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Lift-Off Test

Lift-Off Test


Name
Purpose1
Description1
Sensitivity, Specificity
Validity, Reliability
Likelihood Ratio +/-
Lift-off Sign
To test for a lesion of the subscapularis muscle and scapular instability
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.
Sensitivity= 17-92%2
Specificity= 602-100%3
k=.28-.324
+ LR = 0.432 3
- LR =.39-1.382

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.