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>
<div class="editorbox"> '''Original Editor '''- [[User:Anas Mohamed|Anas Mohamed]]<br>
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}</div>
== 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].


=== Purpose ===
== Technique ==
'''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].
 
=== Technique ===
'''Step1.'''  Patient in standing or sitting position.
'''Step1.'''  Patient in standing or sitting position.


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'''Step4.''' Winging of scapula at medial border shows positive sign. This happens when serratus anterior is weak or paralysed.
'''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.
'''Step5.''' This test also can be done by asking patient to do wall [[Pushups|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 [https://physio-pedia.com/Trapezius#share trapezius] compensation.<ref>David J. Magee. Orthopedic Physical Assessment. 6th edition. Elsevier. 2014.</ref>
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 [https://physio-pedia.com/Trapezius#share trapezius] compensation.<ref>David J. Magee. Orthopedic Physical Assessment. 6th edition. Elsevier. 2014.</ref>


<div class="row">
<div class="row">
   <div class="col-md-6"> {{#ev:youtube|VJzK2wXEaQA|300}} <div class="text-right"><ref>Scapular Winging - Diagnosis. Dan Blewett. Available from: https://youtu.be/VJzK2wXEaQA </ref></div></div>
   <div class="col-md-4"> {{#ev:youtube|VJzK2wXEaQA|300}} <div class="text-right"><ref>Scapular Winging - Diagnosis. Dan Blewett. Available from: https://youtu.be/VJzK2wXEaQA </ref></div></div>


<div class="row">
<div class="row">
   <div class="col-md-6"> {{#ev:youtube|Xp8xx1ruDug|300}} <div class="text-right"><ref>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 </ref></div></div>
   <div class="col-md-4"> {{#ev:youtube|Xp8xx1ruDug|300}} <div class="text-right"><ref>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 </ref></div></div>


<div class="row">
<div class="row">
   <div class="col-md-6"> {{#ev:youtube|4KcHysNGhSg|300}} <div class="text-right"><ref>JWall Push-up Test for Serratus Anterior, Middle Trapezius, and Lower Trapezius Weakness. COR. Available from: https://youtu.be/4KcHysNGhSg </ref></div></div>
   <div class="col-md-4"> {{#ev:youtube|4KcHysNGhSg|300}} <div class="text-right"><ref>JWall Push-up Test for Serratus Anterior, Middle Trapezius, and Lower Trapezius Weakness. COR. Available from: https://youtu.be/4KcHysNGhSg </ref></div></div>




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# David J. Magee. Orthopedic Physical Assessment. 6th edition. Elsevier. 2014.
# David J. Magee. Orthopedic Physical Assessment. 6th edition. Elsevier. 2014.
<references />
<references />
[[Category:Shoulder]]
[[Category:Special Tests]]
[[Category:Shoulder - Conditions]]
[[Category:Assessment]]
[[Category:Shoulder - Assessment and Examination]]
[[Category:Shoulder - Special Tests]]

Latest revision as of 07:07, 9 January 2022

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

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]

[2]
[3]
[4]


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
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