Understanding the Hara Test Assessment
The Hara test is a functional assessment tool used to identify abnormalities in the kinetic chain of the upper extremity. It involves evaluating the coordination and movement patterns of the shoulder, scapula, and arm during a specific movement.
Watch How It's Done
How do I start?
Patient is sitting or standing with arms at their sides.
What happens?
The patient is asked to keep their arms straight and slowly raise them overhead until their hands touch their ears. The examiner observes the shoulder and scapula movement throughout the full range of motion.
In Plain English
What Does a Positive Result Mean?
Any noticeable **asymmetry, winging, or abnormal movement patterns** of the scapula or arm during the test, suggesting scapular instability or muscular imbalance.
Helpful Tip:
The test is often repeated with palms up, and/or with light weights, to further provoke any compensatory patterns.
Safety First
This guide is to help you understand what happens in a clinic. Do not try to diagnose yourself. If you have severe pain, swelling, or cannot put weight on your leg, please visit an urgent care center or your doctor immediately.
Other shoulder Tests
Adson's Test
To assess for Thoracic Outlet Syndrome (TOS) due to compression of the neurovascular bundle by the anterior and middle scalene muscles.
Anterior Drawer Test Of The Shoulder
To assess for anterior glenohumeral joint laxity and instability and the integrity of the anterior capsular structures.
Arm Squeeze Test
This is a new clinical test that may be useful to distinguish between Cervical radiculopathy from other shoulders related pathology. The anatomic reasoning behind this test is that because the musculocutaneous nerve (cervical root from C5 to C7), the radial nerve (from C5 to T1), the ulnar nerve (from C7 to T1), and the median nerve (from C5 to T1) are relatively superficial in the middle third of the arm and easy to elicit a painful provocation response by squeezing the arm. A moderate compression of skin, subcutis, and muscle by squeezing the middle third of the upper arm (brachial biceps and triceps area) on the side with shoulder pain elicits an intense reaction of local pain only in patients with cervical nerve root compression from C5 to T1, not when the pain arises from the shoulder.
Bear Hug Test
To assess for a tear or significant weakness in the **subscapularis tendon** (subscapularis strength).