Lateral Scapular Slide Test (Kibler) Special Test
Orthopedic Physical Examination & Clinical Assessment Guide
What is it used for?
- Diagnosing Scapular Dyskinesis and stability.
How to Perform
- Measurement: Measure distance from inferior angle of scapula to spinous process (T7) in 3 positions:
- 1. Arms at side.
- 2. Hands on hips.
- 3. Arms abducted 90°.
Interpretation of Results
- Positive Test: Asymmetry > 1.5cm between sides in any position.
Clinical Context & Limitations
The Lateral Scapular Slide Test (Kibler) should be considered as one component of a comprehensive musculoskeletal assessment. No single special test has perfect diagnostic accuracy; thus, clinical decision-making should integrate test results with patient-reported symptoms, mechanism of injury, functional impairment, and relevant imaging.
Clinicians should be aware of potential false-positive results in patients with pain sensitisation, muscle guarding, or poor relaxation. For the Shoulder region, combining the Lateral Scapular Slide Test (Kibler) with complementary examination tests significantly improves overall diagnostic confidence.
References
- Magee, D. J. (2021). Orthopedic Physical Assessment.
