what is the examiner trying to test ? Pls. put ur answer as a comment ( preferably in ur own words ). Grammar doesn't matter ( v r a family ) (-:
Answer: Sub scapularis lift-off test ( aka Gerber test ), for testing subscpularis weaakness and tendenitis. Discussion Patient: Stands or lies prone, the arm is internally rotated and elbow is moderately flexed, with the dorsum of the hand touching the mid-lumbar spine. Examiner: Instruct patient to lift the hand away from the back. Positive test: Inability to lift the dorsum of the hand off the back against gravity or minimal resistance from examiner, or restriction is noted compared with contralateral side. ▪ Subscapularis tendinitis: anterior shoulder pain increased ▪ Subscapularis tear: weakness for this procedure Note: 1. The test may be attempted when standing. 2. Patient mayattempt to substitute triceps/elbow extension if subscapularis,latissimus dorsi, or rhomboid is weak. 3. there are other tests that test internal rotation, but recruit other int. rotators (ex. pec major, lat dorsii ) more than in this test. This test isolates subscapularis the most.
