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The patient is asked to flex the shoulder to ninety degrees. Then, the patient fully extends both arms while supinated. If the patient is unable to extend the dysfunctional arm then a further workup including radiography for acute fracture should be pursued. [1]
Inspection; Palpation of sternoclavicular joint, clavicle, acromioclavicular joint, subacromial bursa, bicipital tendon.; Evaluation of passive and active range of motion: Neck range of motion should be assessed that may reveal a neck source of shoulder pain.
Waxy flexibility is a specific symptom of catatonia. It refers to the patient's body showing resistance to being moved. Alteration of an individual's posture is similar to bending a warm candle. [5] Waxy flexibility often develops with other symptoms of catatonia, including: Immobility: showing no signs of motion [6]
Movement assessment is the practice of analysing movement performance during functional tasks to determine the kinematics of individual joints and their effect on the kinetic chain. Three-dimensional or two-dimensional analysis of the biomechanics involved in sporting tasks can assist in prevention of injury and enhancing athletic performance.
An upper limb neurological examination is part of the neurological examination, and is used to assess the motor and sensory neurons which supply the upper limbs. This assessment helps to detect any impairment of the nervous system, being used both as a screening and an investigative tool. The examination findings when combined with a detailed ...
Assessing for pronator drift helps to detect mild upper limb weakness in a patient who's awake and able to follow directions. Ask the patient to close the eyes, then to stretch out both arms in the appropriate position: Flex the shoulder joint to 90 degrees (45 degrees, if supine) and fully extend the elbow joint.
Jobe's test is a physical exam test that is used to detect anterior shoulder instability. It is used to distinguish between anterior instability and primary shoulder impingement.
The drop arm test is designed to determine a patient's ability to sustain humeral joint motion through eccentric contraction as the arm is taken through the full motion of abduction to adduction. It will determine if the patient has an underlying rotator cuff dysfunction.