What is the Gerber lift off test?

The testing movement involves the patient performing internal rotation (IR), by lifting the hand off the back while the examiner places pressure on the hand. The test is considered to be positive if the patient cannot resist, lift the hand off the back or if she/he compensates by extending the elbow and shoulder.

Which test is positive for subscapularis?

Purpose. The belly-press test is used to isolate the subscapularis muscle, to test the subscapularis muscle for tear or dysfunction. It is often used as an alternative to the lift-off test, when the lift-off test can’t be performed because of pain or limited internal rotation range of motion of the shoulder.

How to test for subscapularis muscle tendon tear?

This test appears to be specific for demonstrating a subscapularis muscle tendon tear when positive (1). This is a modification to the Napolean test/sign above. The difference here is that the examiner holds the elbow while positioning the hand on the abdomen.

When is a Gerbers test considered a positive?

The test is considered to be positive if the patient cannot resist, lift the hand off the back or if she/he compensates by extending the elbow and shoulder.

What is the belly press test for subscapularis?

Another clinical test for the subscapularis was also described by Gerber et al in 1996, called the Belly Press Test (BPT) in response to patients who were unable to perform the LOT because of pain or limited joint range of motion This test is performed in a standing position, with the examiner observing and testing from standing behind the patient.

How does the Gerber Lift Off test work?

Gerber’s Lift Off Test – Orthopedic Shoulder Examination 1 Involved Structures. 2 Starting Position. This test is usually performed with the patient in standing… 3 Test Movement. In this position, the patient attempts to move the hand away from… 4 Positive Test. The Lift Off Test is considered positive if the patient is unable to move…