Current Section
Lift-Off Test
Lift-Off Test
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Name
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Purpose1
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Description1
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Sensitivity, Specificity
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Validity, Reliability
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Likelihood Ratio +/-
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Lift-off Sign
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To test for a lesion of the subscapularis muscle and scapular instability
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The patient stands and places the dorsum of the hand against mid-lumbar spine. The patient then lifts his hand away from the back. An inability to perform this action indicates a lesion of the subscapularis muscle. Abnormal motion of the scapula during the test may indicate scapular instability.
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Sensitivity= 17-92%2
Specificity= 602-100%3
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k=.28-.324
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+ LR = 0.432 ∞3
- LR =.39-1.382
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1. Magee DJ. Orthopedic Physical Assessment. 5th ed. St. Louis, MO: Saunders Elsevier; 2008.
2. Hegedus EJ, Goode A, Campbell S, Morin A, Tamaddoni M, Moorman II CT, Cook C. Physical examination tests of the shoulder: a systematic review with meta-analysis of individual tests.
3. Hughes PC, Taylor NF, Green RA. Most clinical test cannot accurately diagnosis rotator cuff pathology: a systematic review. Aust J Physiother. 2008;54:159-170.
4. Ostor AJ, Richards CA, Prevost AT, Hazleman BL, Speed CA. Interrater reproducibility of clinical tests for rotator cuff lesions. Ann Rheum Dis. 2004;63:1288-1292.
