NPTE The Shoulder Test
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| A. Weak subscapulares and teres major, tight infraspiatus and teres minor.B. Long/weak serratus anteriorC. 4-6 weeksD. Compression in suprascapular notch;Stretch into scapular protraction plus horizontal adduction;Compression in spinoglenoid notch ; Direct blow; Space occupying lesionE. Age 30-50 years; pain and weekenss after eccentric loadF. Patient does not allow and/or does not like shoulder to move in direction to simulate anterior dislocation.G. Direct blow; Traction;Compression against internal chest wall (backpack injury);Heavy effort above shoulder height ;Repetitive strainH. Direct blow;Traction (shoulder depression and neck rotation to opposite side); BiopsyI. 40-55 abduction, 30horizontal adduction (scapular plane)Full abduction, lateral rotationLateral rotation, abduction, medial rotationexternal rotation, abduction, flexion, internal rotationJ. BicepsK. Poor without surgeryL. AnteriorM. Pain within shoulder regionN. Classic night pain; weakness noted predominantly in abduction and lateral rotators; loss of motionO. nability to abduction arm with neutral rotation. P. Shoulder abd is seriously affected. No true abd is then possible unless the shoulder is fully ext rot. Q. Pain in posterior shoulder during test.R. NoneS. Tear and/or impingement of supraspinatus tendon or possible suprascapular nerve neuropathy. Patient sitting with shoulder at 90 and no rot. Resist shoulder abd. Then place shoulder in “empty can” position, int rot, 30 forward (horiz add) and resist abd,T. Rhomboids, Levator scapulae, Pec major |
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