Apley Scratch Test

Quick screening test for shoulder ROM. Assesses combined movements in two patterns.

Purpose

Screen for Apley Scratch findings.

Execution

1. Stand tall with relaxed shoulders
2. Reach one hand over the same-side shoulder toward the upper back
3. Reach the other hand behind the back and up toward the shoulder blades
4. Measure the distance between fingertips or note overlap
5. Repeat on the opposite side

Key Observations

• Distance between the hands behind the back
• Side-to-side asymmetry

Views

• posterior

Protocol

1. Observe from: posterior.
2. Standardize start position and instructions.
3. Perform 2-3 trials per side when applicable.
4. Record key observations and any positive indicators.
5. Compare left vs right when applicable.

Reference

David J. Magee - Orthopedic Physical Assessment