Apley's scratch test protocol involves what?

Apley's scratch test protocol involves what?

• A. The patient reaches one hand over the head and down the spine and the other behind the back and up the spine, fingertips attempting to touch, with distances measured bilaterally.
• B. The patient reaches with a straight line across the chest.
• C. The patient performs behind-the-back leg cross.
• D. The patient performs a behind-the-back push-up.

Answer: (D)

The main idea is to assess shoulder girdle mobility by having the patient perform two cross-body reach movements and compare how far each hand can reach. One hand reaches over the shoulder and down the spine to touch the opposite scapular area, while the other reaches behind the back and up the spine toward the opposite scapula. The distance between the fingertips on each side is measured to quantify shoulder range of motion. This helps identify limitations in internal rotation, adduction, or overall shoulder flexibility that might indicate issues like rotator cuff problems, capsular tightness, or impingement. The other described actions do not represent this protocol, which focuses on these cross-body reaches rather than a behind-the-back push-up or a straight-line reach across the chest.

The main idea is to assess shoulder girdle mobility by having the patient perform two cross-body reach movements and compare how far each hand can reach. One hand reaches over the shoulder and down the spine to touch the opposite scapular area, while the other reaches behind the back and up the spine toward the opposite scapula. The distance between the fingertips on each side is measured to quantify shoulder range of motion. This helps identify limitations in internal rotation, adduction, or overall shoulder flexibility that might indicate issues like rotator cuff problems, capsular tightness, or impingement. The other described actions do not represent this protocol, which focuses on these cross-body reaches rather than a behind-the-back push-up or a straight-line reach across the chest.