Neck & Shoulder Pain

Hi, I'm Doctor Jo, a licensed Physical Therapist and Doctor of Physical Therapy. I hope you enjoy my video demos of stretches & exercises for common injuries and syndromes. If you have a question, just ask. Be safe. Have fun. And I hope you feel better soon.

Clunk Test for Shoulder Labral Tear

The clunk test is used for detecting shoulder labral tears, but remember a positive test doesn’t always mean there is a tear, and a negative doesn’t necessarily mean there isn’t one.

To perform the clunk test, have the patient lie down in supine. Place one hand on the posterior aspect of the shoulder over the humeral head. Place the other hand on the humerus above the elbow. Fully abduct the arm over the patient’s head, and then push anteriorly with the hand over the humeral head while the other hand rotates the humerus into external rotation. A clunk or grinding sound is a positive test, and can indicate a tear of the labrum.

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Shoulder Pain Stretches & Exercises

Isometric Cervical Rotation for Neck Pain

Isometric cervical rotation is great for helping to reduce neck pain and tension.

To perform isometric cervical rotation:

  1. Start with your shoulders relaxed and your head in a neutral position. Place your hand on the side of your head to keep your head from actually moving.

  2. Turn your head gently into your hand like you are going to look behind you.

Looking for new HEP software? Prescribe this and other great stretches and exercises to your patients as part of their Home Exercise Program with a FREE HEP Builder account.

Posterior Apprehension Test for the Shoulder

The posterior apprehension test is used to detect a poster dislocation or instability of the shoulder. A positive test doesn’t always mean there is a dislocation, and a negative doesn’t necessarily mean there isn’t one.

To perform the posterior apprehension test, have the patient lie down in supine. Flex the shoulder to 90 degrees while stabilizing the scapula with the other hand. Apply a posterior force on the patient’s elbow. Then horizontally adduct and medially rotate the arm. A positive test is pain or apprehension.

Related Video:

Shoulder Instability Exercises

Shoulder Apprehension Test

The Apprehension Test, or the crank test, is generally used to check for a shoulder dislocation or shoulder instability in the anterior direction.

To perform the shoulder apprehension test, have your patient lie down, and bring their arm into 90 degrees of abduction and the elbow at 90 degrees as well. Slowly rotate their shoulder into external rotation. If the patient shows apprehension, that is a positive test.  Pain can indicate other things going on in the shoulder. Pushing downward on the glenohurmeral joint when doing the test again can be done to see if the pain or apprehension decreases.

Related Video:

Shoulder Instability Exercises

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