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This is Brent the Brookbush Institute,
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in this video we're going over another
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special or orthopedic test for the
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shoulder. This is the Yurguson's Test
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which is often used to help diagnose, or
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indicate a diagnosis of some sort of bicipital
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tendinosis or transverse
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ligament injury. There have been some
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studies that have even linked this to
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SLAP lesion diagnosis. So it falls in our
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grouping of tests having to do with SLAP
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lesions, transverse ligament strains and
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bicipital tendinosis. I'm going to have my
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friend Brian come out, he's going to help
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me demonstrate of all of our tests that
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we've showed up to this point. This might
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be the easiest yet. So I'm going to have
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Brian go ahead and he's going to get
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into a sitting position. You can go ahead
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and sit in the table there Brian. All
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right he's going to bend his elbow just
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like so, he's going to start in a
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pronated position or palm down, and then
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all I'm going to ask him to do is go
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ahead and try to turn your palm up, and
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I'm going to resist supination, and if he
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feels pain, do you feel any pain when you
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do that? (No). If he feels pain in his
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bicipital groove that would be a positive sign. That's it, all this is
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is resisted supination at 90 degrees. You
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can kind of think about this from a
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kinesiology standpoint, a lot of people
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think the biceps brachii right is a
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is a strong elbow flexor and everybody
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like thinks about curls, but the truth of the
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matter is it's probably more important
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as a supinator of the forearm. So whoever
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created this test, Yurguson's right,
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had a pretty good idea about kinesiology
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and knew that if he stressed the biceps
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brachii this way, and he got hang up in
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here that was probably a good diagnostic
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indicator of something going on with the
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biceps tendon, or that transverse
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ligament. Now one step further, if we had
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a couple other positive test for SLAP
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lesion, and we still had anterior
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shoulder pain here, keep in mind that the
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long head of your biceps tendon also
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pulls down on the superior portion of
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their labrum, because that is the origin
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of the long head of your biceps. Thank
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you Brian. Now once again this is one
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test hopefully within many tests that's
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going to make up your diagnostic
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grouping of tests. Remember you should
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have started with your subjective
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examination, you probably are going to
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start with some impingement testing if
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we're talking about shoulder pathology,
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especially anterior shoulder pathology;
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and if you've got to the point where
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you're testing for labral tears, biceps
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tendonosis, there was probably something
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in that subjective examination that led
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you to believe that that sort of
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pathology is possible. Something like
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acute trauma, or this is an overhead
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throwing athlete, an MMA athlete, maybe a
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boxer, somebody who takes hits into the
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shoulder, for example of football lineman.
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You never use one test by itself to get
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a diagnosis. If somebody does have biceps
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tendonosis, that is something that
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probably responds well to physical
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therapy, whereas things like transverse
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ligament rupture and labral tears do not