O’Brien’s Active Compression Test

Purpose of O’Brien’s Active Compression Test: To detect superior glenoid labral lesions and/or type 2 superior labrum anterior and posterior (SLAP) lesions (which is fraying of the superior glenoid labrum along with detachment of the biceps anchor) on the shoulder joint (1-3). Patient position: Standing position, with affected arm in forward flexion at 90 degrees and slight adduction at 10-15 degrees towards the midline of … Continue reading O’Brien’s Active Compression Test

Reverse Impingement Test

Reverse Impingement Test or Impingement Relief Test Purpose of Reverse Impingement Test or Impingement Relief Test: To confirm the diagnosis of ‘impingement syndrome’ by reversing/relieving the painful arc and/or eliminating the ‘impingement sign’ after initially reproducing the patient’s shoulder pain with shoulder impingement tests such as Neer’s test (1-3). Patient position: Sitting upright with affected arm relaxed by the side. Examiner position: Standing beside/behind the … Continue reading Reverse Impingement Test

Neer Impingement Test

Purpose of Neer Impingement Test: To determine if there is an impingement in the shoulder joint (1, 2). Patient position: Sitting upright with the affected arm relaxed by the side. Examiner position: Standing beside/behind the patient’s affected side. Procedure: With one hand, depress and stabilize the scapula. With the other hand, rotate the patient’s arm internally and then perform a forward flexion passively in the … Continue reading Neer Impingement Test

Hawkins-Kennedy Impingement Test

Purpose of  Hawkins-Kennedy Impingement Test: To determine if there is an impingement in the shoulder joint (1). Patient position: Sitting upright with the affected arm relaxed by the side. Examiner position: Standing beside the patient’s affected side. Procedure: Elevate the affected arm to 90 degrees in forward flexion. Have the patient’s affected arm rest on your arm i.e., have the patient’s affected arm well supported … Continue reading Hawkins-Kennedy Impingement Test

Sulcus Sign

Sulcus Sign (Inferior Glenohumeral Instability) Purpose: To determine if there is a presence of inferior glenohumeral instability and/or laxity (1). Patient position: Standing or Sitting upright with back unsupported and with affected arm relaxed by the side. Examiner position: Standing beside the patient’s affected side. Procedure: Grasp the patient’s affected side arm, around the elbow (at the bicondylar axis of the humerus) and gently pull … Continue reading Sulcus Sign