Brilliantly explained and easy to understand. I have had keyhole surgery for rotator cuff cancelled twice.and feel that i shouldn't go through with this operation as with exercise my shoulder strength and range of movement is greatly improving. I do have difficulty grasping a broom handle behind my neck as my hand will not go back enough, for example,if i hold a broom handle above my head,when i lower it down it rubs against the back of my head.are there any specific exercises that i could do to alleviate this?. Once again thank you for simplifying and educating us,
Thanks for the compliment. It's hard to give you good advice without knowing your particular situation. In many cases a graded exercise program targeted on the rotator cuff will help.
Easy, Cervical could radiate to shoulder pain but if you rule out cervical involvement through quadrant scan. You are left with shoulder. You can then do shoulder examinations to assess which structure is impinged eg supraspinatus or it is long head of biceps. 😋
Anterior scapula region,,,, exact anterior there is subscapularis in the fossa but I don’t think there will be pain over the origin of muscle. As insertion of subscapular pain is more common ( lesser tuberosity of humerus). Also by anterior scapula pain you’re mean crocacoid process area and if the pain is sharp pain it could be TOS, some specific nerve impingement such as Axillary nerve as the sensation areas is over anterior shoulder..... hope that helps
Hi TheHadesShade. People with shoulder pain presented in the clinic al ready have a pre-test probability of 80% of having subacromial pain syndrome (SAPS) or in old terms you could say 'impingment'. So if you want to increase the post-test probability from 80% to perhapes 90% of 95% you need a cluster of tests with a high positive Likelyhood ratio (over 10 or 20, or 30 depends). So knowing this test cluster is having a low positive likely hood ratio the post test probabilty stays 80% or perhaps decreases and can make you clinically uncertain that a patient is having SAPS. So better to ask questiones to differentiate in stead of differentiatie with tests in this case.
Dus:
-Hawkins Kennedy test (pass. endo)
-Neer stest (pass anteflex)
-empty can test
-painful arc test
-resisted exorotation test.
Short and sweet videos ❤ I love this channel
Glad you enjoy it!
Emekleriniz için minnettarım ❤❤❤
Brilliantly explained and easy to understand. I have had keyhole surgery for rotator cuff cancelled twice.and feel that i shouldn't go through with this operation as with exercise my shoulder strength and range of movement is greatly improving.
I do have difficulty grasping a broom handle behind my neck as my hand will not go back enough, for example,if i hold a broom handle above my head,when i lower it down it rubs against the back of my head.are there any specific exercises that i could do to alleviate this?.
Once again thank you for simplifying and educating us,
Thanks for the compliment. It's hard to give you good advice without knowing your particular situation. In many cases a graded exercise program targeted on the rotator cuff will help.
Very hard to focus on the test and not the body but good videos thanks
You can rewatch it as many times as you like
@@Physiotutors hahaha good humour
Thanks for nice helpful video
Ur welcome Hoasm!
3:20 dem obliques
😎
How to difference in cervical spine damage verses shoulder injury
Good question
Easy, Cervical could radiate to shoulder pain but if you rule out cervical involvement through quadrant scan. You are left with shoulder. You can then do shoulder examinations to assess which structure is impinged eg supraspinatus or it is long head of biceps. 😋
Linda Des are there other problems of the anterior scapular region has sharp pains?
Anterior scapula region,,,, exact anterior there is subscapularis in the fossa but I don’t think there will be pain over the origin of muscle. As insertion of subscapular pain is more common ( lesser tuberosity of humerus). Also by anterior scapula pain you’re mean crocacoid process area and if the pain is sharp pain it could be TOS, some specific nerve impingement such as Axillary nerve as the sensation areas is over anterior shoulder..... hope that helps
Donna Wooten I think sharp pain is commonly nerve involvement, but it’s important to rule other structure too. As acute pain is usually sharp...
@Physiotutors What if I experience pain from resisting internal rotation on the last test?
where do you get those ratios from?
Can be calculated if you have sens and specs
I have pain only during third test.
Should I be worried?
Nope
Ich hätte Angst das Kai mir die Schulter luxiert..
Gut trainiert 👍🏼
Andi's Schulter ist auch manchmal kurz davor!;)
does andreas normally stand in slight right lateral flexion?
No idea
What is your motivation to use Michener et al 2009 above Park et al 2005?
great video
good physique by the way
Thanks 🙏🏼 appreciate it
❤
is the validation of these tests in standing and sitting position?
wat boeit dat nou weer
Isn’t this also known as Hawkins Test and Neers test?
The guy litteraly says hawkins kennedy my dude,
My physio told me I have SAPS but I don’t feel pain in any of the tests. What should I do?
Maybe get a second opinion or ask your physio to explain
Subacromial region in Near's test gives me pain in my right shoulder :(
I don't understand why the clinical value is low, could you explain please?
Hi TheHadesShade. People with shoulder pain presented in the clinic al ready have a pre-test probability of 80% of having subacromial pain syndrome (SAPS) or in old terms you could say 'impingment'. So if you want to increase the post-test probability from 80% to perhapes 90% of 95% you need a cluster of tests with a high positive Likelyhood ratio (over 10 or 20, or 30 depends).
So knowing this test cluster is having a low positive likely hood ratio the post test probabilty stays 80% or perhaps decreases and can make you clinically uncertain that a patient is having SAPS.
So better to ask questiones to differentiate in stead of differentiatie with tests in this case.
What specific questions should be asked then? I don't think there has been an delphi study about that yet.
Why did you take idubbbz intro song
Why did idubbbz take our intro song?
Have your patient pull up his damn pants!