Execution:
- The patient lies in supine position with the arm resting above the head in full elevation and the palms facing upward
- The examiner grasps the patient’s arm just distal to the elbow and asks the patient to perform toward flexion of the arm as if simulating a throwing motion
Positive Outcome: Pain is elicited deep inside the shoulder joint or at the dorsal aspect of the shoulder along the joint line during the resisted movement
| Study | Reliability | Sn | Sp | LR+ | LR- |
| Ebinger et al. (2008) | NA | 80 | 69 | 2.58 | 0.29 |
| Comment: The Supine Flexion Resistance test had a higher specificity than the O’Brien and Speed’s test and a higher sensitivity in the group of patients with shoulder complaints and an isolated SLAP lesion without rotator cuff lesions. A limitation of the test however is, that it can only be used in patients with a free range of motion of the involved shoulder because patients with partial shoulder stiffness experience pain just by trying to reach the full flexion examination position as a result of the capsular adhesions | |||||
