When assessing the range of motion of the shoulders asking the person to place their hands behind their back assesses which movements?

Internal rotation against resistance (Gerber’s lift-off test) This clinical test assesses the function of the subscapularis muscle. 1. Ask the patient to place the dorsum of their hand on their lower back.

How do you test for shoulder adduction?

Conversely, internal rotation and adduction of the shoulder are tested by having the patient reach behind the back and touch the inferior aspect of the opposite scapula. External rotation should be measured with the patient’s arms at the side and elbows flexed to 90 degrees.

What are the 7 motions of the shoulder?

Overview. The human shoulder is the most mobile joint in the body. This mobility provides the upper extremity with tremendous range of motion such as adduction, abduction, flexion, extension, internal rotation, external rotation, and 360° circumduction in the sagittal plane.

What is the normal range of motion for shoulders?

Normal range of active movement of the shoulder has been specified by the American Academy of Orthopedic Surgeons (AAOS) to be 180° for flexion and abduction and 90° for external rotation [6].

What are the 9 movements of the shoulder?

What tests can be included in a shoulder examination?

There is a wide range of special tests that can be performed in a shoulder examination and the choice of which to include in an assessment will depend on the what the examiner has asked you to do, the patient’s background and your clinical findings so far. This clinical test assesses the function of the supraspinatus muscle.

How do you test the internal rotation of the shoulder?

Extension. First ask the patient to flex the elbows at approximately 45° with the fists clenched and the thumbs up, then ask to position both hands behind the back until the thumb touches the apex of the homolateral shoulder. This maneuver tests for the functional integrity of the internal rotation of the shoulder. Internal rotation.

What should be observed during an inspection of the shoulder?

Before completing the inspection of the shoulder it is good practice to repeat all the maneuvers that test for range of motion while observing the movement of the scapulae. Any asymmetries in the rhytm of scapular movement would indicate pathology in the anterior aspect of the shoulder. Observe for scapular motion asymmetries.

What does scapular motion asymmetry indicate in a shoulder exam?

Any asymmetries in the rhytm of scapular movement would indicate pathology in the anterior aspect of the shoulder. Observe for scapular motion asymmetries. The exam of the shoulder has to be completed by some specialized tests and provocative maneuvers that are specific for different shoulder lesions and pathologies.