Hara Test

Original Editor - User Name

Top Contributors - Wataru Okuyama, Kim Jackson and Wanda van Niekerk  

Introduction

Most players don't know what's wrong with their bodies that prevents them from throwing. Therefore, the players needs to be aware of any abnormal physical findings. The 11 items of shoulder physical examination used by the author were used to help the players experience their own abnormalities. The next step is to improve the accuracy of the diagnosis by incorporating the findings of X-ray and ultrasound examinations, which are supplementary diagnostic methods.When an player comes to the hospital complaining of shoulder pain, it is important to evaluate the player's medical condition, including an imaging evaluation based on his or her physical findings, rather than an imaging evaluation itself.

This page presents 11 baseball shoulder physical findings.

Scapula Spine Distance: SSD

Observe the degree of atrophy of the subspinous muscles and deviation of the scapula.

This phenomenon is also seen in subacromial impingement syndrome in addition to weakness of the periscapularis muscles such as the serratus anterior and rhomboids and decreased stability of the shoulder joint. Deviation of the scapula is assessed by measuring between the medial margin of the scapula and the spinous process of the spine.

Combined Abduction Aest: CAT

In this method, the abduction angle is taken as the angle of the scapulohumeral joint, and the angle is measured by abducting the upper limb with the scapula manually fixed.

Horizontal Flexion Test: HFT

The horizontal flexion angle is taken as the angle of the scapulohumeral joint as well, and the angle is measured with manual fixation of the scapula.

Hyper External Rotation Test: HERT

The pain can be reproduced by manual testing, and the patient may complain of pain when performing hyperhorizontal rotation of the shoulder joint in the supine position. The concept of internal impingement, in which rotator cuff articular tears and posterior upper articular injuries collide during pitching, has been proposed as a pathological condition of throwing disorders, and it is useful as a test for reproducing pain caused by internal impingement.

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