Infraspinatus Test: Difference between revisions
No edit summary |
Evan Thomas (talk | contribs) No edit summary |
||
| Line 2: | Line 2: | ||
'''Original Editor '''- [[User:Tyler Shultz|Tyler Shultz]] | '''Original Editor '''- [[User:Tyler Shultz|Tyler Shultz]] | ||
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | ||
</div> | </div> | ||
== Purpose | |||
== Purpose == | |||
The Infraspinatus test is used to test for [[Subacromial Impingement|subacromial impingement]] or [[Rotator Cuff Tears|rotator cuff tears]].<br> | The Infraspinatus test is used to test for [[Subacromial Impingement|subacromial impingement]] or [[Rotator Cuff Tears|rotator cuff tears]].<br> | ||
== Technique<ref>Flynn, T.W., Cleland, J.A., and Whitman, J.M. (2008). User's guide to the musculoskeletal examination: Fundamentals for the evidence-based clinician. Buckner, Kentucky: Evidence in Motion</ref | == Technique<ref>Flynn, T.W., Cleland, J.A., and Whitman, J.M. (2008). User's guide to the musculoskeletal examination: Fundamentals for the evidence-based clinician. Buckner, Kentucky: Evidence in Motion</ref> == | ||
The patient should be standing, with the arm in a neutral position and the elbow flexed to 90 degrees. | The patient should be standing, with the arm in a neutral position and the elbow flexed to 90 degrees. The therapist will apply a medially directed force to the arm while the patient is instructed to resist. The test is considered positive if the patient reports pain or weakness when resistance is applied.<br> | ||
{{#ev:youtube|xVQy0qPU3Ho|300}}<ref>Physical Therapy Haven. Infraspinatus Test. Available from: https://www.youtube.com/watch?v=xVQy0qPU3Ho [last accessed 15/3/15]</ref> | {{#ev:youtube|xVQy0qPU3Ho|300}}<ref>Physical Therapy Haven. Infraspinatus Test. Available from: https://www.youtube.com/watch?v=xVQy0qPU3Ho [last accessed 15/3/15]</ref> | ||
| Line 20: | Line 21: | ||
'''Test Item Cluster:'''<br> This test may be combined as a cluster with the [[Hawkins / Kennedy Test|Hawkins-Kennedy Impingement Sign]] and the [[Painful Arc|Painful Arc]] sign to test for [[Subacromial Impingement|subacromial impingement]]. If all three tests report a positive, then the positive likelihood ratio is 10.56 and if all three tests are negative, the negative likelihood ratio is 0.17. If two of the three tests are positive, then the positive likelihood ratio is 5.03.<ref>Park, H.B., Yokota, A., Gill, H.S., EI RG, McFarland, E.G. (2005). Diagnostic accuracy of clinical tests for the different degrees of subacromial impingement syndrome. J Bone Joint Surg Am, 87(7), 1446-1455.</ref> | '''Test Item Cluster:'''<br> This test may be combined as a cluster with the [[Hawkins / Kennedy Test|Hawkins-Kennedy Impingement Sign]] and the [[Painful Arc|Painful Arc]] sign to test for [[Subacromial Impingement|subacromial impingement]]. If all three tests report a positive, then the positive likelihood ratio is 10.56 and if all three tests are negative, the negative likelihood ratio is 0.17. If two of the three tests are positive, then the positive likelihood ratio is 5.03.<ref>Park, H.B., Yokota, A., Gill, H.S., EI RG, McFarland, E.G. (2005). Diagnostic accuracy of clinical tests for the different degrees of subacromial impingement syndrome. J Bone Joint Surg Am, 87(7), 1446-1455.</ref> | ||
