Relocation test or Fowler’s sign (anterior glenohumeral instability)

Purpose: To detect or confirm if there is an anterior instability of the glenohumeral joint (1-3). Patient position: Supine lying. Examiner position: Stand facing the patient’s affected side. Procedure: Perform an apprehension test on the affected glenohumeral joint. At the point where the patient experiences instability or pain, apply a posteriorly directed glide to the glenohumeral joint. According to Speer et al (2), bring your … Continue reading Relocation test or Fowler’s sign (anterior glenohumeral instability)

Fulcrum test (anterior glenohumeral instability)

Purpose: To test if there is an anterior instability of the glenohumeral joint (1). Patient position: Supine lying. Examiner position: Stand facing the patient’s affected side. Procedure: Gently flex the patient’s affected side elbow joint to 90 degrees and abduct the shoulder joint to 90 degrees, maintaining the humerus in neutral rotation. Gently perform lateral rotation of the patient’s affected shoulder joint until the end … Continue reading Fulcrum test (anterior glenohumeral instability)

Apprehension test (anterior glenohumeral instability)

Purpose: To test if there is an anterior instability of the glenohumeral joint (1). Patient position: Supine lying. Examiner position: Stand facing the patient’s affected side. Procedure: Grasp the elbow and wrist of the patient’s affected arm using your left and right hands respectively. Gently flex the patient’s affected side elbow joint to 90 degrees and abduct the shoulder joint to 90 degrees, maintaining the … Continue reading Apprehension test (anterior glenohumeral instability)

Anterior drawer test (anterior glenohumeral instability)

Purpose: To test if there is an anterior instability of the glenohumeral joint. Patient position: Supine lying. Examiner position: Stand facing the patient’s affected side. Procedure: Place the patient’s affected shoulder just over edge of the examination table. Assuming the patient’s left shoulder is being tested, fix the patient’s left hand in the examiner’s right axilla by adducting the examiner’s right humerus (1). The patient … Continue reading Anterior drawer test (anterior glenohumeral instability)

Spurling’s test

Purpose: To identify the presence of cervical radiculopathy among patients with upper quadrant pain (1, 2). Patient Position: Sitting upright. Examiner Position: Standing beside or behind the patient. Procedure: Move the patient’s head into lateral flexion/rotation to the unaffected side. Carefully apply axial compression vertically downwards through the head. Repeat the same on the affected side. Bradley et al. suggestions: Stage 1: Compress the head in neutral position. Stage 2: Compress the head … Continue reading Spurling’s test