Apprehension (Crank) Test for Anterior Shoulder Dislocation | Shoulder Instability

[@duncanjongbloed2461]

I've recommended this channel to all my fellow physiotherapy students! Thanks a lot for the great movies!

[@Physiotutors]

Thanks a lot! We really appreciate it and hope your fellow students will find it useful as well

[@denisesanfilippo6249]

I am an Nurse practitioner student and your videos are of great help!! Taking a musculoskeletal exam on shoulders, knees, elbows, and wrist later today. Watched all your videos and have a much better understanding. Thank you.

[@Physiotutors]

That's awesome! Good luck with your exam! You're gonna ace it!

[@briansundayatc]

Thank you on behalf of all of the Athletic Training/Athletic Therapy students who watch your videos!! 🙏

[@Physiotutors]

Glad to see ATs on our channel as well 💪🏼

[@adriennewilliams9626]

I am subscribing and bookmarking for when I see patients with ortho complaints. Thanks

[@Physiotutors]

Thanks a lot adrienne! We post twice weekly so there is lot's of content coming your way to check out and come back to! Our goal is to provide people like you a library of modalities! Enjoy

[@hetvishah6641]

Thanks for being so true helpful !❤

[@peteyyboyyy93]

Great videos. Might be one of the best, highly recommended

[@wildlyrebellious]

Thank you! I based my study notes on from Magee's book. I have a demonstration test tomorrow in shoulder special tests I hope I'll pick this one.

[@Physiotutors]

+Cha Cha you're welcome! Good luck with ur test!

[@a311yaga4]

what is the name of that magee's book

[@soniamardi143]

Thank you somuch for this valueable video.

[@cherylrose8373]

Great explanation

[@Physiotutors]

Thank you Cheryl! Glad you found it helpful

[@crazymel1982]

guys, thanks for the videos, you're awesome! How can I differentiate from anterior instability from labrum problem? Biceps load test? Do you have any videos about this? Thanks

[@Physiotutors]

Hi Melike, no worries! The tests that you can do are Biceps load II, O'Brien's and Speeds, so basically every test that stresses the long biceps tendon. You should realize however, that the shoulder is usually instable (anteriorly) when you have a labrum lesion and the other way round: Labrum lesions often have shoulder instability in their pre-history.

[@crazymel1982]

Good to know, thanks for the help!

[@kaileyoneal484]

Hi! I have pain on the top of my shoulder about an inch deep into my shoulder and it continuously pops everytime i do this motion. What exactly is wrong?

[@ahsena.583]

A sure lifesaver! Thanks guys.

[@Physiotutors]

+Ahsen Butt you're welcome! Glad we could save you 😉

[@salimadjebri6735]

Thanks

[@salehalnaim3782]

I have an exam tomorrow and your videos helped me alot thanks guys

[@Physiotutors]

+saleh alnaim good luck with your exam! Let us know how it went :)

[@Physiotutors]

How did it go?

[@aminaabaid6458]

Thank you ....its really helpful

[@Physiotutors]

Ur welcome amina!

[@godchildgodchild4177]

U made it easy

[@林治均-f4s]

the positive of the test can indicate the anterior instability or impingement?? an anterior instability causes the subacrominal impingement?? and how the posterosuuperior internal impingement happened??

[@Physiotutors]

A positive test is indicative of anterior shoulder instability. Cook et al. (2008) described the test to differentiate between internal (posterior pain during the test) and external impingement (anterior pain during the test). Anterior instability can be a contributing factor for both kinds of impingement (internal and external).

[@林治均-f4s]

got it!!

[@selcukm1622]

Hello , is this the most common used test or are there other tests which are more common used and accurate ?

[@Physiotutors]

Apprehension and Relocation are the best and most commonly used tests for anterior instability

[@vuongthy927]

your videos are so awesome!! they have helped me a lott!! Thank you!!

[@Physiotutors]

Happy to hear Vuong, that's why we make those videos!

[@godchildgodchild4177]

Thanknyou so much

[@jessicanagy8129]

What a life saver! :)

[@Physiotutors]

This is why we are running this channel!;) Great to hear it helps you and thanks for following!

[@afnanj4830]

Very exellent.. You did a great job.... I'm very interested..how can I contact with you doctor.

[@Physiotutors]

Ur welcome! Just contact us via social media or send us an email

[@afnanj4830]

Do u have any Facebook page.. It's good if there is..

[@Physiotutors]

Yes Simply search in Facebook or check the video description there is a link

[@jhaycarlo3940]

great vid! it helps a lot

[@Physiotutors]

+Jhay Carlo thanks :)

[@jakegerwig8798]

What exercises/therapy should I do if i feel as if it's going to dislocate when doing this test?

