Indications:

Lift-off test is a shoulder examination to determine scapular instability or tears in subscapularis tendon.

Procedure:

  1. Patient may be seated, standing or prone, patient rests dorsal surface of hand against sacrum, then attempts to move hand posteriorly off sacrum.
  2. Examiner may observe action or apply gentle resistance to motion.
Lift-off test for shoulder

Patient may be seated, standing or prone, patient rests dorsal surface of hand against sacrum, then attempts to move hand posteriorly off sacrum. Examiner may observe action or apply gentle resistance to motion.

Interpretation:

Positive Inability to lift hand off sacrum → Complete tear or paralysis on subscapularis muscle, rotator cuff lesion, subscapularis MFTP.

Clinical notes:

The subscapular muscle may also be tested with resisted internal rotation of the humerus (elbow at 90° & humerus in dependent position).