Codman’s Test

What is the Codman’s Test?

The Codman’s test examines passive movement in the shoulder. The codman’s test is also known as the codman’s sign.

The procedure of Performing the Codman’s Test or Codman’s Sign

Position of the examiner – The examiner stands behind the patient.

Position of the patient – The patient will be in a sitting position.

  • As the examiner stands behind the patient and puts his or her hands on the patient’s shoulder so that the examiner’s thumb immobilizes the patient’s scapula slightly below the scapular line.
  • As the examiner’s index finger rests on the anterior margin of the acromion towards the tip of the coracoid process, and the remaining fingers extend anteriorly past or beyond the acromion.
  • Now after that, the examiner, with his other hand, moves the patient’s arm in every direction.

Test Result of Codman’s Test

The examiner who examines the body notes any sign of crepitation in the glenohumeral joint. They also note snapping sensations (such as dislocations of the long head of the biceps tendon) or restricted motion.

The most crucial bony pressure points, like the coracoid process, greater and lesser tubercle of the humerus and acromioclavicular & sternoclavicular joints are evaluated for tenderness to palpation. Joint stability and pain in the rotator cuff’s tendons are also evaluated by palpation.

The range of motion is determined by using the neutral zero method. Both active and passive ranges of motion are determined, as are the area of occurrence and a particular localization of the symptoms.

Restricted movement in all (every) direction indicates the presence of a “frozen shoulder“.

In the early stages of a rotator cuff tear, only active motion is restricted and passive movement remains normal. Advanced impingement syndrome or a chronic tear can show the universally restricted movement of a frozen shoulder.

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Tiptoe and Heel Walking Test – Identifies or pinpoints a nerve root disorder in the lumbar spine.

Sacroiliac Joint Tests

Mennell’s Sign / Mennell’s Test – Used to assess degenerative processes in the sacroiliac joint.

Springing Test – To detect functional impairment in the Thoracic & Lumbar spine & Sacroiliac Joint.

Gaenslen’s Test – To detect any pathology or dysfunction around the sacroiliac joint.

Test/ Standing Forward Flexion Test – To assess sacroiliac joint dysfunction.

Faber Test / Patrick’s Test – Used to assess the pathology or dysfunction at the hip joint, muscles around the hip joint, and at the sacroiliac joint.

Thoracic Spine Test 

Ott Sign – For Measuring the ROM of the Thoracic Spine

Cervical Exams

Cervical Flexion Compression Test –  To identify if there is a Herniated disk in the Cervical spine.

Jackson Compression Test –  To Detect Cervical Radiculopathy (Cervical Nerve Root Compression).

Pelvic Ligament Tests – used for the assessment of the pelvic ligaments.

Supported Forward Bend Test (Belt Test) – helps in differentiating lumbar pain and sacroiliac pain.

Adam’s Forward Bend Test – For detecting the presence of scoliosis (either functional or structural).

Noble Compression Test/Noble Test –  To assess pain coming from iliotibial band syndrome.

Neer Test –  For detecting the presence of shoulder impingement syndrome.

Some Other Test

Subscapularis Test – Indicates the rupture of the subscapularis muscle

Lowenberg Test – For Detecting Early sign of Venous Thrombosis

Forced Adduction Test on Hanging Arm – This test also assesses the shoulder joint pathology (acromioclavicular joint disease) or subacromial impingement.

Infraspinatus Test – Identify symptoms of tendinitis or tears of the infraspinatus muscle or tendon.

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Clinical Tests for the Musculoskeletal System: Examinations-Signs-Phenomena by K. Buckup

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