SOLUTIONS
◉ Drop-arm test (Codman test). Answer: Tests: Rotator Cuff
Pathology (Full thickness tear)
Positive: Loss of eccentric control of lowering arm
Action: PT passively abducts shoulder to 90°; patient actively and
eccentrically lowers shoulder.
◉ Active compression test (O'Brien test). Answer: Tests: SLAP Tear
Positive: Pain occurs with IR and not with ER
Action: Patient standing with arm flexed to 90° and elbow extended;
horizontally adducts arm to 10° and rotates internally. PT applies
downward force. Return to start, rotate externally, and PT applies
downward force again.
◉ Biceps load II test. Answer: Tests: SLAP Tear
Positive: Apprehension; same or increased pain
Action: Patient supine with shoulder abducted to 120°, full ER,
elbow flexed to 90° and supinated. Patient performs elbow flexion
against resistance.
◉ Anterior slide test. Answer: Tests: SLAP Tear
,Positive: Pain or clicking in deep shoulder
Action: Patient seated with hand on waist, thumb posterior; PT
applies anterior-superior force to elbow.
◉ Compression-rotation test. Answer: Tests: SLAP Tear
Positive: Pain, clicking, or catching
Action: Patient supine; PT passively abducts shoulder between 70°
and 90° with elbow flexed to 90°; PT applies axial compression load
with GH ER and IR.
◉ Pain provocation test (Mimori test). Answer: Tests: SLAP Tear
Positive: Pain worse in pronated position
Action: Patient seated with arm abducted between 90° and 100°; PT
externally rotates arm, taking forearm into maximum supination
and maximum pronation.
.
◉ Yergason test. Answer: Tests: Bicipital tendinitis / Transverse
humeral ligament
Positive: Popping of long head of bicep tendon or tenderness at
bicipital groove
Action: Patient seated, shoulder neutral against trunk, elbow flexed
to 90°, forearm pronated; perform supination and ER against
resistance
, ◉ Speed test (Biceps straight arm test). Answer: Tests: Bicipital
tendinitis
Positive: Pain in anterior shoulder
Action: Patient resists shoulder flexion with elbow extended and
forearm supinated (then pronated).
◉ Popeye sign. Answer: Tests: Biceps Rupture (Long head)
Positive: Distal bunching of muscle with complete loss of function
Action: Visual inspection of the bicep muscle.
◉ Anterior apprehension test. Answer: Tests: Anterior Instability
Positive: Apprehension; pain
Action: Patient supine. PT passively flexes elbow to 90° and abducts
shoulder to 90°; then performs slow ER.
◉ Relocation test. Answer: Tests: Anterior Instability
Positive: Reduction in apprehension
Action: Follow-up to +ve apprehension test. PT stabilizes the GH
joint posteriorly.
◉ Jerk test. Answer: Tests: Posterior Instability (Posterior-inferior
labral tear)