I am a medical transcriptionist and sometimes it is difficult to visualize what the physician is dictating. These little videos are a great way for clearing this up for those in my profession.
This is not correct. A patient with a positive drop-arm can't complete a full active shoulder elevation. Therefore you need to lift the patient's arm into complete elevation and then let the patient complete the excentric full elevation down into 0-position.
^that's right. to be more accurate - the patient would have difficulty initiating the abduction (0 to 15 degrees) and would require assistance from the dr to lift up the arm to ~180 degrees (bascially full abduction). In isolated supraspinatous tear where the deltoid & axillary nerve are intact, the patient would be able to be 'let go off' and pt would be able to hold their affected arm up in complete abduction by themselves. Then upon asking them to lower their arms - 0:11 onwards would occur
@@fernie3017 Yeah this video is, pardon my language: stupid. If the patient indeed can perform the full concentric elevation as shown there is no reason to do the test whatsoever, as it per definition would be negative, as a concentric movement is more strainful than its corresponding eccentric counterpart.
Shouldn't the therapist / examinator first bring the arm in maximal abduction/elevation? If the test is positive, the patient can never elevate the arm actively (concentric motion of the damaged muscles) so the (excentric) strength test won't be possible to perform.
Short video straight to the point. I like it
Love the look she gives at the end like "Ok am I done?"
thnx great test !
nice behandle-couch behind you!
I am a medical transcriptionist and sometimes it is difficult to visualize what the physician is dictating. These little videos are a great way for clearing this up for those in my profession.
This is not correct. A patient with a positive drop-arm can't complete a full active shoulder elevation. Therefore you need to lift the patient's arm into complete elevation and then let the patient complete the excentric full elevation down into 0-position.
^that's right. to be more accurate - the patient would have difficulty initiating the abduction (0 to 15 degrees) and would require assistance from the dr to lift up the arm to ~180 degrees (bascially full abduction). In isolated supraspinatous tear where the deltoid & axillary nerve are intact, the patient would be able to be 'let go off' and pt would be able to hold their affected arm up in complete abduction by themselves. Then upon asking them to lower their arms - 0:11 onwards would occur
@@fernie3017 Yeah this video is, pardon my language: stupid. If the patient indeed can perform the full concentric elevation as shown there is no reason to do the test whatsoever, as it per definition would be negative, as a concentric movement is more strainful than its corresponding eccentric counterpart.
luv ur biceps
Shouldn't the therapist / examinator first bring the arm in maximal abduction/elevation?
If the test is positive, the patient can never elevate the arm actively (concentric motion of the damaged muscles) so the (excentric) strength test won't be possible to perform.