Apley’s Test Testing for anterior instability of the GHJ.

Pain and inability to perform

the movements.

O’Briens Test Scapular instability or tears in subscapularis tendon. Sensitivity 99%

specificity 100% labral tears.

Apprehension Otherwise known as ‘crank’ test. Pain and forward translation for
Test positive test. Sensitivity 66% Specificity 99%

Bicipital tendonitis, impingement syndrome or rotator cuff bursitis may

also present S.L.A.P. lesion
Speed’s Test
Sensitivity 4-100%

Specificity 11-100%

Yergason’s Test Biceps tendon pathology. Sensitivity 50% Specificity 79-93%

Positive pain or weakness – biceps strain or tendinitis, tendon slipping

out of groove = torn transverse humoral ligament.

Lift Off Test Or Gerbers Test – scapular instability or tears in subscapularis

Positive inability to lift hand off sacrum

Sensitivity 97%
Specificity 96%

Coddman’s Drop Supraspinatus tears

Arm Sensitivity 88%

Specificity 27%

Jobe’s Empty Subacromial pain syndrome (SAPS)

Can Test Sensitivity 74%

Specificity 30%

Low clinical value on its own

Hawkin’s Impingement of the Supraspinatus tendon

Kennedy Test Sensitivity 80%

Specificity 52%
Neer’s Test

Subacromial pain syndrome (SAPS)

Positive pain during movement

Sensitivity 72%

Specificity 60%

Test INTERPRETATION/WHAT TISSUE STRUCTURE DOES THIS TEST

LOAD? For you to complete
 Study Guide Questions: 7.5
The questions for this week will focus on components of
neurological examination and nerve levels associates with
neurological compromise.

What nerve level causes? Nerve level

Weak arm abductors C5
Numbness medial elbow T1
Brachioradialis reflex +1 C6
Wrist flexion +5 C7

What disc level causes? Nerve level

C5 IVF encroachment C5
Biceps DTR +1 C4
Arm abduction +4 C4
Brachioradialis +2 C5 (normal)
Grip strength +3 C5
Finger Extension +3 C6

What IVF level causes? Nerve level

Biceps DTR +2 C4
Arm Abduction +4 C4
Brachioradialis +3 C5
First two digits numb C5

Nerve Indicators Where is compression?

Radiculopathy Nerve root
Neuropathy Peripheral nerve
Myelopathy Spinal cord

Radiculagia Pain re nerve root

Neuralgia Pain re peripheral nerve
Radiculitis Irritation to nerve root
Neuritis Irritation to peripheral nerve