Serratus Anterior Strength Test or ( Punch out test ): Difference between revisions

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<div class="editorbox"> '''Original Editor '''- [[User:Anas Mohamed|Anas Mohamed]] '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}</div>
=== Purpose ===
=== Purpose ===
'''Serratus anterior strength test or push out test''' is used to examine the [https://physio-pedia.com/Serratus_Anterior#share serratus anterior muscle] weakness and [https://physio-pedia.com/Winged_scapula#share scapula winging].
'''Serratus anterior strength test or push out test''' is used to examine the [https://physio-pedia.com/Serratus_Anterior#share serratus anterior muscle] weakness and [https://physio-pedia.com/Winged_scapula#share scapula winging].
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== References  ==
== References  ==
# David J. Magee. Orthopedic Physical Assessment. 6th edition. Elsevier. 2014.
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Revision as of 12:57, 17 August 2020

Original Editor - Anas Mohamed Top Contributors - Anas Mohamed, Kim Jackson, Lucinda hampton and Amanda Ager

Purpose[edit | edit source]

Serratus anterior strength test or push out test is used to examine the serratus anterior muscle weakness and scapula winging.

Technique[edit | edit source]

Step1. Patient in standing or sitting position.

Step2. Ask the patient forward flexing of arm 90 degree.

Step3. Therapist apply backward pressure to the arm.

Step4. Winging of scapula at medial border shows positive sign. This happens when serratus anterior is weak or paralysed.

Step5. This test also can be done by asking patient to do wall push up and for more harder ask patient to do regular floor push up.

The patient also has difficulty abducting or forward flexing the arm above 90° with a weak serratus anterior, but it still may be possible with lower trapezius compensation.[1]


References[edit | edit source]

  1. David J. Magee. Orthopedic Physical Assessment. 6th edition. Elsevier. 2014.
  1. David J. Magee. Orthopedic Physical Assessment. 6th edition. Elsevier. 2014.
  2. Scapular Winging - Diagnosis. Dan Blewett. Available from: https://youtu.be/VJzK2wXEaQA
  3. The winging scapula and shoulder function explained | Feat. Tim Keeley | No.64 | Physio REHAB. Physio Fitness | Physio REHAB | Tim Keeley. Available from: https://youtu.be/Xp8xx1ruDug
  4. JWall Push-up Test for Serratus Anterior, Middle Trapezius, and Lower Trapezius Weakness. COR. Available from: https://youtu.be/4KcHysNGhSg