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Evidence-­‐Based  Examination  of  the  Shoulder    Practice  Session  &  Skills  Check-­‐offs  

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 Evidence-­‐Based  Examination  of  the  Shoulder  Presented  by  Eric  Hegedus,  PT,  DPT,  MHSC,  OCS,  CSCS    Practice  Sessions/Skill  Check-­‐offs    

Chapter  Four:  Triage  and  Screening  (20  minutes  CEU  time)  

Skilled  Process   Review  in  Chapter  

Photo   Description   Check  Off  

Perform  the  Olecranon  Manubrium  Percussion  Test  

Slide  19      

The  patient  is  seated.  The  examiner  taps  on  the  involved  side  olecranon  while  using  a  stethoscope  placed  on  the  patient’s  manubrium.  This  process  is  repeated  on  the  uninvolved  side  and  the  results  are  compared.  A  positive  test  for  fracture  dislocation  is  a  muted  sound  on  the  involved  side  

Perform  the  Bony  Apprehension  Test  

Slide  20  

The  patient  is  sitting  or  standing.  Examiner  standing  behind  patient  holding  the  lateral  forearm  with  one  hand  and  placing  the  other  hand  on  the  posterior  aspect  of  the  humeral  head.    The  examiner  moves  the  affected  arm  into  45  degrees  abduction  and  45  degrees  external  rotation  

A  full  Upper  Quarter  Screen  

Slide  16   Dermatomes,  Myotomes,  Reflexes,  UMN  test  (Hoffman’s).  Discuss  interpretation  of  findings:  What  do  findings  of  hypo-­‐  or  hyper-­‐reflexia  mean?  What  do  findings  of  decreased  sensation  and  decreased  strength  in  the  same  dermatome/myotome  mean?  How  about  in  changes  in  different  combinations  of  dermatomes,  myotomes,  reflexes?  How  would  a  

Evidence-­‐Based  Examination  of  the  Shoulder    Practice  Session  &  Skills  Check-­‐offs  

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brachial  plexus  injury  present?  May  need  to  use  PubMed  to  discover  these  answers  

Notes: