Shoulder Evaluation 2007
HISTORY
1. Chief Complaint
2.
3.
4.
5.
6.
7.
8.
B. History of the Present Problem
When did you first notice the symptoms
Have you had any history of this problem or related problems
Anyone in your family has similar symptoms
What activity were you engaged in at the onset of symptoms
Was there any change in activity recently
Any specific mechanism (cause) you were aware of
Did you hear or feel anything at the time of onset
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C. Time Sequence
9. Was the onset of symptoms sudden or gradual
10. How long did the symptoms last
11. Have the symptoms been constant or intermittent
12. When do the symptoms typically occur
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D. Location of Symptoms
13. Point with one finger to the location of the symptoms
14. Is there more than one area of symptoms
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E. Symptom Characteristics
15. Characterize the pain (dull/sharp/throbbing/burning/etc)
16. Does the pain radiate and, if so, where
17. What increases the pain
18. What relieves the pain
19. How do symptoms affect your activity level
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F. Participation Characteristics
20. What Sport/Activity do you play
21. What Position or Event
22. What are the frequency, intensity and duration of practice
23. Could equipment be related to your symptoms
24. What type of playing environment
25. What type of warm-up pattern do you use
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G. Personal Management
26. Have you attempted any treatment
27. Have you taken any medication
28. Have you seen anyone else for this problem (who and what)
29. Do you have any opinion of your own about the problem
30. Is there anything else you would like me to know
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II.
OBSERVATION/INSPECTION.
31. Make the area visually available
32. Bilateral Observation
33. Deformity (depressions/elevations)
34. Bleeding
35. Scars
36. Discoloration
37. Swelling
38. Bilateral Observation
39. Position of the Head/Arm
40. Willingness to move or use the limb
41. Shoulder Level
42. Contour of the Clavicle
43. Symmetry of the Deltoids
44. Step Deformity (Describe)
45. Scapula Position/Mvmt.
46. Sprengel’s Deformity
(Name and Explain)
47. Winged Scapula (Name and Explain)
48. Erb’s Palsy (Name and Explain)
49. Spinal Curvature (Cervical and Thoracic)
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III.
PALPATION.
50. Jugular Notch
51. Sternoclavicular Notch
52. Clavicular Shaft
53. AC Joint
54. Coracoid Process
55. Pectoralis Minor
56. Coracobrachialis
57. Short Head of the Biceps
58. Humeral Head
59. Greater Tubersity
60. Lesser Tubersity
61. Bicipital Groove
62. Long Head of the Biceps
63. Humeral Shaft
64. Pectoralis Major
65. Deltoid
66. Spine of the Scapula (name level)
67. Vertebral Border of the Scapula
68. Superior Angle of the Scapula
69. Inferior Angle of the Scapula
70. Supraspinatus
71. Infraspinatus
72. Teres Minor
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73. Teres Major
74. Rhomboid Major
75. Rhomboid Minor
76. Levator Scapulae
77. Trapezius
78. Latissimus Dorsi
79. Triceps Brachii
80. Cervical spine (spinous processes, IVD, transverse processes)
81. Thoracic spine (spinous processes, IVD, transverse processes)
IV.
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RANGE OF MOTION / MMT
82. Active Shoulder Flexion (G: _____)
83. Active Shoulder Extension (G: _____)
84. Active Shoulder Abduction (G: _____)
85. Active Shoulder Adduction
86. Active Shoulder Internal Rotation (G: _____)
87. Active Shoulder External Rotation (G: _____)
88. Active Shoulder Horizontal Abduction
89. Active Shoulder Horizontal Adduction
90. Shoulder Retraction
91. Shoulder Protraction
92. Shoulder Elevation
93. Shoulder Depression
(Circumduction does not have to be tested!)
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94. Passive Shoulder Flexion
95. Passive Shoulder Extension
96. Passive Shoulder Abduction
97. Passive Shoulder Adduction
98. Passive Shoulder Internal Rotation
99. Passive Shoulder External Rotation
100. Passive Shoulder Horizontal Abduction
101. Passive Shoulder Horizontal Adduction
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102.
