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NPTE Clinical Files | Physical Therapy

Subacromial Impingement

NPTE Clinical Files | Physical Therapy

Kyle Rice

Health & Fitness

2.4608 Ratings

🗓️ 15 March 2023

⏱️ 8 minutes

🧾️ Download transcript

Summary

Lizzie is performing a routine examination on a patient with a suspected subacromial impingement. Which of the following should be assessed FIRST?  

A. Shoulder abduction active range of motion 

B. External rotation manual muscle testing  

C. Gross shoulder joint mobility  

D. Lateral shoulder palpation

LINKS MENTIONED:     

  • Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck.     
  • Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com

Transcript

Click on a timestamp to play from that location

0:00.0

I'm Kyle Rice, awful test taker turned physical therapists and standardized test coach for over 5,000 physical therapists worldwide.

0:09.0

It wasn't that long ago that I struggle with anxiety, lack of confidence, and the fear of failing the NPTE.

0:16.0

Fast forward through the challenges, the 13 standardized test failures, and many lessons learn, and you'll see the life

0:22.4

I have today, a life filled with love, financial freedom, and a dream job that allows me to

0:27.8

change lives every single day. I created the NPTE Clinical Files podcast to give you simple,

0:34.3

actionable strategies, along with a step-by-step walkthrough of NPTE-based questions.

0:40.5

All of this so that you can dominate your exam like I did and achieve your dream.

0:45.5

So if you're a driven PT student who's looking to pass the NPTE and start creating a life

0:50.8

you love, you're in the right place.

0:53.1

Enjoy the show.

0:56.2

For this week's clinical file, we have Lizzie, and Lizzie is performing a routine examination on a patient with a suspected

1:02.7

suborchromial impingement, which of the following should be assessed first. So we have A,

1:08.8

shoulder abduction, active range of motion, B, external rotation manual muscle

1:14.5

testing, C, gross shoulder joint mobility, and D is lateral shoulder palpation. All right,

1:22.9

let's go up to the top of this one. I love questions like this, baby. Muscle skeletal is my thing. I love

1:28.3

Musclegal skeletal examination, all of that. This is a question that I definitely want you to pay

1:33.7

attention to because it has a concept that is highly likely to show up in some form on the NPTE.

1:39.6

We'll talk about that soon. Okay. So we have Lizzie is performing a routine examination on a patient with a

1:46.5

suspected subachromial impingement. This is the pathology I was talking about. This is where we have

1:52.3

impingment of structures, a pinching of structures underneath the achromion structures like the

1:59.0

super spaspinatus tendon or the subachromial bursa

2:03.6

that's there.

...

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