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Look out for a painful arc (i.e. pain between 60-120 degrees of shoulder elevation) or if pain is only present at the end range. Consider the following questions: where is the pain located?
Shoulder Examination. Lift off test: Subscapularis. The prerequisite for any treatment in the shoulder region of a patient with pain is a precise and comprehensive picture of the signs and symptoms as they occur during the assessment and as they existed until then.
In this test the patient is asked to first extend the elbow and fully supinate the forearm. Then the patient is asked to flex the shoulder forward against the resistance of the examiner. At the same time, the examiner should palpate the anterior joint line for any tenderness.
6 Αυγ 2021 · elbow flexed to 90 degrees with the forearm pronated. The examiner holds the hand/wrist to maintain pronated position while the patient attempts to actively supinate against this resistance. If there is pain located along the bicipital groove the test is positive for biceps tendon pathology.
27 Μαρ 2017 · In this paper, we will attempt to provide an evidence-based approach to three common causes of shoulder pain (Subacromial impingement, rotator cuff pathology, and adhesive capsulitis) and the diagnostic strength of physical exam and ultrasound for these pathologies.
4 Αυγ 2023 · Speed’s test: A positive test consists of pain elicited in the bicipital groove when the patient attempts to forward elevate the shoulder against examiner resistance; the elbow is slightly flexed, and the forearm is supinated.
Limited range of motion, weakness, pain, and other disturbances of mobility caused by rotator cuff impairment can be quickly identified by having the patient attempt—by both abduction and flexion—to raise both arms above the head and then to slowly lower them. Specific maneuvers against resistance can help determine which tendons are affected.