103.
104.
105.
106.
107.
108.
109.
Resisted Shoulder Flexion
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Resisted Shoulder Extension
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Resisted Shoulder Abduction
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Resisted Shoulder Adduction
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Resisted Shoulder Internal Rotation
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Resisted Shoulder External Rotation
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Resisted Shoulder Horizontal Abduction
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Resisted Shoulder Horizontal Adduction
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(Remember, in the field, you would also clear cervical spine)
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V.
STABILITY TESTS
110.
111.
112.
113.
Sternoclavicular Joint Stress Test
Positioning
Evaluative Procedure
Positive Test Result
Implications (Specific)
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114.
115.
116.
117.
118.
Acromioclavicular Distraction Test
Positioning
Evaluative Procedure
Positive Test Result
Implications, 1
Implications, 2
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119.
120.
121.
122.
Piano Key Sign
Positioning
Evaluative Procedure
Positive Test Result
Implications
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123.
124.
125.
126.
127.
128.
Apprehension Test
Positioning
Evaluative Procedure
Evaluative – Posterior
Positive Test Result
Positive Test Result, 2
Implications
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129.
130.
131.
132.
133.
Jobe Relocation Test
Positioning
Evaluative Procedure
Positive Test Result, 1
Positive Test Result, 2
Implications
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134.
135.
136.
137.
138.
Sulcus Sign
Positioning
Evaluative Procedure
Positive Test Result, 1
Positive Test Result, 2
Implications
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139.
140.
Anterior Drawer of the Shoulder
Positioning
Evaluative Procedure
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141.
142.
143.
144.
Evaluative Procedure, 2
Positive Test Result
Positive Test Result, 2
Implications
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145.
146.
147.
148.
149.
Clunk Test
Positioning
Evaluative Procedure, I
Evaluative Procedure, II
Positive Test Result
Implications
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150.
151.
152.
153.
Grind Test
Positioning
Evaluative Procedure
Positive Test Result
Implications
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154.
155.
156.
157.
Brachial Plexus Stretch Test
Positioning
Evaluative Procedure
Positive Test Result
Implications
158.
159.
160.
161.
O’Brien Test
Positioning
Evaluative Procedure
Positive Test Result
Implications
VI.
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SPECIAL TESTS
162.
163.
164.
165.
Empty Can Test
Positioning
Evaluative Procedure
Positive Test Result
Implications
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166.
167.
168.
169.
Drop Arm Test
Positioning
Evaluative Procedure
Positive Test Result
Implications
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170.
Yergason’s Test
Positioning
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171.
172.
173.
Evaluative Procedure
Positive Test Result
Implications
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174.
175.
176.
177.
Speed’s Test
Positioning
Evaluative Procedure
Positive Test Result
Implications
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178.
179.
180.
181.
182.
183.
184.
185.
Apley’s Scratch Test
Positioning
Evaluative Procedure, 1
Evaluative Procedure, 2
Evaluative Procedure, 3
Positive Test Result
Implication, 1
Implication, 2
Implication, 3
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186.
187.
188.
189.
190.
Cross-Over Impingement Test
Positioning
Evaluative Procedure
Positive Test/Implications
Positive Test/Implications
Positive Test/Implications
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191.
192.
193.
194.
195.
Neer Impingement Test
Positioning
Evaluative Procedure
Positive Test Result
Implications
Implication, II
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196.
197.
198.
199.
Hawkins-Kennedy Impingement Test
Positioning
Evaluative Procedure
Positive Test Result
Implications
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VII.
200.
201.
202.
NEUROVASCULAR ASSESSMENT
Presence of Parathesia
Noted Muscle Weakness
Noted Loss of Motion
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Dermatome’s
203.
204.
205.
206.
207.
C5
C6
C7
T1
T2
208.
209.
210.
C5
C6
C7
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Myotome’s
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