I am studying Physiotherapy at University and find your videos really helpful, and easy to understand. Thank you for producing such a great, professional, well produced resource.
It's really refreshing ; I've essentially been cluster testing for years (typically 3 at a given time) & similarly, find my self spending very little time testing. My strapline is yes, what is your main problem / 100% agree with you ; additionally, I'm all about symmetry, be it mvt patterns, muscle bulk, ROM. Mvt symmetry, be it for LL or UL functional screen provides so much more - start simple, add load and complexity until the symptom or compromise/compensation surface. Great delivery Khalid, clear , precise and zero waffle. Nice work.
Thank you for these videos! I'm studying to be a physical therapist assistant and they are really helping me study for my board exam and also understanding special tests or different diagnoses.
Great video as always! A couple of questions and points - the acj can refer into the anterolateral shoulder, right? So I tend to use this with any pain that isn't posterior. Thoughts? Also, Hawkins Kennedy is a sensitive test, so it is great to help rule out the shoulder if you're trying to differentiate between neck and shoulder. Again, I'd love your feedback :)
Hi! Thank you for your comments! Interesting point about the H+K test in differentiating between neck and shoulder, certainly worth considering and could be an option. We have a full webinar called “Neck vs Shoulder” which takes you through different ways of differentiating if you are interested. For ACJ, I tend to find that you can rule this in or out quite quickly; patients likely to have pain at ACJ subjectively and on Palpation, and tests like scarf are likely to be positive
I have a question for you because no doctor able to answer for this question; Is the tendon or ligament tier can heal or once ruptures will stay raptured forever? Thank you
Hi CP! Great content as always. I was wondering if you know of any research papers (preferably higher quality) that explore the pitfalls with traditional shoulder special tests like H+K, Apprehension, Lift Off, Drop Arm etc etc? I completely agree with your clinical reasoning but I was hoping to find some papers to provide evidence based support. Especially since I am about to go onto another MSK placement, where I feel I m made need to justify my reasoning for not using these tests to me CE/CI. thanks!!!
Hi Sam! Yes we have a full webinar on this that explores the evidence as well which is called “Clinical Anatomy of Shoulder Special Tests”! It’s available on membership or if you wish head to clinicalphysio.com/on-demand-webinars and you can search it there 😊
When I do the scarf test any front and lateral should hurts . I have pain when resisting internal rotation. It's been 6 weeks I have been. Doing rotator cuff exercises . What could be the cause as the pain is still there . I have shown it to a physical therapist and had some dry needling done too . I dropped a 90 pound dumbbell on my shoulder and the pain started after a week. No loss of motion or strength
I would absolutely suggest that if you are looking for answers that you should organise a physio consultation so you can get assessed specifically for your symptoms
Hey, so I was spinning my right arm around in a circle going clockwise (from my own perspective) for like 5-10 minutes and felt a slight subluxation for a few seconds as I did this. The next day, I noticed a clicking in the shoulder when rotating it in the same direction. I've had it in a sling ever since in the hopes that, if it's a partial labral tear, it will heal naturally. Can you please recommend how long I should keep it in the sling for? You think there's a chance it was a grade 1 tear that might heal if I sling it long enough? Haven't really had any pain. Any advice would help, thanks.
In the same way as hawkins kennedy - would biceps load test 1 and especially 2 just put that shoulder into a position that is generally painful if you had an angry cuff?
Great question Stephen! I suppose that’s the idea - it’s when you combine those 3 tests that it becomes most sensitive … I think the other thing is that SLAP tear subjective signs include Trauma, deep seated ache +/- clunking…. So that’s where the subjective + the tests is important, because I would be reducing suspicion of irritable rotator cuff tendinopathy after significant trauma … hope that makes sense
The O'Brien test doesn't really makes sense in my opinion, as one would expect more pain provocation in external rotation (more bicep load). Is there any evidence on the specificity and sensitivity for the combination of bicep load 1 & 2 without the O'brien? Nonetheless, great video!
Hi Khalid, Thank you for useful video. I just wanted to ask that is there any possibility that the patient with rotator cuff tendinopathy/tear present with sharp shooting pain along with numbness (mostly started after a few days of pain) ? Or is it most likely the referred pain from cervical spine? Thanks in advance!
Hi Azka, absolutely you are right that we should consider this to be a Cervical Spine problem first and foremost , consider also thinks like a brachial plexus injury or in worse case scenario an Upper Motor Neuron problem 🙏🏼
