Background: Abnormal scapular kinematics have been identified in patients with SAIS. (SAE07SM.1) A 22-year-old college baseball pitcher reports the recent onset of anterior and posterosuperior shoulder pain in his throwing shoulder. Note for the presence of winging of the inferior or medial borders of the scapula is present. In this test, the doctor will apply gentle pressure to your scapula to assist it upward as you elevate your arm. In addition note for scapular prominence during forward flexion, shrugging or arm lowering from a position of full flexion. Kibler WB, et al. Scapular Assistance Test The therapist manually upwardly rotates the scapula at the medial border with one hand while providing a posterior tilt at the superior border with the other hand. If your symptoms are relieved and the arc of motion is increased, it is an indication that your muscles are not strong enough to raise your arm. First, the patient abducts their arm in a scapular plane and notes symptoms. Objectives: To determine the effect of the modified scapular assistance test (SAT) on 3-dimensional shoulder kinematics, strength, and linear measures of subacromial space in patients with subacromial impingement syndrome (SAIS). the influence of these on scapular posi-tion has not been studied. It remains unknown if scapular movement related impairments are present in those with positive tests. Scapular Assistance Test (SAT). Another ma-neuver performed by an examiner to alter the orientation of the scapula is the scap-ular assistance test (SAT).28 The SAT was initially performed with the examiner manually assisting the scapula into up-ward rotation by pushing the inferior me- In this sense, the test is suggested to manually improve upward rotation of the scapula … Examination shows a 15-degree loss of internal rotation, tenderness over the coracoid, and a positive relocation test. - Scapular Assistance Test - the examiner assists the scapula with their hand to elevate as the patient elevates their arm. The scapular assistance test (SAT) and scapula reposition test (SRT) are proposed to identify shoulder pain related to abnormal scapular movement or position. S. Study design: Controlled laboratory study. One of the simplest assessments you can perform for scapular dyskinesis is watching the scapula move during shoulder flexion. A Simple Test for Scapular Dyskinesis. This eliminates the impingement mid-arc pain in patients with dynamic / secondary impingement and indicates scapula rehabilitation exercises are required ( Rabin et al. Performing visual assessment of the scapula during shoulder flexion has been shown to be a reliable and valid way to assess for abnormal scapular movement. Objectives. 2006 ) Scapular Assistance Test (SAT) AROM and pain is evaluated during arm flexion in scapular plane Examiner then applies an assist to scapular upward rotation This test is positive if ROM is increased or pain is reduced as the therapist manually . Manually assisted movements of scapula: two tests are involved in this step, the scapular assistance test (SAT) and the scapular reposition (retraction) test (SRT). Evaluation of apparent and absolute supraspinatus strength in patients with shoulder injury using the scapular retraction test. The scapula assistance test (SAT) was originally proposed by Kibler, 1998 (ref) and intended to simulate the action of the serratus anterior muscle. 2006 Sep;36(9):653-60. J Orthop Sports Phys Ther. The patient then repeats this motion while the clinician helps with retraction and posterior tilt of the scapula (pushing the inferior angle of the scapula toward the spine). This test is a comparison between unassisted and assisted movement. The scapula is examined routinely as a component of the shoulder examination. J Orthop Sports Phys Ther. Often patients with impingement have a decrease of pain with scapular assistance (no diagnostic values or validity found for this test). The intertester reliability of the Scapular Assistance Test.

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