Lift Off Test
Other Names
- Gerber’s Lift Off Test
- Gerber’s Test
- Subscapularis Lift Off Test
- Lift Off Test
- Gerber Lift-Off Test
- Lift-Off Maneuver
- Lift-Off Sign
- Subscapularis Lift-Off Test
- Subscapularis Test (Lift-Off)
- Internal Rotation Lift-Off Test
Purpose
- Evaluate the Subscapularis Muscle as a cause of shoulder pain
Description
- The patient is seated or standing
- The arm is internally rotated with hand behind the small of the back on the lumbar spine
- The dorsum of the hand is facing the back
- The examiner places their hand on the patients and asks them to push off against their resistance
- A positive test
- Pain or weakness pushing off the back
Pathology
Evidence
Rotator Cuff Disease
- Hermans et al [4]
- Sensitivity: 34-68%
- Specificity: 50-77%
- LR+: 1.4-1.5
- LR-: 0.63-0.85
- Kappe Et al[5]
- Sensitivity: 35%
- Specificity: 98%
- PPV: 0.9
- NPV: 0.76
- Diagnostic Accuracy: 0.78
See Also
References
- ↑ Lenart, Brett A., and Jonathan B. Ticker. "Subscapularis tendon tears: Management and arthroscopic repair." EFORT open reviews 2.12 (2017): 484.
- ↑ Phillips, Nick. "Tests for diagnosing subacromial impingement syndrome and rotator cuff disease." Shoulder & elbow 6.3 (2014): 215-221.
- ↑ Faruqui, Sami, Coen A. Wijdicks, and Abdullah Foad. "The Accuracy of the Physical Exam versus Arthroscopy in the Detection of Subscapularis Tendon Injury." Orthopaedic Journal of Sports Medicine 1.4_suppl (2013): 2325967113S00105.
- ↑ Hermans, Job, et al. "Does this patient with shoulder pain have rotator cuff disease?: The Rational Clinical Examination systematic review." Jama 310.8 (2013): 837-847.
- ↑ Kappe, Thomas, et al. "Diagnostic performance of clinical tests for subscapularis tendon tears." Knee Surgery, Sports Traumatology, Arthroscopy 26.1 (2018): 176-181.
Created by:
John Kiel on 27 July 2019 19:56:24
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Last edited:
28 January 2026 22:50:39
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