ROM - Shoulder Complex and Scapula

Shoulder flexion ROM patient position

Supine, knees flexed, elbow extended with palm facing body

Shoulder flexion ROM stabilization

At thorax to prevent spine extension

Shoulder flexion ROM fulcrum

Greater tubercle of humerus

Shoulder flexion ROM proximal arm

Midaxillary line

Shoulder flexion ROM distal arm

Lateral midline of the humerus (lateral epicondyle of humerus

Shoulder flexion ROM end-feel

Firm

Shoulder flexion ROM normal range

180

Shoulder extension ROM patient position

Prone, palms facing body

Shoulder extension ROM stabilization

Opposite scapula

Shoulder extension ROM fulcrum

Greater tubercle of the humerus

Shoulder extension ROM proximal arm

Midaxillary line

Shoulder extension ROM distal arm

Lateral midline of humerus (lateral epicondyle of humerus)

Shoulder extension ROM end-feel

Firm

Shoulder extension ROM normal range

60

Shoulder abduction ROM patient position

Supine, shoulder ext rotated, elbow extended

Shoulder abduction ROM stabilization

Thorax to prevent lateral spine flexion

Shoulder abduction ROM fulcrum

Anterior aspect of acromion

Shoulder abduction ROM proximal arm

Parallel to anterior midline of sternum

Shoulder abduction ROM distal arm

Anterior midline of humerus

Shoulder abduction ROM end-feel

FIrm

Shoulder abduction ROM normal range

180

Shoulder internal rotation ROM patient position

Supine, arm ABD 90 and elbow flexed to 90, palm facing toward feed, may need towel under distal brachium to level

Shoulder internal rotation ROM stabilization

Distal humerus to maintain ABD and elbow flexion

Shoulder internal rotation ROM fulcrum

Olecranon process

Shoulder internal rotation ROM proximal arm

Perpendicular to the floor

Shoulder internal rotation ROM distal arm

Lateral midline of ulna

Shoulder internal rotation ROM end-feel

Firm

Shoulder internal rotation ROM normal range

70

Shoulder external rotation ROM patient position

Supine, arm ABD to 90 and elbow flexed to 90, palms face caudally, may need towel under distal brachium to level

Shoulder external rotation ROM stabilization

Distal humerus to maintain ABD and elbow flexion

Shoulder external rotation ROM fulcrum

Olecranon process

Shoulder external rotation ROM proximal arm

Perpendicular to the floor

Shoulder external rotation ROM distal arm

Lateral midline of the ulna

Shoulder external rotation ROM end-feel

Firm

Shoulder external rotation ROM normal range

90

Biceps brachii muscle length patient position

Full forearm pronation and elbow extension

Biceps brachii muscle length end-feel

Firm

Triceps brachii muscle length patient position

Full supination and elbow flexion

Triceps brachii muscle length end-feel

Firm