'''Test Item Cluster:'''<br>This test may be combined as a cluster with the [[Codman's Test|Drop-Arm Sign]] and the [[Painful Arc|Painful Arc Sign]] to test for the presence of a full-thickness [[Rotator Cuff Tears|rotator cuff tear]]. If all three tests report positive results, then the positive likelihood ratio is 15.6 and if all three tests are negative, the negative likelihood ratio is 0.16. If all three tests are positive and the patient is older than 60 years, | '''Test Item Cluster:'''<br>This test may be combined as a cluster with the [[Codman's Test|Drop-Arm Sign]] and the [[Painful Arc|Painful Arc Sign]] to test for the presence of a full-thickness [[Rotator Cuff Tears|rotator cuff tear]]. If all three tests report positive results, then the positive likelihood ratio is 15.6 and if all three tests are negative, the negative likelihood ratio is 0.16. If all three tests are positive and the patient is older than 60 years, th positive likelihood ratio is 28.0. If two of three tests are positive, the positive likelihood ratio is 3.60.<ref>Park, H.B., Yokota, A., Gill, H.S., EI RG, McFarland, E.G. (2005). Diagnostic accuracy of clinical tests for the different degrees of subacromial impingement syndrome. J Bone Joint Surg Am, 87(7), 1446-1455.</ref> | ||
<br> See [[Test Diagnostics|test diagnostics]] page for explanation of statistics. | <br> See [[Test Diagnostics|test diagnostics]] page for explanation of statistics. | ||
== References == | == References == | ||
<references /> | <references /> | ||
[[Category:Shoulder]] [[Category: | [[Category:Shoulder]] [[Category:Special_Tests]] [[Category:Shoulder]] [[Category:Shoulder Special Tests]] [[Category:Musculoskeletal/Orthopaedics]] | ||
Revision as of 06:25, 6 December 2017
Original Editor - Tyler Shultz
Top Contributors - Admin, Tyler Shultz, Rachael Lowe, Kim Jackson, Lilian Ashraf, Evan Thomas, Oyemi Sillo, Naomi O'Reilly, WikiSysop and Wanda van Niekerk
Purpose[edit | edit source]
The Infraspinatus test is used to test for subacromial impingement or rotator cuff tears.
Technique[1][edit | edit source]
The patient should be standing, with the arm in a neutral position and the elbow flexed to 90 degrees. The therapist will apply a medially directed force to the arm while the patient is instructed to resist. The test is considered positive if the patient reports pain or weakness when resistance is applied.
Evidence[edit | edit source]
Test Item Cluster:
This test may be combined as a cluster with the Hawkins-Kennedy Impingement Sign and the Painful Arc sign to test for subacromial impingement. If all three tests report a positive, then the positive likelihood ratio is 10.56 and if all three tests are negative, the negative likelihood ratio is 0.17. If two of the three tests are positive, then the positive likelihood ratio is 5.03.[3]
Test Item Cluster:
This test may be combined as a cluster with the Drop-Arm Sign and the Painful Arc Sign to test for the presence of a full-thickness rotator cuff tear. If all three tests report positive results, then the positive likelihood ratio is 15.6 and if all three tests are negative, the negative likelihood ratio is 0.16. If all three tests are positive and the patient is older than 60 years, th positive likelihood ratio is 28.0. If two of three tests are positive, the positive likelihood ratio is 3.60.[4]
See test diagnostics page for explanation of statistics.
References[edit | edit source]
- ↑ Flynn, T.W., Cleland, J.A., and Whitman, J.M. (2008). User's guide to the musculoskeletal examination: Fundamentals for the evidence-based clinician. Buckner, Kentucky: Evidence in Motion
- ↑ Physical Therapy Haven. Infraspinatus Test. Available from: https://www.youtube.com/watch?v=xVQy0qPU3Ho [last accessed 15/3/15]
- ↑ Park, H.B., Yokota, A., Gill, H.S., EI RG, McFarland, E.G. (2005). Diagnostic accuracy of clinical tests for the different degrees of subacromial impingement syndrome. J Bone Joint Surg Am, 87(7), 1446-1455.
- ↑ Park, H.B., Yokota, A., Gill, H.S., EI RG, McFarland, E.G. (2005). Diagnostic accuracy of clinical tests for the different degrees of subacromial impingement syndrome. J Bone Joint Surg Am, 87(7), 1446-1455.
