Clinical Examination of the Shoulder

Clinical Examination of the Shoulder

By Todd S Ellenbecker, MS, PT, SCS, CSCS, Clinic Director, Physiotherapy Associates, Scottsdale Sports Clinic, Scottsdale, Arizona

Section I: General Overview
1. Introduction:
How to use this book
Definition of Objective Terms (PPV, NPV, Sensitivity Specificity etc)
Comparison of evaluation findings to surgical findings and other diagnostic tests
2. Subjective Evaluation:
Basis of Subjective Evaluation
Sport and Activity Specific Questioning
Baseball / throwing sports ? Tennis ? Golf ? Swimming
3. Observation / Posture:
Scapular Evaluation
4. Related Referral Joint Testing:
Cervical Spine Clearing Tests
AC joint clearing
SC joint clearing
Elbow joint clearing
5. Neurovascular Testing:
Sensation ? sensory evaluation
Map of dermatomes
Semmes Weinstein Kit
Strength ? refer to chapter X
Reflexes ? brief overview
Thoracic Outlet Testing:
Rayan & Rayan Research
6. Palpation:
Rotator Cuff Palpation based on Mackarey research
Palpation sequence
Indications based on palpation (Davies & DeCarlo, 1995)
7. Range of Motion Testing

Section II: Special Tests
8. Instability Testing
9. Impingement Testing
10. Labral Testing
11. Rotator Cuff Tests
12. Biceps Tests

Section III: Additional Shoulder Evaluation Techniques
13. Strength Testing
14. Subjective Rating Scales:
15. Analysis of Sport Technique:
Tennis / Overhead throwing model:

Section IV: Appendix and Case Studies