O'Briens Test: Difference between revisions
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== Technique<br> == | == Technique<br> == | ||
With the patient in sitting or standing, the upper extremity to be tested is placed in a positon of 90° of shoulder flexion and 10° of horizontal abduction. The patient then completely internally rotates at the shoulder and pronates at the elbow. The practitioner then provides distal stabilizing force as the patient is instructed to apply upward force. The procedure is then repeated in a shoulder and forearm neutral position. A positive test occurs with pain reproduction or clicking in the shoulder with the first position and reduced/absent with the second position. Depth of symptoms must also be assessed as superfiscial pain likely indicates acromioclavicular joint symptoms and deep pain is more likely labral symptoms. | With the patient in sitting or standing, the upper extremity to be tested is placed in a positon of 90° of shoulder flexion and 10° of horizontal abduction. The patient then completely internally rotates at the shoulder and pronates at the elbow. The practitioner then provides distal stabilizing force as the patient is instructed to apply upward force. The procedure is then repeated in a shoulder and forearm neutral position. A positive test occurs with pain reproduction or clicking in the shoulder with the first position and reduced/absent with the second position. Depth of symptoms must also be assessed as superfiscial pain likely indicates acromioclavicular joint symptoms and deep pain is more likely labral symptoms.<ref>O'Brien SJ, Pagnani MJ, Fealy S, McGlynn SR, Wilson JB. The active compression test: A new and effective test for diagnosing labral tears and acromioclavicular joint abnormality. Am J Sports Med. 1998;26:610-613.</ref><br> | ||
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<ref>Online Video, http://esorproductions.pbwiki.com/, Last Accessed 11/07/08</ref><br> | |||
== Evidence == | == Evidence == | ||
Revision as of 08:29, 8 November 2008
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Purpose
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The purpose of the O'Brien Active Compression test is to indicate potential labral or acromioclavicular lesions as cause for shoulder pain.
Technique
[edit | edit source]
With the patient in sitting or standing, the upper extremity to be tested is placed in a positon of 90° of shoulder flexion and 10° of horizontal abduction. The patient then completely internally rotates at the shoulder and pronates at the elbow. The practitioner then provides distal stabilizing force as the patient is instructed to apply upward force. The procedure is then repeated in a shoulder and forearm neutral position. A positive test occurs with pain reproduction or clicking in the shoulder with the first position and reduced/absent with the second position. Depth of symptoms must also be assessed as superfiscial pain likely indicates acromioclavicular joint symptoms and deep pain is more likely labral symptoms.[1]
Evidence[edit | edit source]
Provide the evidence for this technique here
References
[edit | edit source]
- ↑ O'Brien SJ, Pagnani MJ, Fealy S, McGlynn SR, Wilson JB. The active compression test: A new and effective test for diagnosing labral tears and acromioclavicular joint abnormality. Am J Sports Med. 1998;26:610-613.
- ↑ Online Video, http://esorproductions.pbwiki.com/, Last Accessed 11/07/08
