1) ROM test
2) Pain area
○ Motion pain was significantly more common than was rest pain or night pain
○ Anterior & lateral area
○ suff tendinitis (P < .0119)
○ shoudlers with torn rotator cuffs ( P < .0183)
3) NIP(negative intra-articular pressure)
○ Important role in limiting ingerior translation
(when muscle and ligament are relax)
>However, negative intra-articular pressuer is not a major contributor to shoudler stability during weight-bearing
4) Alignment
Humeral head relative to acromion - no more than 1/3 of humeral head anterior to anterolateral corner of acromion
Resting position of glenohumeral joint - 0 flexion or extension
5) Latissmus dorsi tightness test
6) Painful arc
7) Provocation test
○ Neer test
○ Hawkins kennedy test
○ Yergason test
○ Empty can test
8) Postural dysfunction
○ setting of a subject for measuring shoulder range of motion with a controller lightly touching the subject's sternum during (a) erect, (b) comfortable slouched, and (c) maximum slouched postures.
○ Increased kyphosis , scapular internal rotation
○ Decreased shoulder flexion, abduction, external rotation
9) Forward neck posture
10) Posterior capsular tightness (GIRD)
○ Side to side differences > 20
○ Total rotation motion deficit > 5
Reference
The lat length test ELEATE SPORTS ACADEMY
Musculoskeletal Evidence based Treatment
Morrey BF, An KN (1990) Biomechanics of the shoulder. In: Rockwood CR, Matsen FA (ed) The shoulder. Saunders, Philadelphia, pp 208–245Google Scholar.
lippitt. clin orthop relat res (1993) Rotator Cuff Tears: causes of shoulder pain: Stabilizing effect of negative intraarticular pressure
L. Kessel, M. Watson Published 1 May 1977 Medicine The Journal of bone and joint surgery. British volume The painful arc syndrome. Clinical classification as a guide to management.
Rotsalai Kanlayanaphotporn, Ph.D. (Health Sciences), M.Appl.Sc. (Physiotherapy), B.Sc. (Physical Therapy) Published:November 04, 2013 Changes in sitting posture affect shoulder range of motion
Sally Raine, PhD, Lance T. Twomey, PhD Head and Shoulder Posture Variations in 160 Asymptomatic Women and Men
Raine S, Twomey LT. Head and shoulder posture variations in 160 asymptomatic women and men. Arch Phys Med Rehabil 1997;78:1215-23.
Journal of Orthopaedic & Sports Physical Therapy Published Online:July 1, 2004 Electromyographic Analysis of the Rotator Cuff and Deltoid Musculature During Common Shoulder External Rotation Exercises
P. Chalmers, G. Cvetanovich, +5 authors G. Nicholson Published 1 February 2016 Medicine Journal of shoulder and elbow surgery. The champagne toast position isolates the supraspinatus better than the Jobe test: an electromyographic study of shoulder physical examination tests.
Andrea J Johnson 1, Joseph J Godges, Grenith J Zimmerman, Leroy L Ounanian The effect of anterior versus posterior glide joint mobilization on external rotation range of motion in patients with shoulder adhesive capsulitis DOI: 10.2519/jospt.2007.2307
Robert C. Manske, PT, DPT*, Matt Meschke, DO, Andrew Porter, DO, Barbara Smith, PhD, PT, Michael Reiman, PT, DPTFirst Published December 22, 2009 A Randomized Controlled Single-Blinded Comparison of Stretching Versus Stretching and Joint Mobilization for Posterior Shoulder Tightness Measured by Internal Rotation Motion Loss
Choo Yeonki, PT, Ph.D Dept. of Rehabilitation Therapy, Guposungshim Hospital, Manager Effects of Mobilization with Movement Combined with Exercise(EMWM) on ADH, ROM and Functional Performance in Patients with Impingement Syndrome of the Shoulder
The effect of shoulder position on inferior glenohumeral mobilization Dexter W. Witt DHS, DPT, MHS, PT, OCS, FAAOMPT *, Nancy R. Talbott PhD, MS, PT, RMSK
Effects of Mobilization With Movement on Pain and Range of Motion in Patients With Unilateral Shoulder Impingement Syndrome: A Randomized Controlled Trial
Author links open overlay panelJosé A.Delgado-GilPTaEvaPrado-RoblesOTbDaiana P.Rodrigues-de-SouzaPT, MsCcJoshua A.ClelandPT, PhDdCésarFernández-de-las-PeñasPT, PhDeFranciscoAlburquerque-SendínPT, PhDf
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