Shoulder Resisted Internal Rotation Test
Other Names
- Resisted Internal Rotation Test
- Resisted Shoulder Internal Rotation Test
- Internal Rotation Resistance Test
- Shoulder Internal Rotation Resistance Test
Purpose
- Evaluate the Subscapularis as a cause of shoulder pain
- Note: this is very similar to the Internal Rotation Resistance Test, except the arm is at the patients side
Description
- The patient is seated or standing
- Arms at side, elbows flexed 90°
- Important to keep elbow tucked against chest wall
- Patient internally rotates shoulders against resistance
- Positive test
- Pain or weakness
Pathology
Evidence
- Dakkak et al systematic review[2]
- Sensitivity: 61%
- Specificity: 76%
- PPD: 2.60
- NPV: 0.51
See Also
References
- ↑ Lin, Lin, et al. "Internal rotation resistance test at abduction and external rotation: a new clinical test for diagnosing subscapularis lesions." Knee Surgery, Sports Traumatology, Arthroscopy 23.4 (2015): 1247-1252.
- ↑ Dakkak, Andrew, et al. "Evidence-based physical examination for the diagnosis of subscapularis tears: a systematic review." Sports Health 13.1 (2021): 78-84.
Created by:
John Kiel on 10 April 2022 16:31:23
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Last edited:
20 July 2026 12:23:07
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