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Special testing is generally performed following a full examination of the shoulder that includes but is not limited to patient history, mechanism of injury, clinical observation, bony and soft tissue palpation, assessment of active and passive physiological movements, assessment of passive arthokinematic / accessory joint mobility ...
Phalen test. Instruct the patient to abduct their shoulders to 90º, flex the elbows and flex the wrists to oppose the dorsal surfaces of both wrists while both arms remain parallel to the ground. This position is then held for approximately 60 seconds. This test assesses for carpal tunnel syndrome.
16 gru 2012 · This document discusses various special tests used to evaluate the shoulder joint. It provides details on range of motion tests and impingement tests for the rotator cuff as well as tests for the acromioclavicular joint, bicep tendon, and shoulder instability.
25 lip 2024 · Provocative maneuvers for CTS include the Phalen, Tinel, manual carpal compression, hand elevation, and upper limb neurodynamic tests. These can be helpful when interpreted in the proper clinical context.
Conducting a proper shoulder exam is crucial to treating shoulder pain, a common outpatient complaint. No matter the cause, it is important to be familiar with some basic examination tools that can help us confirm the presence of a shoulder lesion.
The Neer test is done to check for impingement of the rotator cuff tendons under the coracoacromial arch. It is done by placing the arm in forced forward flexion, lifted overhead, and fully pronated. The Hawkins test is done also to check for impingement.
Phalen's Test. Purpose: To assess for carpal tunnel syndrome (CTS). Test Position: Sitting or standing. Performing the Test: The examiner passively flexed the patient's wrist maximally (but not overpressure), while maintaining the shoulder in neutral and elbow in extension. This position is held for 60 seconds or until symptoms are reproduced.
