Shoulder ME

Question 1

GH flexion and extension df

Answer 1

• stabilize shoulder girlde with one hand, contact olecranon with other
• flexion: 180
• Extensiont: 60

Question 2

GH internal and external rotation df

Answer 2

• stabilize shoulder firdle with one hand, contact olecranon with other
• IR and ER are 90

Question 3

GH abduction and adduction

Answer 3

• abduction: 180

- Adduction: 40 to 50

Question 4

SC adduction df

Answer 4

• pt lying supine, doc on same side
• one hand on prox clavicular head, other hand grasps pt’s wrist and hold arm extended and IR
• pt instructed to raise arm against docs hand toward ceiling

Question 5

SC horizontal extension df

Answer 5

• pt lying supine, doc on same side
• place one hand on restricted clavicle and other hand placed behind axilla to cover the scapula
• patient holds physician’s shoulder with one hand
• physician then flexes the clavicle toward the manubrium until movement is palpated in the SC joint by straightening the body and pulling scapula anteriorly
• posterior force simultaneously applied to proximal clavicle from anterior to posterior
• patient then pulls their shoulder down toward table and holds position for 3-5 seconds with pysician applying isometric resistance, then relax
• do until ROM is restored