Member May 2026: Physiatrist Tool Kit: Improving the Shoulder Physical Exam in 30 Seconds (On-Demand)-Session Recording

Video Transcription

Video Summary

The session introduced a “Physiatrist Toolkit” focused on improving the shoulder physical exam in 30 seconds. After housekeeping and speaker introductions, Dr. Julio Martinez-Silvestrini presented a fast, systematic shoulder exam designed as a practical screening tool, especially for physiatrists and trainees. He emphasized that the exam should be done consistently and that the neck should always be considered in patients with shoulder pain.<br /><br />He reviewed key shoulder anatomy, then demonstrated a stepwise exam: inspection, targeted palpation, range of motion, neurologic assessment, and special tests. The 30-second sequence included passive external rotation to detect adhesive capsulitis, external rotation lag testing for infraspinatus/teres minor tears, resisted external and internal rotation, drop-arm testing, supraspinatus testing with full can or empty can, resisted forward flexion for biceps pathology, and cross-body adduction/scarf testing for AC joint problems. He noted which maneuvers are more sensitive or specific and explained when additional tests may be needed.<br /><br />The discussion reinforced that physical examination should guide imaging, not replace it. In closing, the hosts shared upcoming conference information and encouraged attendees to use and customize the exam approach in practice.

Keywords

shoulder physical exam

physiatrist toolkit

30-second exam

adhesive capsulitis

rotator cuff tears

supraspinatus testing

acromioclavicular joint

biceps pathology