Load and Shift: Difference between revisions
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'''Original Editor '''- [[User:Tyler Shultz|Tyler Shultz]] | '''Original Editor '''- [[User:Tyler Shultz|Tyler Shultz]] | ||
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | ||
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== Purpose == | |||
This test is used to assess the stability of the [[Glenohumeral Joint|Glenohumeral joint]]. | |||
The patient should be seated. | == Technique<ref>Dutton, M. (2008). Orthopaedic: Examination, evaluation, and intervention (2nd ed.). New York: The McGraw-Hill Companies, Inc.</ref> == | ||
The patient should be seated. The therapist stabilizes the scapula to the thorax with one hand, while the other hand is placed across the posterior [[Glenohumeral Joint|GH joint]] line and humeral head, and the web space across the patient's acromion. The index finger should the over the anterior [[Glenohumeral Joint|GH joint]] line. The clinician should now apply a "load and shift" of the humeral head across the stabilized scapula in an anteromedial direction to assess anterior stability, and in a posterolateral direction to assess posterior instability. Normal motion anteriorly is half of the distance of the humeral head, more movement is considered to be a sign of [[Glenohumeral Joint|GH joint]] laxity.<br> | |||
{{#ev:youtube|txARar71h5E}}<ref>Physiotutors. Load and Shift Test ⎟ Shoulder Instability. https://www.youtube.com/watch?v=txARar71h5E</ref> | {{#ev:youtube|txARar71h5E}}<ref>Physiotutors. Load and Shift Test ⎟ Shoulder Instability. https://www.youtube.com/watch?v=txARar71h5E</ref> | ||
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<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: | [[Category:Special_Tests]] [[Category:Shoulder]] [[Category:Shoulder Special Tests]] [[Category:Musculoskeletal/Orthopaedics]] | ||
Revision as of 06:33, 6 December 2017
Original Editor - Tyler Shultz
Top Contributors - Admin, Rachael Lowe, Tyler Shultz, Kim Jackson, Dan Rhon, WikiSysop, Wanda van Niekerk, Tony Lowe, Evan Thomas, Naomi O'Reilly and Kai A. Sigel
Purpose[edit | edit source]
This test is used to assess the stability of the Glenohumeral joint.
Technique[1][edit | edit source]
The patient should be seated. The therapist stabilizes the scapula to the thorax with one hand, while the other hand is placed across the posterior GH joint line and humeral head, and the web space across the patient's acromion. The index finger should the over the anterior GH joint line. The clinician should now apply a "load and shift" of the humeral head across the stabilized scapula in an anteromedial direction to assess anterior stability, and in a posterolateral direction to assess posterior instability. Normal motion anteriorly is half of the distance of the humeral head, more movement is considered to be a sign of GH joint laxity.
Evidence[edit | edit source]
Gerber & Ganz report this test to be 100% sensitive for the detection of instability in patients with recurrent dislocation, but not subluxation.[3]
See test diagnostics page for explanation of statistics.
References[edit | edit source]
- ↑ Dutton, M. (2008). Orthopaedic: Examination, evaluation, and intervention (2nd ed.). New York: The McGraw-Hill Companies, Inc.
- ↑ Physiotutors. Load and Shift Test ⎟ Shoulder Instability. https://www.youtube.com/watch?v=txARar71h5E
- ↑ Gerber, C., Ganz, R. (1984) Clinical assessment of instability of the shoulder. J Bone and Joint Surg. 66B:551.
