The Shoulder
Range of Motion
|
ROM Using a Goniometer (Norkin and White, 2006):
Flexion: 180 degrees Extension: 50 degrees Abduction: 180 degrees Adduction: Not usually measured Internal Rotation in 90 degrees shoulder abduction: 50-65 GH External Rotation in 90 degrees shoulder abduction: 90 GH |
Manual Muscle Tests
Coming soon...
Special Tests
Shoulder Research
Cluster for Patients with Shoulder Pain Likely to Benefit from Cervicothoracic Manipulation (Mintken et al, 2010):
-Pain-free shoulder flexion <127 deg
-Shoulder IR <53 deg at 90 deg abduction
(-) Neer Test
-Not taking medications for shoulder pain
-Symptoms < 90 days
2 positive: Sn .9, Sp .61, +LR 2.3
3 positive: Sn .51, Sp .9, +LR 5.3
4 positive: Sn .27, Sp 1.0, +LR infinite
Cluster for Rotator Cuff Pathology (Park et al, 2005):
(+) Painful Arc Sign
(+) Drop-Arm Sign
(+) Infraspinatus MMT
2 positive: +LR 3.57
3 positive: +LR 15.6
Cluster for Subacromial Impingement (Park et al 2005):
(+) Hawkins-Kennedy Test
(+) Painful Arc Sign
(+) Infraspinatus MMT
2 positive: +LR 5.03
3 positive: +LR 10.6
-Pain-free shoulder flexion <127 deg
-Shoulder IR <53 deg at 90 deg abduction
(-) Neer Test
-Not taking medications for shoulder pain
-Symptoms < 90 days
2 positive: Sn .9, Sp .61, +LR 2.3
3 positive: Sn .51, Sp .9, +LR 5.3
4 positive: Sn .27, Sp 1.0, +LR infinite
Cluster for Rotator Cuff Pathology (Park et al, 2005):
(+) Painful Arc Sign
(+) Drop-Arm Sign
(+) Infraspinatus MMT
2 positive: +LR 3.57
3 positive: +LR 15.6
Cluster for Subacromial Impingement (Park et al 2005):
(+) Hawkins-Kennedy Test
(+) Painful Arc Sign
(+) Infraspinatus MMT
2 positive: +LR 5.03
3 positive: +LR 10.6
Reference:
Mintken PE, et al. Some Factors Predict Successful Short-Term Outcomes in Individuals with Shoulder Pain Receiving Cervicothoracic Manipulation: A Single-Arm Trial. Phys Ther. 2010; 90(1):26-42.
Norkin and White, . Measurement of Joint Motion: A guide to goniometry. 4th. F.A. Davis Company, 2009. Print.
Park HB, et al. Diagnostic accuracy of clinical tests for the different degrees of subacromial impingement syndrome. J Bone Joint Surg Am. 2005; 87(7): 1446-55.
Mintken PE, et al. Some Factors Predict Successful Short-Term Outcomes in Individuals with Shoulder Pain Receiving Cervicothoracic Manipulation: A Single-Arm Trial. Phys Ther. 2010; 90(1):26-42.
Norkin and White, . Measurement of Joint Motion: A guide to goniometry. 4th. F.A. Davis Company, 2009. Print.
Park HB, et al. Diagnostic accuracy of clinical tests for the different degrees of subacromial impingement syndrome. J Bone Joint Surg Am. 2005; 87(7): 1446-55.