If there is a problem with the tendon of the long head of the biceps your client will have difficulty raising their arm across their chest or behind their back. They may also feel pain on the front of their shoulder. Yergason Test: Have your client flex their elbow 90 degrees. Grasp their flexed elbow in one hand while holding their wrist in your other hand. Externally rotate their arm and pull down on their elbow as they resist. Pain in the shoulder indicates an unstable biceps tendon.
This repositioning of the tendon can be painful, and should not be done more than 2 or 3 times in any one treatment.
Short fingernails are needed.
Have your client seated with their arm abducted ninety degrees to their body, and their forearm pointed up.
Grasp your clients deltoid firmly with both hands hooking your fingers around the anterior edge of deltoid.
Have your client slowly rotate their arm internally, i.e. bringing their forearm so that it is parallel to the floor, and eventually pointing toward the floor.
Your fingers will catch the tendon of the long head of the biceps, then the bicipital groove rotates toward the tendon, so the tendon can go back into the groove.
This technique only needs to be done once or twice.
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