Execution
- 1Position the patient standing.
- 2Flex the test shoulder to 90°.
- 3Horizontally adduct the arm until the hand is opposite the contralateral shoulder.
- 4Apply downward pressure at the wrist while the patient resists.
- 5Record pain, weakness, or inability to resist.
Positive outcome
Pain or weakness while resisting downward pressure is positive. Magee describes a positive result as suggestive of partial rotator cuff tear and/or superior labral tear.
Studies
| Study | Reliability | Sn | Sp | LR+ | LR− |
|---|---|---|---|---|---|
| Lasbleiz et al. (2014) | NA | 80 | 33 | 1.18 | NA |
CommentWhipple's test has poor specificity for rotator cuff disease in the available Magee evidence table and overlaps with superior labral pain. A positive result should raise suspicion rather than localise pathology. It is best used as one part of a broader cuff/labral assessment.
Low Clinical Value