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TRANSCRIPT
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: