Subacromial Pain Syndrome Cluster | SAPS
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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. A combination of the Hawkins-Kennedy Test, the Neer Test, a painful arc, the jobe / empty can test, and resisted external rotation is the best cluster to diagnose subacromial pain syndrome or SAPS
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ARTICLES:
Michener et al. (2009): www.ncbi.nlm.nih.gov/pubmed/1...
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Пікірлер: 55
Dus: -Hawkins Kennedy test (pass. endo) -Neer stest (pass anteflex) -empty can test -painful arc test -resisted exorotation test.
@Physiotutors What if I experience pain from resisting internal rotation on the last test?
What is your motivation to use Michener et al 2009 above Park et al 2005?
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,
@Physiotutors
6 жыл бұрын
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.
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Thanks for nice helpful video
@Physiotutors
5 жыл бұрын
Ur welcome Hoasm!
does andreas normally stand in slight right lateral flexion?
@Physiotutors
4 жыл бұрын
No idea
is the validation of these tests in standing and sitting position?
@sovietpigeon1364
2 жыл бұрын
wat boeit dat nou weer
I have pain only during third test. Should I be worried?
@Physiotutors
3 жыл бұрын
Nope
Ich hätte Angst das Kai mir die Schulter luxiert.. Gut trainiert 👍🏼
@Physiotutors
4 жыл бұрын
Andi's Schulter ist auch manchmal kurz davor!;)
My physio told me I have SAPS but I don’t feel pain in any of the tests. What should I do?
@Physiotutors
4 жыл бұрын
Maybe get a second opinion or ask your physio to explain
Subacromial region in Near's test gives me pain in my right shoulder :(
Very hard to focus on the test and not the body but good videos thanks
@Physiotutors
5 ай бұрын
You can rewatch it as many times as you like
@jolicska
4 ай бұрын
@@Physiotutors hahaha good humour
great video good physique by the way
@Physiotutors
4 жыл бұрын
Thanks 🙏🏼 appreciate it
Isn’t this also known as Hawkins Test and Neers test?
@therealMeastro
2 жыл бұрын
The guy litteraly says hawkins kennedy my dude,
How to difference in cervical spine damage verses shoulder injury
@pablito1904
4 жыл бұрын
Good question
@lindades6314
4 жыл бұрын
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. 😋
@donnawooten5471
4 жыл бұрын
Linda Des are there other problems of the anterior scapular region has sharp pains?
@lindades6314
4 жыл бұрын
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
@lindades6314
4 жыл бұрын
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...
where do you get those ratios from?
@Physiotutors
2 жыл бұрын
Can be calculated if you have sens and specs
3:20 dem obliques
@Physiotutors
4 жыл бұрын
😎
I don't understand why the clinical value is low, could you explain please?
@robbindrums
5 жыл бұрын
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.
@TheHadesShade
5 жыл бұрын
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
@Physiotutors
4 жыл бұрын
Why did idubbbz take our intro song?
Have your patient pull up his damn pants!