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The Apley scratch test specifically tests range of motion and in a normal exam, an individual should be able to reach C7 on external rotation, and T7 on internal rotation. Evaluation of distal pulses; Strength testing: wrist extension tests the radial nerve, finger abduction tests the ulnar nerve, and thumb apposition tests the median nerve.
The tests differ in the rotation of the arm; in the empty can test, the arm is rotated to full internal rotation (thumb down) and in the full can test, the arm is rotated to 45° external rotation, thumb up. [1] Once rotated, the clinician pushes down on either the wrists or the elbow, and the patient is instructed to resist the downward pressure.
The Hawkins-Kennedy test [11] [12] has a sensitivity of approximately 80% to 90% for detecting impingement. The infraspinatus and supraspinatus [13] tests have a specificity of 80% to 90%. [10] A common cause of shoulder pain in rotator cuff impingement syndrome is tendinosis, which is an age-related and most often self-limiting condition. [14]
Jobe's test is a physical exam test that is used to detect anterior shoulder instability. It is used to distinguish between anterior instability and primary shoulder impingement. This test should be performed after the Apprehension test. [3] This test was named for Christopher Jobe. [4]
spinal muscle atrophy SMA-6: six-channel serum multiple analysis SMA-7: serum metabolic assay SMN: statement of medical necessity SMS: senior medical student SMT: spinal manipulative therapy: SMV: superior mesenteric vein: SN: student nurse skilled nursing SNB: sentinel node biopsy (ductal carcinoma) SNF: skilled nursing facility: SNHL ...
of or pertaining to the shoulder (or [rarely] the upper arm) Latin umerus, shoulder humerus: hydr(o)-water Greek ὕδωρ (húdōr), water hydrophobe, hydrogen hyper-extreme or beyond normal Greek ὑπέρ (hupér), over, above; beyond, to the extreme hypertension, hypertrichosis: hyp(o)-below normal Greek ὑπό, ὑπο-(hupó), below, under
A neurological examination is the assessment of sensory neuron and motor responses, especially reflexes, to determine whether the nervous system is impaired. This typically includes a physical examination and a review of the patient's medical history, [1] but not deeper investigation such as neuroimaging.
Spurling's test is somewhat specific when used for individuals with an abnormal electromyogram study and is a relatively sensitive physical examination maneuver in diagnosing cervical spondylosis or acute cervical radiculopathy. It is not a very sensitive test when used for individuals without classic radicular signs suggestive of cervical ...