SOTs - SOTS PDF

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Summary

SOTS...

Description

Test Hawkins-Kennedy Impingement Test

Steps 

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Speeds

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Supraspinous or Empty Can Test

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Positive Sign and Meaning Client stands MT forward flexes the arm then forcibly medially rotates shoulder This movement pushes supraspinatus tendon against surface of coracoacromial ligament & coracoid process Also performed different degree of forward flexion or horizontal abduction

Pain indicates + test for supraspinatus paratenonsis & tendinosis or secondary impingement

MT resists shoulder flexion while client forearm is supinated, pronated, then elbow extended Bones move over tendon during test Pain + is SLAP (II) lesion present

Elicits increased tenderness in bicipital groove (arm supinated)

Client arm abducted at 90 degree with neutral (no) rotation MT provide resistance Shoulder them medially rotated angled forward 30 degrees (thumb floor) “can empty” “can full” max contraction supraspinatus Resistance given MT looks for weakness/pain

Tear of supraspinatus muscle/tendon or neuropathy of suprascapular nerve

Indicative of bicipital paratenonitis or tendinosis

Drop Arm or Codman’s Test

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Finkelstein's test

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Lateral epicondylitis tests

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Medial epicondylitis

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Neer Impingement Test

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Abducts client am at 90 degrees Ask client to slowly move arm to side in the same arc of movement

Unable to return arm to side slowly or severe pain when doing so. Indicated tear in rotator cuff complex (50+)

Make fist with thumb inside fingers MT stabilize forearm & deviate wrist (ulnar) Compare affected to normal side

By pain over APL & EPB tendons at wrist and indicative a paratenonitis of them

Client elbow stabilized by MT thumb Asked to actively make fist, pronate forearm, radially deviate and extend wrist

Sudden pain in lateral epicondyle (palpated indicate origin)

Palpate Medial epicondyle Passive supination of forearm MT extends elbow / wrist

Area in pain

Client passively/ forcibly fully elevated in scapular plane arm medially rotated by MT Case greater tuberosity to jam against anteroninferior boarder of acromion + are will laterally rotate (AC joint)

Pain shown in face.

Used to determine presence of de Quervain or Hoffman disease (paratenonitis in thumb)

Indicates overuse injury to supraspinatus. (biceps tendon)

Valgus instability test

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Varus instability test

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Stabilize client arm Pain with one hand on elbow other above wrist Abduction (valgus) force at distal forearm to test medial collateral ligament ( valgus instability) while palpated Advocate stress humerus lateral rotated Note any laxity, decreased mobility alternated pain (uninvolved elbow) Elbow flexed 20-30 degrees Stabilize with hand Adduction (Varus) force to distal forearm test lateral collateral ligament (Varus instability) While palpated feel tense when stress applied ( stress humerus medially rotated) Apply force several time increasing pressure (note pain/ ROM)

Excessive laxity or soft end feel indicated injury to ligament (1-3 sprain) Third degree: posterolateral joint instability

Combines medial rotation with adduction and lateral rotation with abduction The examiner must take care to notice which movements are restricted and which ones are not, because several movements are performed at the same time Some examiners prefer doing the same motion in both arms at the same time: neck reach (abduction, flexion, and lateral rotation at the glenohumeral joint) and back reach (adduction, extension, and medial rotation at the glenohumeral joint). This assessment is done when the patient lifts one of their arms up and tries touching their opposite scapula. At this time have the other arm moves posteriorly and superiorly the other way to meet the opposite hand....