Page 440 - 2021 IDMT Digital

6 Apprehension Test Examiner passively abducts A patient complaint of
and externally rotates the instability is a positive
shoulder while the patient is apprehension test and
sitting or in the supine indicates anterior shoulder
position instability
A gentle force directed over
the posterior humerus or
increased passive abduction
may elicit apprehension
7 Relocation Test Patient’s arm is placed Relief of a patient’s
into the apprehension test apprehension symptoms is a
position until the patient feels positive relocation test; this is
pain or apprehension further proof of symptomatic
anterior shoulder instability
A posteriorly directed force is
applied on the anterior aspect
of the patient’s upper
humerus
8 Passive Cross-Chest Examiner passively brings the Pain that the patient localizes
Adduction Test patient’s arm into maximal to the acromioclavicular joint
cross-chest adduction is a positive test
This indicates injury or
arthritis of the
acromioclavicular joint
9 Speed’s Test Patient’s shoulders are flexed Pain elicited in the anterior
to 90 degrees with the elbows shoulder is a positive test and
extended and the forearms indicates biceps tendonitis
fully supinated (palms up)
Patient is asked to hold
the arms in position while
a downward force is
applied at the wrists

10 Obrien’s Test Patient asked to forward Pain described as deep in the
flex the shoulder to 90 shoulder elicited with the
degrees with the elbow thumbs pointed downward
extended and then bring the indicates a labral tear
arm an additional 15 degrees
toward the midline
Patient asked to maximally
externally rotate the shoulder
with the palm up and
maximally internally rotate
the shoulder with the thumb
pointed down
Patient is asked to resist a
downward force

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