Apley Scratch Test

Purpose

Screen for Apley Scratch findings.

Execution

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

Key Observations

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

Views

• posterior

Protocol

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

Reference

David J. Magee - Orthopedic Physical Assessment