Execution:
- The patient is standing
- Ask the patient to put the hand of the painful shoulder on top of the other shoulder
- Patient flexes the shoulder to 90° (elbow pointing forwards)
- Patient is asked to apply downward pressure on opposite shoulder
Positive Outcome: Weakness and/or pain compared to the other side
|
Study |
Reliability | Sn | Sp | LR+ |
LR- |
| Pennock et al. (2011) |
NA |
NA | NA | NA |
NA |
| Jain et al. (2017) |
NA |
32 | 81 | 1.69 |
0.84 |
| Kappa et al. (2018) |
NA |
52 | 85 | 3.5 |
0.6 |
| Schiefer et al. (2015) |
NA |
75 | 56 | 1.7 |
0.45 |
| Lädermann et al. (2021) |
NA |
55 (28-79) | 94 (80-99) | 9.17 (2.5-79) |
0.48 (0.9 -0.21 |
| Comment: The Bear Hug Test minimized pectoralis, latissimus dorsi and teres major action while maximizing subscapularis action on EMG, but does not seem to be able to detect subscapularis tears | |||||
