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physicaltherapy: 05 Feb : 06:54 pm

Is there anyone who has gone through CWT6 or type 1 evaluation with FCCPT?
If so, kindly let me know from where can the following deficiencies be fulfilled?
1. History
2. Systems Review
3. Findings that warrant referral
4. Supervision of support staff
5. Documentation

nani: 28 Sep : 04:31 am

plz pleasec tell me where to do phd in india

Nikhilphysio: 02 Jun : 03:55 am

I am working as physiotherapist in Shalby hospital ahmedabad for 4 years. I have passed out from Rajiv gandhi university of health and sciences Bangalore. I want to apply for Newzealand physiotherapy board registration so anyone there from India who got registered as physiotherapist in new zealand please help me.

Arun: 10 May : 12:36 am

Hi Priyank, welcome. Feel free to go through these forum threads returned by search [link]

Priyank: 09 May : 10:28 pm

Hi..need advice. What are the options in Australia after MPT?


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Physioblasts.Org - India's collaborative physiotherapy community & free learning portal :: Forums :: Practice Forum :: Investigation Tools
 
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SPECIAL PHYSICAL ASSESSMENT TESTS (part 2 - Shoulder)

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Moderators: Arun, Boopathi, Robin, baskar, AJIN, MDK-Physio
Author Post
Sun Feb 20 2011, 07:14pm
Robin
Keep looking around. There's always something you've missed.

Registered Member #4
Joined: Thu Jul 08 2004, 06:56am
Location: Kollam, Keralam, INDIA
Posts: 2120

I hope everyone will join and add some special tests pertaining to the shoulder region here:

GLENOHUMERAL JOINT STABILITY TEST:
Patient position : Supine
PT position : To the side of the shoulder to be assessed.
Test : Grasp the proximal humerus with both hands, pull humerus anteriorly and then push posteriorly
Sign/Interpretation : Humeral head moving excessively anteriorly or posteriorly indicates glenohumeral instability.


[ Edited Mon Feb 21 2011, 06:10am ]

Sun Feb 20 2011, 07:25pm
Robin
Keep looking around. There's always something you've missed.

Registered Member #4
Joined: Thu Jul 08 2004, 06:56am
Location: Kollam, Keralam, INDIA
Posts: 2120

ROCKWOOD TEST:


Patient position : Sitting erect without back support
PT position : Behind the patient
Test : Grasp the wrists of patient and rotates the shoulders externally to the neutral position, abducting to 45 degree and further externally rotating the shoulders. Procedure to be repeated at 90 and 120 degrees too.
Sign/Interpretation : Apprehension of movement at each degree tested with pain posteriorly indicates anterior instability.

Sun Feb 20 2011, 07:34pm
Robin
Keep looking around. There's always something you've missed.

Registered Member #4
Joined: Thu Jul 08 2004, 06:56am
Location: Kollam, Keralam, INDIA
Posts: 2120


PROTZMAN TEST:

Patient position : Standing or sitting on a high chair
PT position : Lateral to the shoulder to be assessed
Test : Shoulder abducted to 90 degree and resting on the examiner's  upper arm, muscles relaxed, anterior aspect of humeral head is palpated deep into axilla while one hand is used to push the humeral head anteriorly and inferiorly from the posterior aspect.
Sign/Interpretation : Pain and abnormal anterioinferior movement showing anterior instability.

Mon Feb 21 2011, 06:19am
Robin
Keep looking around. There's always something you've missed.

Registered Member #4
Joined: Thu Jul 08 2004, 06:56am
Location: Kollam, Keralam, INDIA
Posts: 2120

ANTERIOR APREHENSION TEST

Patient position : Supine
PT position : Lateral to the side of the shoulder to be assessed
Test : One arm holds patient's forearm distally and the other hand stabilises elbow and the elbow is flexed to 90 degree, abducted to 90 degree and slowly externally rotated at the shoulder.
Sign/Interpretation : Patient resisting the movement, or has an apprehension on movement indicating anterior joint instability. Test to be performed with caution and slowly to avoid further/ recurrent shoulder disclocation in case of already suspected one.

Mon Feb 21 2011, 05:14pm
Robin
Keep looking around. There's always something you've missed.

Registered Member #4
Joined: Thu Jul 08 2004, 06:56am
Location: Kollam, Keralam, INDIA
Posts: 2120

ANTERIOR INSTABILITY TEST

Patient position : Sitting / standing
PT position : Behind and towards the side to be assessed
Test : Places one hand over the shoulder with index finger palpatting over the humeral head anteriorly, middle finger over coracoid process and thumb over humeral head posteriorly, and uses the other hand to grasp the wrist of the patient to abduct the arm and externaly rotate it at the shoulder.
Sign/Interpretation : Examiner's index finger if moved anteriorly when the arm is abducted and rotated shows anterior instability at the shoulder.

Mon Feb 21 2011, 09:11pm
Robin
Keep looking around. There's always something you've missed.

Registered Member #4
Joined: Thu Jul 08 2004, 06:56am
Location: Kollam, Keralam, INDIA
Posts: 2120

ROWE TEST

Patient position : Supine
PT position : At the side of the shoulder to be assessed
Test : Patient instructed to keep the hand of the side to be assessed under the head while the examiner places one hand over posterior humeral head and pushes it up while other hand slightly extends the patient's shoulder
Sign/Interpretation : Apprehension and pain on movement indicates anterior instability

Tue Feb 22 2011, 08:33pm
Robin
Keep looking around. There's always something you've missed.

Registered Member #4
Joined: Thu Jul 08 2004, 06:56am
Location: Kollam, Keralam, INDIA
Posts: 2120

FULCRUM TEST

Patient position : Supine
PT position : At the side of the shoulder to be assessed
Test : The examiner places one hand underneath the glenohumeral joint to be assessed and uses it as a fulcrum when the arm is gently extended and externally rotated at shoulder by holding the wrist with the other hand.
Signs/Interpretation : Apprehension and pain on movement indicates anterior instability of shoulder

Wed Feb 23 2011, 05:22pm
Robin
Keep looking around. There's always something you've missed.

Registered Member #4
Joined: Thu Jul 08 2004, 06:56am
Location: Kollam, Keralam, INDIA
Posts: 2120

ANTERIOR DRAWER TEST

Patient position : Supine
PT position : At the side of the shoulder to be assessed
Test : The arm is abducted to 90 degree, elbow flexed that patients arm is held under the examiner's axilla, proximal humerus is held with one hand and forward flexed to 20 degree and external rotated to 20-30 degrees while the other hand stabilizes the scapula. Then the spine of scapula is pushed forward with index and middle finger while the hand holding proximal humerus is used to draw the humerus anteriorly.
Sign/Interpretation : A click sound, pain or apprehension indicates anterior instability.

Fri Feb 25 2011, 08:32am
Robin
Keep looking around. There's always something you've missed.

Registered Member #4
Joined: Thu Jul 08 2004, 06:56am
Location: Kollam, Keralam, INDIA
Posts: 2120

POSTERIOR APPREHENSION TEST

Patient position : Supine
PT position : At the rib side to assessed, facing the patients head side
Test : Holds patient's flexed elbow with one hand, stabilises shoulder with the other hand, flexes shoulder and internally rotate to 90 degree and a posterior force is applied at the elbow
Sign/Iterpretation : Apprehension, alarm reaction, pain and resisting further movements indicates Posterior instability or disclocation of shoulder.

Sat Feb 26 2011, 08:52am
Robin
Keep looking around. There's always something you've missed.

Registered Member #4
Joined: Thu Jul 08 2004, 06:56am
Location: Kollam, Keralam, INDIA
Posts: 2120

POSTERIOR DRAWER TEST

Patient position : Supine
PT position : side of the shoulder to be assessed
Test : Examiner grasps patients forearm with one hand and flexes the elbow to 120 degree, abducts shoulder 80-120 degree and forward flexes it to 30 degree, while other hand is used to stabilise scapula using index and middle fingers on spine of scapula and thumb on coracoid process. Shoulder is then interanlly rotated and forward flexed to 60-80 degree and humerus posteriorly pushed.
Sign/Interpretation : Apprehension, pain indicating posterior instability.

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