Clinical Examination of the Shoulder

Clinical Examination of the Shoulder

By Todd S. Ellenbecker, DPT, MS, SCS, OCS, CSCS, Clinic Director, Physiotherapy Associates, Scottsdale Sports Clinic, Scottsdale, National Director of Clinical Research, Physiotherapy Associates, AZ, USA

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