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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
Sat Feb 26 2011, 05:47pm
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

NORWOOD TEST

Patient position : Supine
PT position : At the side of shoulder to be assessed facing leg side.
Test : Examiner rotates the shoulder and abducts it to 90 degree, uses th eother hand to stabilise the scapula. The shoulder is moved into forward flexion and the forearm pushed posteriorly. The test be performed slowly to avoid subluxation or dislocation.
Sign/Interpretation : Posterior movement or slip of humerus at the shoulder relative to glenoid indicates posterior instability.

Sun Feb 27 2011, 06:56am
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

JERK TEST

Patient position : Sitting
PT position : At the side of the shoulder to be assessed
Test : Patients elbow is flexed, the shoulder is forward flexed to 90 degree and internally rotated using one hand while other hand is used to stabilise the back of the patient. The humerus is then axially loaded through the elbow in a proximal direction and shoulder is horizontally moved at the same time.
Sign/Interpretation : Humeral head slides off the back of the glenoid with a jerk indicating recurrent posterior instability.

Sun Feb 27 2011, 02:02pm
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

PUSH PULL TEST

Patient position : Supine
PT position : Side of the shoulder to be assessed facing towards the legs
Test : Examiner uses one arm to hold the wrist and abduct the shoulder to approximately 90 degree and forward flex it to 30 degree, the other hand is used to push the humerus posteriorly holding it close to the humeral head while pulling the arm at the wrist.
Sign/Interpretation : apprehension, posterior movement of about 50% or more indicates posterior instability.

Tue Mar 01 2011, 06:51pm
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

SULCUS TEST

Patient position : Sitting with arm by side
PT position : At the side to be assessed
Test : Examiner holds the wrist with one hand and with other hand holding the forearm near the elbow pushing it downwards by a longtitudinal pressure
Sign/Interpretation : A sulcus formation at shoulder indicating inferior instability.

Wed Mar 02 2011, 06:12pm
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

FEAGIN TEST

Patient position : Standing
PT position : At the side of the shoulder to be assessed
Test : Patient's sholder is abducted to 90 degree and kept on the examiner's shoulder with elbow in extended position, examiner uses both hands to grasp proximal humerus and pushes it inferiorly and anteriorly
Sign/Interpretation : Apprehension, pain indicating anterioinferior instability of the shoulder.

Thu Mar 03 2011, 05:39am
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

CAPSULAR LAXITY TEST

Patient position : Standing
PT position : At the side of the shoulder to be assessed
Test : Examiner places one hand over the glenohumeral joint while the patient flexes the shoulder to a horizontal position
Sign/Interpretation : Glenohumeral joint clicks back into plave with some discomfort at around 80 degree of flexion indicating capsular laxity of the glenohumeral joint.

Fri Mar 04 2011, 08:44pm
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

CLUNK TEST

Patient position : Supine
PT position : Behind the shoulder to be assessed
Test : Places one arm on the humeral head posteriorly, holds the distal humerus with the other hand and moves the shoulder into abduction fully and externally rotating it while pushing the humerus anteriorly. The humeral head is repositioned by lifting the arm into horizontal adduction
Sign/Interpretation : A clunk sensation felt during the movement and relocation indicates glenoid labrum tear.

Sun Mar 06 2011, 04:25pm
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

SUPRASPINATUS TENDONITIS TEST:

Patient position : Sitting or standing
PT position : Anterior, facing the patient
Test : Patient's forearm is held and ahoulder abducted to horzontal position; patient is then asked to abduct the arm against the resistance applied by the examiner.
Sign/Interpretation : Pain over supraspinatus insertion indicating tendonitis of supraspinatus.

Mon Mar 07 2011, 06:05am
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

DROP ARM TEST:

Patient position : Standing
PT position : Anterior to and facing the patient
Test : Patients arm is abducted to 90 degree by the examiner with elbow in extended position, and patient is instructed to slowly lower the arm to the side.
Sign/Interpretation : Unable to bring down the arm slowly due to pain, dropping the arm down indicating rotator cuff injury or tear, specially in the supraspnatus muscle; patient may be able to hold arm in abducted position but connot be able to bring down slowly, or a tap on the forearm when in abducted position causes the arm to fall down.

Tue Mar 08 2011, 08:34pm
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

IMPINGEMENT TEST:

Patient position : Sitting or standing
PT position : At the side of the shoulder to be assessed
Test : Examiner abducts patient's shoulder to 90 degree by holding at the forearm, then adducts horizontally across the chest and internally rotating the arm while maintaining 90 degree of shoulder flexion.
Sign/Interpretation : Pain at shoulder or acromial tip region indicating rotator cuff impingement.

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