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Belly Press Test

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Other Names

  • Modified Belly Press Test
  • Belly press test modified

Purpose

Belly Press Test
Demonstration of belly press test with normal (a) and abnormal (b). Note that the elbow is tucked against the torso and the wrist is flexed, suggesting a complete tear.[1]

Description

  • Patient is seated or standing
  • Patient presses abdomen with palm of hand, maintaining shoulder in internal rotation.
  • Positive test:
    • Pain suggests tendinopathy
    • Elbow drops back (does not remain in front of trunk) suggests complete tear

Modified Version

  • In the modified version, examiner measures the final belly press angle of the wrist with a goniometer
  • Positive test
    • Belly-press angle difference of 10° between affected and unaffected side.

Pathology


Evidence

Subscapularis Lesion

  • Bartsch et al[2]
    • Sensitivity: 80%
    • Specificity: 88%
    • PPV: 75%
    • NPV: 91%
    • Diagnostic Accuracy: 86%

See Also


References

  1. Itoi, Eiji. "Rotator cuff tear: physical examination and conservative treatment." Journal of Orthopaedic Science 18.2 (2013): 197-204.
  2. Bartsch, Martin, et al. "Diagnostic values of clinical tests for subscapularis lesions." Knee Surgery, Sports Traumatology, Arthroscopy 18.12 (2010): 1712-1717.
Created by:
John Kiel on 17 January 2020 10:50:52
Last edited:
19 July 2023 16:16:41
Category: