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Speed’s Test

Speed’s Test. Bicipital Tendonitis. Drop Arm Test. Supraspinatus Involvement. Empty/Full Can Test. Supraspinatus Involvement. External Rotation Lag Sign (ERLS). Infraspinatus Involvement. Lift Off Test. Subscapularis Involvement. Adhesive Capsulitis.

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Speed’s Test

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  1. Speed’s Test Bicipital Tendonitis

  2. Drop Arm Test Supraspinatus Involvement

  3. Empty/Full Can Test Supraspinatus Involvement

  4. External Rotation Lag Sign (ERLS) Infraspinatus Involvement

  5. Lift Off Test Subscapularis Involvement

  6. Adhesive Capsulitis “A pathologic continuum initiated by synovial inflammation with resultant capsular fibrosis” It’s Inflammatory & Fibrosing

  7. Adhesive Capsulitis Patient Profile: • Females > Males • > 40 years of age • Correlated with DM • Associated with Thyroid and Autoimmune Diseases • Associated with CVA and MI • History of prolonged immobilization

  8. Adhesive Capsulitis 4 Stages Include: (1 – 3 years) • 1 - First 3 months, pain limits rom • 2 - The “freezing” Phase, months 3 - 9 • 3 - The “frozen” Phase, months 9 -14 • 4 - The “Thawing” Phase, after month 14 Types • Primary – idiopathic • Secondary – Acquired from a known cause

  9. Adhesive Capsulitis • Treatment • Medication for pain • Positioning for comfort • Education about the disease process • Gentle rom exercise in the early stages within established pain parameters • Reassure , Reassure & Reassure

  10. Considerations For Referral • Traumatic vs. Insidious • Acute vs. Chronic • Patient’s Age & Activity Level • Acromion Type • Structural Deformity • Severity of Limitations • Patient’s Overall Health • Compliance History (In LCR)

  11. Physical TherapyConsiderations • What is the movement system diagnosis (independent of the pathophysiologic diagnosis)? • Are there movement abnormalities that are correctable? • What corrective exercise/postural re-education would benefit this patient? • Compensatory strategies? • Is this patient compliant?

  12. Bibiliography • Davies, George J., Wilk, Kevin, Ellenbecker, Todd, Et Al., Current Concepts of Orthopaedic Physical Therapy, 2nd Edition, The Shoulder: Physical Therapy Patient Management Utilizing Current Evidence. APTA, Orthopaedic Section, 2006. • Magee, David J., Orthopedic Physical Assessment, Fourth Edition. Philadelphia, Saunders, 2002. • Neumann, Donald A., Kinesiology of the Musculoskeletal System, Foundations for Physical Rehabilitation. St. Louis, Mosby, 2002. • SahrmannS. Diagnosis and Treatment of Movement Impairment Syndromes. St. Louis, Mosby, 2002.

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