Horizontal Adduction Test for Subacromial Impingement

The horizontal adduction test is used to identify subacromial impingement or possible AC joint pathology.

To perform the horizontal adduction test, position the patient in sitting or standing with the arm relaxed at their side.

The examiner will stabilize the scapula posteriorly and passively lift the patient’s arm to 90 degrees of shoulder flexion and 90 degrees elbow flexion. Bring the patient’s arm into horizontal adduction to complete the test.

The test is considered positive if the patient experiences pain with maneuver. A positive test may support pathology at the AC joint or suggest subacromial impingement.

For more information about the horizontal adduction test and other special tests, visit PTProgress.com/test

Horizontal Adduction Test Sensitivity and Specificity

Sensitivity = 0.82
Specificity = 0.28

+LR = 1.4
- LR = 0.64

Source: Calis M, Akgun K, Birtane M, et al: Diagnostic values of clinical diagnostic tests in subacromial impingement syndrome. Ann Rheum Dis 2000; 59: pp. 44-47

Видео Horizontal Adduction Test for Subacromial Impingement канала Tim Fraticelli - PTProgress