Indications:

Shoulder Hiking test is a shoulder examination test used to identify Scapular Dyskinesia.

Procedure:

  1. Patient seated or standing attempts to actively abduct shoulders bilaterally; examiner observes motion (scapulohmeral rhythm).
Shoulder Hiking test for shoulder

Patient seated or standing attempts to actively abduct shoulders bilaterally; examiner observes motion (scapulohmeral rhythm).

Interpretation:

Positive Elevation of ipsilateral shoulder shoulder girdle & lateral flexion of spine to opposite side of compensate for inadequate glenohumeral mobility or weakness → Frozen shoulder, rotator cuff tear, advanced osteoarthritis.

Clinical notes:

Note: subtle shoulder hiking may indicate a muscle imbalance involving overactive upper trapezius, weakness of rhomboids, lower trapezius and/or rotator cuff.