Athletic Training & Sports Medicine Center

 

Examination Links:

 

Apprehension Test

Examination type Ligamentous special test
Patient & Body Segment Positioning Position the patient supine in a relaxed position near the edge of the examination table so that their involved shoulder is able to externally rotate without having interference from the table. The involved limb should be placed in 90 degrees of abduction, 90 degrees of elbow flexion with the forearm in neutral.
Examiner Position The examiner places grabs with one hand, around the proximal wrist while the other grasps the elbow. Support the patient's humerus at the elbow with the shoulder abducted 90 degrees and the elbow flexed 90 degrees with forearm in neutral position
Tissues Being Tested Primarily the Inferior Glenohumeral Ligament as well as the anterior glenohumeral ligaments. 
Description of Test being performed and Positive Test Gently and gradually externally rotate the shoulder maintaining hand position. If the patient has had a recent anterior dislocation or subluxation of the glenohumeral joint, apprehension or discomfort will occur as the shoulder approaches 90 degrees of external rotation. Also note the subject's facial expressions which may also indicate apprehension. 
Interpretation This test attempts to reproduce the subject's mechanism by placing the limb in the correct position and creating a movement that recreates the subject's episode of anterior shoulder instability.
Common errors in performing exam Do not cause an actual anterior dislocation when externally rotating the arm
Factors possibly resulting in misinterpretation Subject may not be able to relax sufficiently to perform the test correctly.  Evidence of apprehension experienced by the patient does not necessarily indicate anterior shoulder dislocation pathology
Related tests Posterior Apprehension Test, Relocation/Jobe Test, Anterior Instability Test, Anterior Translation Test
References  
Links: What the Results Suggest

How the Test is Performed

DESCRIPTION OF TEST BEING PERFORMED

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