Which test is performed when the patient does slow push ups against a wall?

Which test is performed when the patient does slow push ups against a wall?

• A. Tinel's sign
• B. Wright's test
• C. AC compression test
• D. Wall push up test

Answer: (D)

The test is looking for pathology of the acromioclavicular (AC) joint by loading it with a simple, functional movement. When a patient performs slow push-ups against a wall, the scapula and clavicle move in a way that compresses and stresses the AC joint. If there is AC joint injury or arthritis, this loading often reproduces pain localized to the AC joint, helping clinicians identify AC joint involvement. Tinel's sign, tested by tapping over a nerve to elicit tingling, checks for nerve irritation (like carpal tunnel or cubital tunnel issues), not AC joint problems. Wright's test assesses for thoracic outlet syndrome by evaluating vascular/nervous symptoms with arm positioning, which is a different condition. The AC compression test directly squeezes the AC joint to provoke pain from a joint injury but uses a different stress mechanism than the functional wall push-up, and the wall push-up test specifically mirrors a daily movement to reveal AC joint pathology.

The test is looking for pathology of the acromioclavicular (AC) joint by loading it with a simple, functional movement. When a patient performs slow push-ups against a wall, the scapula and clavicle move in a way that compresses and stresses the AC joint. If there is AC joint injury or arthritis, this loading often reproduces pain localized to the AC joint, helping clinicians identify AC joint involvement.

Tinel's sign, tested by tapping over a nerve to elicit tingling, checks for nerve irritation (like carpal tunnel or cubital tunnel issues), not AC joint problems. Wright's test assesses for thoracic outlet syndrome by evaluating vascular/nervous symptoms with arm positioning, which is a different condition. The AC compression test directly squeezes the AC joint to provoke pain from a joint injury but uses a different stress mechanism than the functional wall push-up, and the wall push-up test specifically mirrors a daily movement to reveal AC joint pathology.