Apley Scratch Test
This test is designed to screen for pain reproduced by the described movement
Performing the Test
Have patient reach above and behind head with affected arm attempting to "scratch" the contralateral shoulder blade
Have patient reach below and behind back with affected arm attempting to "scratch" the contralateral shoulder blade
Test is positive if pain is reproduced with the movements, most likely indicates rotator cuff injury
Bickley, L. (2013). Bates Guide to Physical Examination and History Taking. 11th ed. New York: Lippincott Williams & Wilkins; 2013.