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Apley’s Scratch Tests
This video will present a series of three shoulder movements collectively called Apley’s scratch tests. These tests are used as a general screen of active shoulder ranges of motion. These tests are performed with the patient in the standing position.
To assess adduction and internal rotation, the patient is asked to reach across in front of the chest to touch the opposite shoulder. To assess abduction and external rotation, the patient is asked to reach behind the head to touch the superior angle of the opposite scapula. To assess internal rotation, adduction, and extension, the patient is asked to reach behind the waist to touch the inferior angle of the opposite scapula.
If any of these movements cause pain or are restricted, either joint or muscular involvement is indicated. Because these series of movements do not assess all motions of the shoulder, in most instances further specific range of motion assessments will be required.
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