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"The Shoulder" Demo

Basic Functional Examination: Basic Principles :

The basic functional examination is standardized, which permits a systematic search for signs.
All the different tissues of the shoulder are tested in a functional way: They are brought selectively under tension and the results are noted.
The combination of positive and negative answers forms a pattern that leads to a diagnosis.

1.Functional: The tissues of the shoulder can be divided on the one hand into tissues that can contract (contractile tissues) and on the other hand, tissues that do not possess that capacity (non-contractile or inert tissues).

  • Contractile structures are the complex of muscle belly, musculotendinous junction, tenoperiosteal junction and their innervation.
  • Non-contractile structures are all the other tissues: capsule and synovia, ligaments, bursae, bone, cartilage and glenoid labrum.
  • 2. Systematic: The clinical search is organised in such a way that, with a minimum of tests, maximum information is obtained. A clear overview is obtained by organising the tests in a logical order. The functional examination contains:

  • active movements
  • passive movements
  • resisted movements

    3.Building a Pattern: During the examination test results are noted . After the examination, all the findings (negative as well as positive ones) are brought together to form a pattern. Each pattern is therefore the translation of the functional behavior of either a particular disorder or of a group of disorders.
    Conversely, the recognition of a particular pattern will lead quickly to a valid and incontestable diagnosis.

    Copyright © may 15 1999 L. Ombregt [] [Home] [Main menu]