Posterior Shoulder Instability Clinical Examination [Physical Therapist Guide to Diagnosis]

By dpope2020

May 10, 2024

dan pope, Dynamic Posterior Instability Test, fitness pain free, Jerk Test, jerk test shoulder, Kim Test, physical therapy, posterior apprehension test, posterior apprehension test shoulder, Posterior Impingement Sign, posterior shoulder instability, posterior shoulder instability clinical examination, shoulder dislocation, Shoulder instability, shoulder instability test, Shoulder Pain, tests for shoulder pain

Posterior Shoulder Instability Clinical Examination [Physical Therapist Guide to Diagnosis]

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In today's video we go over Posterior Shoulder Instability Clinical Examination [Physical Therapist Guide to Diagnosis]:

Are you struggling with diagnosing posterior shoulder instability in your patients? In this video, learn essential assessment techniques and tests to help you make the right diagnosis with confidence.

As physical therapists, diagnosing posterior shoulder instability can be challenging due to its rarity compared to anterior instability. In this video, we dive deep into understanding the diagnosis, key movements to assess, and special tests to identify posterior instability in your patients. You'll learn how to examine internal rotation, horizontal adduction, and flexion effectively, and apply tests like the Jerk test, Kim test, and more. 

Timeline:

  • 0:10 - Prevalence
  • 0:25 - Arthrokinematics
  • 0:51 - Mechanism of Injury
  • 1:43 - Range of Motion Testing
  • 3:43 - Jerk Test
  • 4:09 - Kim Test
  • 4:54 - Posterior Impingement Sign
  • 5:14 - Posterior Apprehension Test
  • 5:38 - Dynamic Posterior Instability Test

I just shot the humerus out of the back of my shoulder...

- Dan Pope DPT,OCS,CSCS

Show Notes / Relevant Articles:

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Thank you!

Dan Pope DPT, OCS, CSCS

References: 

  1. Dhir J, Willis M, Watson L, Somerville L, Sadi J. Evidence-Based Review of Clinical Diagnostic Tests and Predictive Clinical Tests That Evaluate Response to Conservative Rehabilitation for Posterior Glenohumeral Instability: A Systematic Review. Sports Health. 2018 Mar/Apr;10(2):141-145. doi: 10.1177/1941738117752306. Epub 2018 Jan 22. PMID: 29356622; PMCID: PMC5857733.
  2. Arner JW, Nickoli MS, Lawyer TJ, Conway JE, Bradley JP. Dynamic Posterior Instability Test: A New Test for Posterior Glenohumeral Instability. Indian J Orthop. 2022 Aug 29;56(11):2022-2027. doi: 10.1007/s43465-022-00731-3. PMID: 36310556; PMCID: PMC9561493.