QUESTIONS
◉ Resisted extension test. Answer: Acromioclavicular Joint test
Patient seated with arm in GH flexion of 90° with HADD; performs
HABD against resistance provided by PT.
Positive: Pain at AC joint.
◉ Painful arc test. Answer: Acromioclavicular Joint Test
Patient actively abducts shoulder.
Positive: Pain between 170° and 180°.
◉ Paxinos sign. Answer: Acromioclavicular Joint Test
Patient seated with arm relaxed at side; PT stands behind patient,
places thumb under posterolateral acromion and index and long
fingers at the clavicle, and applies pressure with both thumb and
fingers.
,Positive: Pain at AC joint.
◉ AC shear test. Answer: Acromioclavicular Joint Test
PT cups hands over deltoid muscle (enclosing clavicle and spine of
scapula) and squeezes hands together.
Positive: Pain at AC joint.
◉ Hawkins-Kennedy test. Answer: Subacromial Impingement Test
PT passively flexes patient's shoulder to 90°; if not painful, PT
performs IR of the shoulder.
Positive: Pain in subacromial space.
◉ Infraspinatus resisted test. Answer: Subacromial Impingement
Test & Rotator Cuff Test
Patient has arm at side with elbow flexed to 90°; PT provides
resistance to ER.
,Positive: Pain along subacromial space.
◉ Long sitting (supine to sit) test. Answer: SI joint dysfunction that
may be the cause of leg length discrepancy
Patient lies supine with the legs straight. PT makes sure medial
malleoli are level. The patient is asked to sit up, and the PT observes
whether one leg moves proximally further than the other.
◉ Goldthwait's Test. Answer: Differentiate between lumbar spine
and SIJ dysfunction
Patient lies supine. PT places one hand under the lumbar spine so
each finger is in an interspinous space. PT uses the other hand to
perform SLR.
* If pain is elicited before movement occurs at the interspaces = SI
joint problem.
* Pain during interspace movement = lumbar spine dysfunction
◉ Painful arc. Answer: Subacromial Impingement Test
Patient actively abducts shoulder.
, Positive: Pain between 60° and 120°.
◉ Yocum test. Answer: Subacromial Impingement Test
Modification of Hawkins-Kennedy test; Patient puts hand on
opposite shoulder; PT elevates elbow.
Positive: Pain.
◉ Neer test. Answer: Subacromial Impingement Test
PT passively brings shoulder into elevation in the plane of the
scapula with IR.
Positive: Pain in subacromial space.
◉ Empty can (Jobe) test. Answer: Supraspinatus impingement
Patient seated with shoulder abducted to 90° and no rotation; PT
provides resistance to abduction.
Positive: Pain in supraspinatus or weakness.