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Lift-Off Test – Subscapularis Muscle Tear & Weakness 🔍 What does this test assess? The Lift-Off Test evaluates the integrity and strength of the subscapularis, the primary internal rotator of the shoulder. 🧍‍♂️ Test Position: • Patient places the dorsum of the hand on the lower back • Shoulder in extension internal rotation 🖐️ Procedure: ➡️ Ask the patient to lift the hand away from the back ➡️ Examiner may add gentle resistance ❌ Positive Test: • Inability to lift the hand • Marked weakness
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YouTubeMISSION RUN PHYSIO ONGOLE (VCMR)
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The lift off test evaluates for subscapularis injuries. Internally rotate the shoulder and place the hand behind the lower back along the lumbar spine so the dorsum of the hand rests against the back. The examiner places a hand over the patient’s hand and asks the patient to push away from the back against resistance. The test is considered positive if this maneuver produces pain or weakness. Sensitivity is 35%, specificity is 98%! Read: https://wikism.org/Lift_Off_Test Watch: https://www.youtub
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The lift-off test is used to test the subscapularis muscle, an internal rotator of the shoulder, in isolation. The patient is asked to place the dorsum of the hand on the small of the back, which causes an internal rotation of the shoulder joint. The patient is now asked to lift the dorsum of the hand off of the back to increase the internal rotation, which should be possible if there is pathology of the subscapularis muscle. The patient is asked to repeat this maneuver against resistance. . The
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