Скачать или смотреть Passive & Special Tests for Shoulder Assessment

Shoulder pain is one of the most common musculoskeletal complaints, and differentiating between muscle, tendon, ligament, joint, or nerve-related issues is crucial for effective treatment.

In this video, we take an in-depth look at passive movement testing and key special orthopedic tests that will help you identify and diagnose common shoulder pathologies with confidence. These tests are widely used in clinical settings to assess a range of conditions, including:

🔹 Shoulder impingement syndrome – When structures like the rotator cuff tendons get compressed, leading to pain and restricted motion.
🔹 Rotator cuff tendinopathy – Chronic irritation and inflammation of the rotator cuff muscles, often due to repetitive use or injury.
🔹 Bicipital tendinitis & tendinopathy – Inflammation or degeneration of the long head of the biceps tendon, often seen in overhead athletes and individuals with chronic shoulder pain.
🔹 Bursitis – Inflammation of the subacromial bursa, causing pain and impingement-like symptoms.
🔹 Acromioclavicular (AC) joint dysfunction – Pain and instability in the AC joint due to injury or degeneration.
🔹 Labral tears & SLAP lesions – Damage to the glenoid labrum, often causing instability and pain, particularly with overhead motions.
🔹 Shoulder instability & dislocations – Identifying anterior instability or excessive movement in the glenohumeral joint.

Understanding passive range of motion (ROM) testing is fundamental to evaluating whether pain is muscular, capsular, or joint-related. Passive testing helps remove muscle activation, allowing for a more accurate assessment of joint integrity and pain provocation. Additionally, performing special orthopedic tests in a structured manner will help rule in or rule out specific conditions and guide your treatment decisions effectively.

🩺 Special Tests Covered in This Video:
🔹 Yocum’s Test – Shoulder impingement assessment
🔹 Empty Can & Full Can Tests – Supraspinatus muscle involvement
🔹 Speed’s Test – Biceps tendon pathology
🔹 Hawkins-Kennedy Test – Identifying impingement syndrome
🔹 Scarf Test – AC joint pathology & impingement
🔹 Yergason’s Test – Biceps tendon stability assessment
🔹 Apprehension Test – Shoulder instability & SLAP lesions
🔹 Biceps Load Test – SLAP tear detection

Each of these tests serves as a piece of the diagnostic puzzle, helping clinicians determine the root cause of shoulder pain and tailor treatment accordingly.

Becky Tyler, is a highly qualified, versatile Osteopath with over 13 years experience treating patients. Qualified in Osteopathy, Paediatric Osteopathy, Sports massage, Personal training, Swimming teaching and more, her passion for helping people and love for the job keeps Becky always seeking her next course.

Working with high level Sportsman including Tom Birchall (Sidecar racer) and Oliver Townsend MBE (a British eventing rider) Becky fully appreciates the demands of high level sport and the importance of having a good therapy programme that fits inline with the demands of training and competing.

Becky is a natural and inspirational teacher who thoroughly enjoys passing on her knowledge to the next generation of therapists through teaching and assessment.

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0:00 Introduction – Importance of Shoulder Assessment
0:30 Passive Movement Testing Explained
3:00 Muscle vs. Joint Pain – Key Differences
3:45 Yocum’s Test – Shoulder Impingement Detection
4:30 Empty Can & Full Can Tests – Rotator Cuff Assessment
5:15 Speed’s Test – Diagnosing Biceps Tendinitis
6:00 Hawkins-Kennedy Test – Identifying Shoulder Impingement
6:45 Scarf Test – AC Joint Dysfunction & Impingement
7:30 Yergason’s Test – Biceps Tendon Stability Check
8:15 Apprehension Test – Assessing Shoulder Instability
9:00 Biceps Load Test – SLAP Lesion Identification
10:30 Key Considerations for Shoulder Assessment
11:15 When to Use Each Special Test
12:00 Putting It All Together – Full Shoulder Exam Approach
13:00 Final Thoughts & Best Practices for Clinicians

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