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Load and Shift Test
Load and Shift Test
Load and Shift Test (alternate)
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Name
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Purpose
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Description
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Sensitivity, Specificity
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Validity, Reliability
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Likelihood Ratio +/-
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Load and Shift Test
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This test is used to check for capsular laxity.
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Patient seated with arm slightly abducted (and supported on pillow on lap with elbow at approximately 90 degrees). Examiner stabilizes the scapula in one hand and grasps the humeral head in the other hand, approximates humeral head into glenoid fossa and applies an anterior and posterior force. Excessive movement indicates laxity of the capsule. Typically, the humeral head moves approximately 25% of the diameter of the humeral head. Grade I laxity is indicated by 25-50% and grade II laxity is indicated by greater than 50%.*[1]
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Sensitivity
90%[2]
Specificity
85%2
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+62
-.122
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