Drop Arm Test: Difference between revisions

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'''Original Editor '''- Your name will be added here if you created the original content for this page.
'''Original Editor '''- [[User:Oyemi Sillo|Oyemi Sillo]]


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'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} &nbsp;  
 
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== Purpose<br>  ==
== Purpose<br>  ==


add the purpose of this assessment technique here<br>  
The drop arm test is used to assess for [[Rotator Cuff Tears|rotator cuff tears]], particularly of the [[Supraspinatus tear|supraspinatus]].<br>
 
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== Technique<br>  ==
== Technique<br>  ==
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| {{#ev:youtube|ZhN1_ZJyUnk|250}} <ref>Physical Therapy Haven. Drop Arm Test. Available from: http://www.youtube.com/watch?v=ZhN1_ZJyUnk [last accessed 25/05/13]</ref>
| {{#ev:youtube|ZhN1_ZJyUnk|250}} <ref>Physical Therapy Haven. Drop Arm Test. Available from: http://www.youtube.com/watch?v=ZhN1_ZJyUnk [last accessed 25/05/13]</ref>
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Stand behind the seated patient and abduct patient's arm to 90<sup>0,</sup> supporting the arm at the elbow. Release the elbow support, and ask patient to slowly lower the arm to the side.<ref name="buckup">Klaus Buckup. Clinical Tests for the Musculoskeletal System: Examinations - Signs - Phenomena. 2nd ed. Germany: Thieme, 2008</ref>
The test is negative if the patient is able to control the lowering of the arm slowly and without pain. It is positive if there is pain while lowering the arm, sudden dropping of the arm or weakness in maintaining arm position during lowering (with or without pain), suggesting injury to the supraspinatus.<ref name="Eplers">M. Lynn Palmer, Marcia E. Epler, Marcia F. Epler. Fundamentals of Musculoskeletal Assessment Techniques. 2nd ed. Philadelphia: Lippincott Williams &amp;amp;amp;amp;amp; Wilkins, 1998</ref><ref name="buckup" />
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== Evidence  ==
== Evidence  ==


Provide the evidence for this technique here
A study of 53 patients suspected to have suffered rotator cuff tears compared physical examination tests to their shoulder MRI and ultrasonography results. The study found that the drop arm test had a 100% PPV and 10% sensitivity.<ref name="nadler">Gerard A. Malanga, Scott Nadler. Musculoskeletal Physical Examination: An Evidence-based Approach. Philadelphia: Elsevier Health Sciences, 2006.</ref><br>


== Resources  ==
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add any relevant resources here
== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed])  ==
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== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed])  ==
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== References  ==
== References  ==


References will automatically be added here, see [[Adding References|adding references tutorial]].
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[[Category:Shoulder]] [[Category:Musculoskeletal/Orthopaedics|Orthopaedics]] [[Category:Assessment]]

Revision as of 15:32, 25 September 2013

Original Editor - Oyemi Sillo

Top Contributors - Admin, Abbey Wright, Venus Pagare, Kim Jackson, WikiSysop, Kai A. Sigel, Claire Knott, Wanda van Niekerk, Jennifer Chew, Kapil Narale, 127.0.0.1, Tony Lowe, Beth Reuschel, Laura Ritchie and Oyemi Sillo  


Purpose
[edit | edit source]

The drop arm test is used to assess for rotator cuff tears, particularly of the supraspinatus.


Technique
[edit | edit source]

[1]

Stand behind the seated patient and abduct patient's arm to 900, supporting the arm at the elbow. Release the elbow support, and ask patient to slowly lower the arm to the side.[2]

The test is negative if the patient is able to control the lowering of the arm slowly and without pain. It is positive if there is pain while lowering the arm, sudden dropping of the arm or weakness in maintaining arm position during lowering (with or without pain), suggesting injury to the supraspinatus.[3][2]


Evidence[edit | edit source]

A study of 53 patients suspected to have suffered rotator cuff tears compared physical examination tests to their shoulder MRI and ultrasonography results. The study found that the drop arm test had a 100% PPV and 10% sensitivity.[4]


Recent Related Research (from Pubmed)[edit | edit source]


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References[edit | edit source]

  1. ↑ Physical Therapy Haven. Drop Arm Test. Available from: http://www.youtube.com/watch?v=ZhN1_ZJyUnk [last accessed 25/05/13]
  2. ↑ 2.0 2.1 Klaus Buckup. Clinical Tests for the Musculoskeletal System: Examinations - Signs - Phenomena. 2nd ed. Germany: Thieme, 2008
  3. ↑ M. Lynn Palmer, Marcia E. Epler, Marcia F. Epler. Fundamentals of Musculoskeletal Assessment Techniques. 2nd ed. Philadelphia: Lippincott Williams &amp;amp;amp;amp; Wilkins, 1998
  4. ↑ Gerard A. Malanga, Scott Nadler. Musculoskeletal Physical Examination: An Evidence-based Approach. Philadelphia: Elsevier Health Sciences, 2006.
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