Shoulder Press Test
Shoulder Press Test is used to check for cervical spine nerve root radiculopathy.
- The patient is seated.
- The examiner presses downward on one shoulder while bending the cervical spine laterally toward the contralateral side.
- This test is always performed on both sides.
- Provocation of radicular symptoms is a sign of adhesion of the dural sac and/or a nerve root.
Increase in pain during the shoulder press test suggests:
- Nerve root compression
- Foraminal narrowing by osteophytes
- Dural sheath changes,
- Contracture of the facet joint capsule on the side being tested.
- Circumscribed pain on the side of the stretched musculature indicates increased muscle tone in the sternocleidomastoid or trapezius muscle.
Decreased muscular pain in the side that is not stretched suggests:
- a pulled muscle or a functional impairment involving shortening of the musculature.
- Clinical Tests for the Musculoskeletal 3rd Ed. Book