Passive Scapular Adduction test is a thoracic spine examination procedure that tests for T1 – T2 nerve root compression. Another term for this test is passive scapular approximation test.


Patient should be awake and cooperative while the Passive Scapular Adduction Test is being done.

  1. Patient may be seated or standing during the procedure.
  2. The examiner adducts the scapulae bilaterally.
  3. The examiner takes note of any pain or discomfort along the area.

The examiner adducts the scapulae.


Positive Passive Scapular Adduction Test

There is positive Passive Scapular Adduction Test when the patient exhibits signs of discomfort or pain while the scapulae are being manipulated.  This sign indicates possible T1-T2 nerve root compression.

Clinical Notes

The pain that patients feel during this procedure is secondary to the stretching of a damaged serratus anterior muscle or scapulocostal syndrome.