What is the primary purpose of the Scapular Assistance Test?

The primary purpose of the Scapular Assistance Test is to evaluate weak scapular control that may be contributing to shoulder impingement. This test is designed to assess the function of the scapula during arm movements, particularly in patients who experience shoulder pain due to mechanical issues.

When the scapula does not properly stabilize or elevate during shoulder movements, it can lead to decreased subacromial space and increased friction of the rotator cuff tendons against the acromion, resulting in impingement. The Scapular Assistance Test helps clinicians determine if improving scapular positioning through manual assistance can alleviate symptoms and improve function.

In contrast to assessing joint pathologies or injuries specific to other areas, this test specifically focuses on the dynamic relationship between the scapula and shoulder joint mechanics, thereby targeting the underlying muscular control and stabilization required for normal shoulder function.