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Shoulder PT Assessment
Shoulder PT Assessment
Choudhary
(PT)
Assessment Format for Shoulder Joint
NAME:
AGE/SEX:
ADDRESS:
OCCUPATION:
HAND DOMINANCE:
AFFECTED SIDE:
SOCIOECONOMIC CONDITION:
CHIEF COMPLAINTS:
HISTORY:
Present History
Family History
Personal History
Surgical History
o Date of Admission
o Date of Operation
o Brief explanation about the procedure
o Date of Discharge
o Date of Examination
o Quality of Pain:
o Temporal Variations:
o Numerical Rating Scale / Visual Analog Scale:
o Precipitating Factors:
o Relieving Factors:
ON OBSERVATION:
GENERAL
Facial Expression:
Posture:
o Lying
o Sitting:
Anterior view
Posterior view
Lateral view
o Standing:
Anterior view
Posterior view
Lateral view
Gait
External Aids
LOCAL
Attitude of limb / Deformity
Swelling / Wasting
Redness
Scar
Trophic Changes
ON PALPATION:
Temperature
Tenderness
Spasm:- Difference in tissue tension
Swelling
Crepitus / Abnormal sounds
ON EXAMINATION:
Extension
Abduction
Adduction
Internal
rotation
External
rotation
Endfeel
Capsular patterns
Manual Muscle Testing
Resisted
Right Muscle Left Isometrics
Side Side
Upper Trapezius
Middle Trapezius Tightness
Lower Trapezius
Scar Rhomboids (Major and Minor) Examination:
Pectoralis Major
o Serratus Anterior Mobile/
Deltoid Immobile
Latissimus Dorsi
o Healed / Not
Supraspinatus
Infraspinatus Healed
o Teres minor Painful /
Subscapularis Painfree
Biceps Brachii
Girth Brachailis
Brachioradialis
Triceps Brachii
Measurement
Sensations:
o Superficial
o Deep
o Combined cortical
Reflexes:-
o Biceps Jerk
o Triceps Jerk
o Brachioradialis Jerk
Special Tests:-
o Load and Shift Test
o Sulcus sign
o Hawkins- Kennedy Test
o Apley’s Scratch Test
o Drop Arm Test
o Yergason’s Test
o Empty Can Test
o Tests for Cervical Spine
o Tests for Thoracic Outlet Syndrome
Functional Assessment:-
o Shoulder Pain And Disability Index (SPADI)
o Upper Extremity Functional Scale
PROVISIONAL DIAGNOSIS:
INVESTIGATIONS:
DIFFERENTIAL DIAGNOSIS: