Introduction:
In physiotherapy, several special tests are commonly used to assess a suspected supraspinatus tear.
The patient raises their arm to 90 degrees in the scapular plane with the thumb pointing downward, mimicking emptying a can. The therapist applies resistance during this movement, checking for pain or weakness.
The patient is asked to actively abduct their arm and then slowly lower it to the side. If there’s a supraspinatus tear, the patient may have difficulty controlling the descent, experiencing pain or weakness.
The patient’s arm is passively elevated to 90 degrees, and the therapist then internally rotates the arm. Pain during this maneuver can be indicative of a supraspinatus tear.
The patient is asked to internally rotate their arm against resistance, and then the therapist supports the arm in external rotation. If there’s a lag or inability to maintain external rotation, it may suggest a tear.
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