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The shoulder flexion jam test

The shoulder flexion jam test  is also known as the Neer's test¹¹. It is a special test for shoulder impingement syndrome, which is a condition that results from compression of the rotator cuff tendons or the subacromial bursa under the acromion process of the scapula¹. The procedure of the shoulder flexion jam test is as follows²⁴: - The examiner stands behind the patient and stabilizes the scapula with one hand. - The examiner passively flexes the patient's shoulder and elbow to 90 degrees, then pronates the forearm and internally rotates the shoulder with some force. - The test is positive if the patient reports pain, especially near the end range of motion. The shoulder flexion jam test can help rule out cervical neck pathology as a source of shoulder pain, as well as other shoulder conditions such as rotator cuff tear, biceps tendinitis, or glenoid labrum injury⁷⁹. However, the test is not very specific and may produce false-positive results in patients with osteoarthritis...

The salute test

The salute test is also known as the Yergason's test¹ or the transverse humeral ligament test². It is a special test for the shoulder joint that evaluates the stability of the long head of the biceps tendon and the integrity of the transverse humeral ligament³. The procedure of the salute test is as follows⁴: - The patient stands or sits with the elbow flexed to 90 degrees and the forearm pronated. - The examiner stands behind the patient and places one hand on the patient's elbow and the other hand on the patient's wrist. - The examiner resists the patient's active supination and external rotation of the forearm, while palpating the bicipital groove with the thumb of the hand on the elbow. - The test is positive if the patient reports pain or a snapping sensation in the bicipital groove, indicating a subluxation or dislocation of the biceps tendon or a tear of the transverse humeral ligament. The salute test can help rule out biceps tendon pathology, such as tendinitis...

The appreciation test

The appreciation test. The appreciation test is also known as the Thematic Apperception Test (TAT) or the picture interpretation technique⁴. It is a projective psychological test that involves describing ambiguous scenes to learn more about a person's emotions, motivations, and personality⁴. The procedure of the appreciation test is as follows⁴: - The person is shown a series of picture cards depicting a variety of ambiguous characters, scenes, and situations. - The person is asked to tell as dramatic a story as they can for each picture presented, including what has led up to the event, what is happening, the thoughts and feelings of the characters, and the outcome of the story. - The examiner interprets the person's responses based on the themes, conflicts, and needs that are expressed. The appreciation test can help rule out or identify psychological conditions, such as depression, anxiety, personality disorders, or thought disorders⁶. It can also be used to assess someone...

Chin tucks exercise

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It a simple and effective exercise that can help improve neck ,jaw strength and posture. They primarily target the muscles in the neck ,jaw and upper back. How to Perform Chin Tucks : Sit or stand with a straight spine. Relax your shoulders and keep your eyes focused straight ahead. Gently tuck your chin toward your chest without tilting your head down. Hold the position for a few seconds, feeling a stretch at the back of your neck. And relax.  Intensity : Chin tucks are a low-intensity exercise. Perform them with control and focus on proper form rather than speed or force. Duration : Hold the tucked position for 5-10 seconds initially, gradually increasing as you build strength. Repetition : Start with 5-10 repetitions and progress as your neck muscles become stronger. Frequency : Perform chin tucks 2-3 times a day, especially if you have a desk job or spend long hours looking at screens.:   Benefits : 1. Posture Improvement: Chin tucks contribute to better posture by helpi...

Popliteus tendinitis

 Popliteus tendinitis is characterized by inflammation andpain at the knee joint on the back part of the outer side of theknee and the outer side just above the knee at the popliteus tendon. Common Signs and Symptoms: • Pain and tenderness over the popliteus tendon at the outerknee or back of the knee on the outer side • Pain that is worse when standing on the leg with the kneebent slightly or when walking or running, just as the foot ofthe affected leg lifts off the ground • Pain that is worse when rotating the leg • Pain that starts or recurs after running a particular distance • Crepitation (a crackling sound) when the tendon is movedor touched (uncommon, except when tested just after exercising)   Causes : Overuse of the popliteus muscle-tendon unit, usually in anathlete who runs or trains on hills or banked surfaces Risk Increases With  • Sports or activities that require a lot of downhill walkingor running, such as with backpacking, cross-country running, and distan...

Tarsal tunnel syndrome

 Tarsal tunnel syndrome:  is the compression of an important nerve that runs through your ankle and into your foot. It’s possible to develop tarsal tunnel syndrome after spraining your ankle, overusing your feet, or developing arthritis or diabetes Causes:- Tarsal tunnel syndrome (TTS) is caused by compression of the posterior tibial nerve as it travels through the tarsal tunnel. Compression of the posterior tibial nerve can cause pain, tingling or numbness in the foot Symptoms: Burning sensations. Numbness. Tingling or “pins and needles” sensations. Weakness in your foot muscles Diagnosis: 🔹Tinel’s test:  Physical therapist gently taps your tibial nerve. If you experience pain or tingling that reproduce your symptoms, it may point to TTS. 🔹Dorsiflexion – Eversion Test:   Place the patient’s foot into full dorsiflexion and eversion and hold for 5-10 seconds The results are that it elicits the patient’s symptoms 🔹Electromyogram (EMG):  This two-part test ...

Williams flexion exercises for low back pain

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 Williams flexion exercises are a series of physical therapy exercises primarily aimed at improving lower back flexibility and strength. These exercises were developed by Dr. Paul Williams to help manage and alleviate lower back pain, particularly in cases of lumbar disc herniation and stenosis.  Benefits : 1. Lower Back Pain Relief Williams flexion exercises are primarily used to alleviate lower back pain, especially in cases of lumbar disc herniation and stenosis  2. Improved Flexibility: They can help increase flexibility in the lower back and hamstrings. 3. Core Strengthening: These exercises engage the abdominal and lower back muscles, helping to strengthen the core. 4. Posture Improvement: Practicing these exercises can lead to better posture by promoting awareness of spinal alignment. 5. Non-Invasive: Williams flexion exercises are non-invasive and do not require equipment, making them accessible for many people Sets, Intensity, and Duration : The number of sets an...