Scapular Assistance Test (SAT)

Special Test

Manual assistance into upward rotation; improvement suggests dyskinesis.

Purpose

Screen for Scapular Assistance findings.

Execution

1. Have the client elevate the arm in the scapular plane
2. Manually assist scapular upward rotation and posterior tilt
3. Repeat the arm elevation with assistance
4. Note changes in pain or range
5. Compare to the unassisted movement

Key Observations

• Pain improvement with assistance indicates a positive test
• Suggests a scapular component

Views

• lateral

Protocol

1. Observe from: lateral.
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

Ben Kibler