Forced Adduction Test on Hanging Arm

What is the Forced Adduction Test on the hanging Arm?

The forced adduction test on the hanging arm is the modified version of the forced adduction test. Therefore, this test also assesses the shoulder joint pathology (acromioclavicular joint disease) or subacromial impingement.

Now the question arises why there is a need to modify the forced adduction test.

As a modification of the forced adduction test gives us one more option to check for the acromioclavicular joint pathology or subacromial impingement.

Now let’s discuss the procedure of performing the forced adduction test on the hanging arm.

The procedure of Performing the Forced Adduction Test on the Hanging Arm

Position of the examiner – The examiner stands behind the patient.

Position of the patient – The patient stands in front of the examiner.

  • The examiner grasps or holds the upper arm of the affected side with one hand.
  • While the other hand rests on the contralateral (opposite side) shoulder and immobilizes the shoulder girdle.
  • The examiner then asks the patient to abduct the hanging arm posteriorly behind his back.
  • The examiner then forcibly adducts (applies force against the patient’s resistance) the hanging affected arm behind the patient’s back against the patient’s resistance.

Test Results

Pain across the anterior side of the shoulder indicates acromioclavicular joint disease or subacromial impingement.

Symptoms that improve or disappear following injection of an anaesthetic indicate that the acromioclavicular joint is causing the pain.

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Clinical Tests for the Musculoskeletal System: Examinations-Signs-Phenomena by K. Buckup

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