[@Physiotutors]

We'd suggest to see a local physio for a good rehab program. In general closed-chain exercises work well for the instable shoulder.

[@minaamirmohammadi7806]

Hi, aren't we supposed to perform this test with the patient in upright position?

[@Physiotutors]

+Mina Amirmohammadi no, in the upright position it would be way harder to fixate the shoulder girdle. You only want to move in the glenohumeral joint.

[@minaamirmohammadi7806]

thank you. still, I think I've seen that in Campbell's that the patient should be in upright position :D

[@lansley8621]

Hi for bankart lesion what are all the tests you recommend? also how greatly does bankart lesion affects all shoulder ROM movements would you say

[@Physiotutors]

Are you only referring to the classical Bankart lesion anteriorly? Then the the Apprehension and Relocation test are very good tests and there is no need for other tests. It doesn't usually affect ROM too much - the problem is rather instability in late cocking phase of throwing etc.

[@physiorehabdr.mahnoor9821]

Posterior internal impingement test and apprehension test looks like same .What does the difference lie?

[@Physiotutors]

90° abduction in apprehension test. 110° in posterior impingement test. Plus more horizontal abduction in the posterior impingement test.

[@physiorehabdr.mahnoor9821]

@@Physiotutors ok.thankyou

[@raniajaber2187]

thank u😍

[@Physiotutors]

You’re welcome 😊

[@UpsideDown853]

Biologist here. Accidental find. Due to my backround I understand all the words, but have no idea what's going on. I rarely find myself in such a situation. A very unique experience. :)

[@Physiotutors]

Glad you had a good experience on our channel. Feel free to watch some of our more recent content 🙂

[@copernicus99]

Great videos. What is the normal range of motion for external rotation of the shoulder in this test? If one is unable to achieve this rom, what problem might this indicate? Thanks!

[@Physiotutors]

around 80-90°. But the outcome measure for this test is not Range of Motion but "apprehension of dislocation" hence the name "apprehension Test". The patient will be fearful to reach endranges of external rotation as the shoulder might subluxate, indicating possible anterior shoulder instability

[@copernicus99]

Thanks for the quick and helpful reply! What treatments/exercises would you recommend (or avoid) if there is indeed anterior shoulder instability?

[@Physiotutors]

Avoid the exercises that put the shoulder into these "extreme" positions of external rotation. Strengthening the rotator cuff in order to ensure good support of the glenohumeral head

[@copernicus99]

Thanks. So, face pulls, despite their alleged benefits for shoulder health, would not be recommended?

[@Physiotutors]

Not that black and white, but the patient with anterior instability will most likely not want to perform the exercise. It's not that the exercise itself is contraindicated but the patient will want to avoid it

[@the_physio_girl_dr_iqra]

Tq❤

[@hayasekander3179]

I have a viva tomorrow I hope these vedios proves good for me

[@Physiotutors]

Good luck Haya, hope you can benefit from the book about goniometry I sent you!

[@hayasekander3179]

Physiotutors you remember that😊 I hope so

[@د.اديب_المريسي]

Very nice

[@Pil-k3d]

Is there any muscle problem when apprehension test is positive??

[@Physiotutors]

+장성필 it's more an indication for laxity in the shoulder joint.

[@spuerbechs11]

Thanks for your videos!!!! I have a question, here is an article using a test battery/algorithm for Bankart lesion testing and among others, the crank test is mentioned and the apprehension test, is there another crank test than the one in your video and what are the differences between these tests? (apprehension and crank test) Thank you :) europepmc.org/backend/ptpmcrender.fcgi?accid=PMC3812837&blobtype=pdf

[@Physiotutors]

Hey! thanks for the comment. Indeed they reference a paper (citation 33) that describes both the apprehension test in 90° abduction and external rotation as well as a separate crank test. "Clicking was further assessed in a subset of 22 of the study patients with the "crank" test by internal and external rotation performed in a position of maximum forward flexion with axial load along the humerus" Will check it out further and make a video about it! Thanks for the heads-up! There may be some inconsistencies in the literature regarding the instability tests!

[@spuerbechs11]

Thank you a lot :) what do you mean that 'there may be some inconsistencies in the literature regarding instability tests', in general or with the article? :)

[@Physiotutors]

More in general where some refer to the test shown in the video as both the apprehension and crank test whereas others like the one you mention lists them as two separate tests

[@dr.ashoksuman5345]

Is this is Johnny Sins with shoulder dislocation 😳

[@د.اديب_المريسي]

I need your email

[@Physiotutors]

[e-mail]

[@erinallen7082]

I wish he was my physical therapist. He's hot!

[@bidhanchandra5129]

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