR INSTABILITY
LOAD/SHIFT - Sitting (N) = 50% Atraumatic Gh
TEST - Load/Shift: Post. translation (+) sign: instability
Translation of > 50%
humeral head post.translation
- Supine
- Load/Shift: Post.
Translation + IR
POSTERIOR - Supine/sitting (+) Apprehension Post Instability/
APPREHENSI - Sh 90⁰ elevated Dislocation
ON TEST (scapular plane)
- Add + IR (sh) +
post force on
elbow
SLAP LESION (SUPERIOR LABRAL ANTERIOR TO POSTERIOR LESION)
BICEPS - Standing (+) reproduction of SLAP lesion
TENSION - Abducts/lat rot sy
TEST arm 90⁰ c elbow
ext and FA
supination
- PT applies
eccentric
adduction force
to arm
INFERIOR INSTABILITY
Feagin test - Standing c arm (+) sulcus sign Multidirectional
abducted above coracoid instability (Inferior
- Hand rest on process Gh ligament)
therapist
shoulder
- PT push
humeral head
ant/inf
LABRAL PATHOLOGY
Anterior Slide - Sitting c hand humeral head slides Labral lesion
test (“masakit resting on waist over labrum c pop
ang balakang - Push elbow crack sound
ko pose”) ant/sup
NEER - Sitting/standing (+) face shows pain overuse injury of
IMPINGEMEN - PTpassively / SUPRASPINATUS/
T TEST forcibly elevate BICEPS
arm medially
YOCUM’S TEST - Hand rests (+) pain 2⁰ to impingement
on
opposite
shoulder
- Elbow
elevation
MUSCLE PATHOLOGY
SUPRASPINATUS / - STEP 1: Active + (+) pain/weakness tear of
EMPTY CAN TEST resist arm elevation SUPRASPINATUS
(ABD) c sh in ms/ neuropathy of
neutral position Suprascapular n.
(thumbs up)
STEP 2: arm angled
forward + IR sh &
resist arm elevation
(thumbs down)
CODMAN’S / DROP - Passively +) unable to tear in ROTATOR
ARM TEST abduct arm perform/severe pain CUFF complex
- Actively
lower the
arm
(adduction)
GERBER/ LIFT OFF - Standing § (+) unable to lesion to
TEST - Hand over perform SUBSCAPULARIS
mid *excessive ER of sh
lumbar/bac (Torn SUBSCAP)
k pocket
- Actively lift
hand away
from back
UPPER EXTREMITY - ELBOW TESTS
LATERAL EPICONDYLITIS/TENNIS ELBOW
Method 1 (Cozen’s - Fist aCo (active + resist)
test) - Extension KaMi (Passive)
of wrist Mauds (Active +
- Radial resist)
deviation
- FA
pronation
Method 2 (Mill’s) - Passive
- Wrist
flexion
- Extension
of elbow
- FA
pronation
Method 3 - Active +
(Maudley’s) resist
- Extension
of middle
finger
MEDIAL - Passive
EPICONDYLITIS / - Extension
GOLFER'S TEST of wrist &
elbow
LIGAMENTOUS LAXITY
Ligamentous Valgus - Put valgus Medial collateral
Stress test stress/abd ligament
stress
Ligamentous Varus - Put Lateral collateral
Stress test varus/addu ligament
ction stress
NEURO DYSFUNCTION
Wartenberg Sign - Therapist (+) little finger Ulnar neuropathy
passively remained abducted
abducts
the fingers
- Actively
adduct the
fingers
Tinel’s Sign (elbow) - Tap area (+) tingling Check regeneration
b/w sensation in ulnar of nerve
olecranon n.distribution
process &
med
epicondyle
UPPER EXTREMITY - FOREARM, WRIST, & HAND TESTS
Test for Pronator - Actively (+) tingling Pronator Teres
Teres syndrome elbow sensation in median syndrome
flexion 90⁰ n. distribution
- Resist
elbow ext
& FA
pronation
Pinch Grip test - Active (+) inability to Ant.Interosseous
tip-to-tip perform tip-to tip, nerve pathology
pinch b/w perform pulp-to-pulp
thumb &
index
finger
Finkelstein - Make a fist (+) pain in APL/EPB De Quervain’s/
c thumb Hoffman’s Disease
inside the
finger
- Passively
ulnar
deviate
Phalen’s test - Wrist (+) tingling CTS
flexion test sensation in median
- Max n distribution
flexion of
the wrist by
pushing
together
- Hold for 1
minute
Reverse Phalen’s - Wrist (+) tingling median nerve
test (Prayer’s test) extension sensation in median pathology
- Pressure n distribution
on carpal
tunnel §
- Wrist ext
by pushing
together
then
moves
toward the
waist
Tinel’s sign (wrist) - Tap carpal (+) tingling CTS
tunnel sensation
POSSIBLE CASES & SPECIAL TESTS
CERVICAL SPECIAL TESTS
CERVICAL ROOT JACKSON, DISTRACTION, SPURLINGS
COMPRESSION
BRACHIAL PLEXUS COMPRESSION, TENSION, ULTT (median, mscl, radial, axillary)
TOS SCALENE CRAMP TEST, TINELS,
UMNL ROMBERGS, SOTO-HALL
SHOULDER SPECIAL TESTS
SHOULDER YOCUM TEST
IMPINGEMENT
NERVE ROOT SHOULDER ABD. TEST, MEDIAL EPICONDYLITIS TEST
COMPRESSION
BICEP TEAR HOOK TEST
LIGAMENTOUS LIG. VARUS TEST
VALGUS INSTABILITY
ANTERIOR PINCH GRIP
INTEROSSEUS NERVE
SUBSCAPULARIS LIFT-OFF SIGN
LESION
SUPRASPINATUS EMPTY CAN TEST
TEST
ELBOW SPECIAL TESTS
LATERAL COZENS, MILLS, MAUDLEYS
EPICONDYLITIS
MEDIAL GOLFERS TEST
EPICONDYLITIS
ELBOW NEURO WARTENBERG, TINELS
DYSFUNCTION
MMT GRADING
