By Todd S. Ellenbecker DPT MS SCS OCS CSCS
Useful, clinically targeted, and hugely illustrated, this new consultant comprises content material now not lined in the other publication, provided in a hassle-free layout. half I introduces the ideas of subjective review, observation/posture, similar referral joint checking out, neurovascular trying out, palpation, and diversity of movement checking out. half II includes the majority of the textual content, masking the most important shoulder assessments that clinicians practice. half III beneficial properties supplemental checks utilized in the scientific atmosphere. ultimately, half IV pulls all of the info jointly by way of checking out scholars and clinicians alike with a sequence of case experiences. The reader also will locate large, updated references for additional learn or study.
- The first textual content dedicated completely to the musculoskeletal exam of the shoulder joint.
- Emphasizes study and objectivity, offering quick access to present learn quantification of attempt technique efficacy indication and scientific application.
- Contains an exhaustive evaluate of exam and scientific exams, resulting in a extra exact analysis and higher process care.
- Presents a mixture of scientific exams, practical review parameters, throwing and period game return/evaluation techniques, in addition to seldom-presented closed chain assessments, providing the practitioner a plethora of other tests.
- Highlights new assessments for the shoulder, quite within the quarter of labral and instability testing.
- Places a excessive measure of emphasis on documentation of attempt effects, expanding the reader's objectivity of the shoulder examination process.
- Includes quite a few mixtures of sufferer presentation, emphasizing vintage diagnoses and the mixtures of try out effects from the assessment tactics lined within the textual content. Case reviews let readers to check themselves and practice their wisdom to numerous situations.
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Extra resources for Clinical Examination of the Shoulder
Passive mobility testing of the SC can be difﬁcult and uncomfortable for the patient because of the difﬁculty in grasping the clavicle itself. Bilateral comparison of anterior posterior glide and superior inferior glide can also assist the clinician in identifying either hypermobility or hypomobility of this joint. Research on the reliability of accessory mobility assessment of this joint is not available. Davies et al (1981) reported that, in cases of anterior SC joint subluxation, a posterior relocation force can be maintained during reexamination of active or passive movements.
This position places the supraspinatus tendon just off the anterolateral aspect of the acromion and allows the patient’s extremity to be examined in a position of greater comfort that nearly all patients can achieve, even after a surgical procedure (Figure 7-1) (Hawkins & Bokor, 1990). The infraspinatus and teres minor tendons insert on the lower facets of the greater tuberosity of the humerus, and several positions have been recommended for palpation. Cyriax and Cyriax (1993) and Magee (1997) both recommended using a position where the patient is prone on elbows, with the affected shoulder in slight ﬂexion, adduction, and lateral rotation.
Normal range of motion (in degrees) according to various authors.