EXPOSURE

POSITION

INSPECTION

• FRONT, BACK, SIDE AND ABOVE

PALPATION

• Tenderness over the greater tuberosity ( supraspinatus tendonitis )

• Bicipital groove ( bicep tendonitis)
• Diffuse tenderness with swelling
• Crepitus and defect over the rotator cuff insertion ( tear of the cuff )

ABDUCTION 0-160/180
HORIZONTAL FLEXION 0-140
BACKWARD EXTENSION 0-60
FORWARD FLEXION 0-165
INT.ROT& EXT.ROT ( ARM AT 0-70
SIDE)
INT.ROT & EXT.ROT (ARM ABD 0-90
90 )
MOVEMENT OF THE JOINT

(GLENOHUMERAL JOINT)

• Quick rotation screening test

• Specific movement

SPECIAL TEST

1) TESTING FOR ROTATOR CUFF TEAR

• EMPTY CAN TEST
• LIFT-OFF TEST
2) TESTING OF IMPINGEMENT
• HAWKIN’S IMPINGEMENT TEST
3) TESTING FOR LONG HEAD OF BICEP BRACHII TENDONITIS
• YERGASON TEST
• SPEED’S TEST
• “POPEYE SIGN”
4) TESTING FOR GLENOHUMERAL JOINT INSTABILITY
• LOAD AND SHIFT TEST
• SULCUS SIGN
• APPREHENSION TEST IN SUPINE POSITION ( FULCRUM TEST)
5) NEUROVASCULAR ASSESSMENT IN RELATION TO SHOULDER REGION
PATHOLOGY
•ADSON’S TEST
6) RULE OUT THE NON-SHOULDER PATHOLOGY (CERVICAL SPINE) THAT CAN BE
PRESENTED AS SHOULDER PAIN
•COMPRESSION TEST
•SPURLING’S TEST