Shoulder Special Tests in Physiotherapy

Shoulder Special Tests in Physiotherapy

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Shoulder pain is widespread in the world today.  Physiotherapy plays a massive role in creating a healthy shoulder, even more so if you want to play sports or stay active. Several tests can be used on shoulders, but here are some of the most common and effective ones we use here at Physiotherapy Solutions.

Physiotherapy plays a considerable role in creating a healthy shoulder. Several types of tests can be used on shoulders. Here are some of the most common and effective ones we use here at Physiotherapy solutions in the world today. The tests include advantages and disadvantages. 1. Active Range of Motion (AROM)

The active range of motion test is an objective measure of joint movement. You can do it yourself at home or have a physiotherapist do it for you.

shoulder special tests

Introduction to Shoulder Special Tests

Shoulder Special Tests are administered to establish shoulder stability and check for a full range of motion. The shoulder is the largest joint in the body. The primary function of the shoulder is to provide a stable platform for the arm to move. The shoulder joint is made up of three bones: the scapula (shoulder blade), the clavicle (collarbone), and the humerus (upper arm bone).

The glenoid fossa (socket) in the scapula forms the “cup” into which the head of the humerus fits. Tendons from several different muscles control the movement of the shoulder. The forces which flex (bend) the shoulder joint are the pectoralis major, latissimus dorsi, teres major, and subscapularis. The more significant deltoid muscle abducts (moves) the shoulder joint. When the common is extended, the supraspinatus, infraspinatus, teres minor, and biceps brachii usually extend it.

Advantages of Shoulder Special Tests

This is a test in which the clinician will flex the elbow and then let the patient’s arm fall into abduction, followed by flexion. After turning the elbow and allowing the patient’s arm to fall into abduction, the clinician will bend the elbow and use their other hand to apply pressure on the patient’s shoulder to prevent them from turning the elbow. Once this is achieved, the clinician will gently glide the humerus back into flexion. The clinician will then ask the patient to resist placing their arm into more abduction.

Patients with radial nerve palsy present with diminished wrist extension and the inability to fully extend the thumb (due to extensor carpi radialis brevis weakness). In addition, they may complain of their wrist feeling like it has “fallen asleep.”

Disadvantages of Shoulder Special Tests

Shoulder special tests are commonly used to test for various shoulder injuries. They may include the anterior drawer test, which attempts to measure a laxity of the anterior band of the rotator cuff, and the impingement test, which determines if impingement has occurred. The disadvantages of special shoulder tests include that they are difficult to conduct on oneself, there is a high risk of false positives, and they can’t be performed on people who have their arms in a sling or cast.

Physical examination for shoulder instability focuses on the following:

  • The shoulder range of motion is examined and compared to the contralateral shoulder.
  • The capsular pattern of the shoulder is assessed. This is accomplished by palpating the soft tissues around the shoulder during shoulder movements.
  • Subacromial impingement syndrome may cause shoulder instability, so evaluating the rotator cuff tendons is essential.

What are shoulder special tests?

The special shoulder tests are several assessments that help determine the location of pain in the shoulder. These tests measure mobility, strength, and stability of the shoulder joint. Symptoms of Rotator Cuff Tear

The most common symptoms of rotator cuff tears are pain, weakness, and loss of motion in the shoulder. These symptoms can be accompanied by specific physical findings that can help your doctor to determine the location of the tear.

Localized Pain with Localized Weakness: As you may imagine, localized pain is a crucial symptom of a rotator cuff tear.

The thing you should keep on your Mind

  • What are the special shoulder tests?
  • What are the symptoms of shoulder injury?
  • Is there any treatment for a shoulder injury?
  • What should I do if I have a shoulder injury?
  • How do I know if I need surgery for my shoulder injury?
  • How do I prevent shoulder injury?
  • What should I do if I can’t sleep because of my shoulder injury?

Review of shoulder special tests

This article will review special shoulder tests which can be applied to both healthy and pathological shoulders. Possible tests:

  • Impingement test
  • Shoulder abduction and external rotation range of motion
  • Neer’s test
  • Glenohumeral (GH) joint stability
  • Pectoralis minor strength
  • The satisfactory performance of these tests would indicate that the shoulder is structurally sound, and normal function can be expected.

Introduction to Shoulder Special Tests in Physiotherapy

The shoulder is a ball and socket joint that is important for many functions such as lifting, throwing, and brushing your hair. Many different tests can be performed on the shoulder. Tests include strength testing, range of motion, and stretching. This text discusses the properties of the shoulder and the different tests that can be performed on this joint.

What is the Sensitivity and Specificity of Shoulder Special Tests?

The sensitivity and specificity of special shoulder tests is dependent on a variety of factors, including age, injury mechanism, and injury severity. The value of a particular test is also dependent on the accuracy and consistency of the examiner.

The sensitivity of shoulder tests for identifying a lesion in the supraspinatus tendon (Quadratest, Yergason, Neer, and Hawkins-Kennedy) is 0.88–0.98. Specificity ranges from 0.66 to 0.99.57,58,60 In contrast, the sensitivity of shoulder tests for identifying a lesion in the subscapularis tendon is The measurement for sensitivity and specificity is when the test yields a positive result in the correct direction. The sensitivity and specificity of special shoulder tests depend on various factors,, including age, injury mechanism, and injury severity.


Some may have already experienced or completed a physical examination of their shoulders. This is most common when they are in the process of receiving their driver’s license, military entrance examination, or when they are in physical therapy. The shoulder exam is also an essential part of any sports physical examination.

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