You are assessing a patient for impingement syndrome and rotator cuff tear. Which of the following steps would you include? Select all that apply
a. Ask the patient to lie in a supine position.
b. Stand next to the patient.
c. Stabilize the shoulder girdle by placing one hand over the scapula and trapezius of the arm to be tested.
d. With the other hand, the examiner grasps the patient's arm posteriorly slightly proximal to the elbow.
e. While holding the elbow, flex the patient's shoulder until the arm is in a flexed and abducted position with the arm at the side of the patient's head.
f. Rotate the shoulder backward.
C, D, E
When assessing a patient for impingement syndrome, the patient can be in either a seated or standing position (not a supine position). You would stand behind the patient, (not next to the patient). You would stabilize the shoulder girdle by placing one hand over the scapula and trapezius of the arm to be tested. With the other hand, grasp the patient's arm posteriorly slightly proximal to the elbow. While holding the elbow, flex the patient's shoulder until the arm is in a flexed and abducted position with the arm at the side of the patient's head. You would not rotate the shoulder backward.
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