Shoulder ROM measurements

positioning → shoulder complex: flexion

• hooklying

• arm anatomical neutral

• elbow extension

stabilization → shoulder complex: flexion

• stabilize the thorax to prevent spine extension and rib movement

• PT: supports the arm while measuring so it won’t drop

axis → shoulder complex: flexion

lateral aspect of greater tubercle

stationay/proximal arm → shoulder complex: flexion

midaxillary arm of the thorax

moving/distal arm → shoulder complex: flexion

lateral midline of the humerus to the lateral epicondyle of the distal humerus

end feel → shoulder complex: flexion

firm

AAOS ROM norms → shoulder complex: flexion

0-180

common substitutions → shoulder complex: flexion

trunk extension, elbow flexion, scap retraction

plane of movement → shoulder complex: flexion

sagittal plane, medial-lateral axis

position → glenohumeral: flexion

• hooklying

• arm anatomical neutral

• elbow extension

stabilization → glenohumeral: flexion

• stabilize the scapula to prevent tilting, upward rotation, and elevation

  • cup the inferior angle with your hand

• PT: supports the arm while measuring so it doesn’t drop

axis → glenohumeral: flexion

lateral aspect of greater tubercle

stationary/proximal arm → glenohumeral: flexion

midaxillary arm of the thorax

moving/distal arm → glenohumeral: flexion

lateral midline of the humerus to the lateral epicondyle of the distal humerus

end feel → glenohumeral: flexion

firm

AAOS ROM norms → glenohumeral: flexion

0-100/115 but no norms

common substitutions → glenohumeral: flexion

trunk extension, elbow flexion, scapular retraction

plane of movement → glenohumeral: flexion

sagittal plane; medial-lateral axis

position → shoulder complex: extension

prone, face turned away from the testing arm, no pillow, arm in anatomical neutral, elbow in slight flexion

stabilization → shoulder complex: extension

• table blocks movement

• PT lifts the forearm into extension

axis → shoulder complex: extension

lateral aspect of greater tubercle

stationary/proximal arm → shoulder complex: extension

midaxillary arm of the thorax

moving/distal arm → shoulder complex: extension

lateral midline of the humerus to the lateral epicondyle of the distal humerus

end feel → shoulder complex: extension

firm

AAOS ROM → shoulder complex: extension

0-60 degrees

common substitutions → shoulder complex: extension

trunk forward flexion and spine rotation

plane of movement → shoulder complex: extension

sagittal plane; medial-lateral axis

position → glenohumeral: extension

prone, face turned away from testing arm, no pillow, arm in anatomical neutral, elbow in slight flexion

stabilization → glenohumeral: extension

• stabilize the scapula at the inferior angle to prevent anterior tilting and elevation

• support the arm while moving

axis → glenohumeral: extension

lateral aspect of greater tubercle

stationary/proximal arm → glenohumeral: extension

midaxillary arm of the thorax

moving/distal arm → glenohumeral: extension

lateral midline of the humerus to the lateral epicondyle of the distal humerus

end feel → glenohumeral: extension

firm

AAOS ROM norms → glenohumeral: extension

NO NORMS but 0-20/25

common substitutions → glenohumeral: extension

trunk forward flexion and spine rotation

plane of movement → glenohumeral: extension

sagittal plane; medial-lateral axis

position → shoulder complex: abduction

supine, palm up with shoulder neutral, elbow extended

stabilization → shoulder complex: abduction

thorax stabilized by table and examiner

axis → shoulder complex: abduction

anterior aspect of acromial process

stationary/proximal arm → shoulder complex: abduction

parallel to anterior sternum

moving/distal arm → shoulder complex: abduction

medial epicondyle, anterior midline of the humerus

end feel → shoulder complex: abduction

firm

AAOS ROM norms → shoulder complex: abduction

0-180

common substitutions → shoulder complex: abduction

lateral trunk flexion

plane of movement → shoulder complex: abduction

frontal plane; anterior-posterior axis

position → glenohumeral: abduction

supine, palm up with shoulder neutral, elbow extended

stabilization → glenohumeral: abduction

scapula stabilized to prevent upward rotation and elevation

axis → glenohumeral: abduction

anterior aspect of acromial process

stationary/proximal arm → glenohumeral: abduction

parallel to anterior sternum

moving/distal arm → glenohumeral: abduction

medial epicondyle, anterior midline of the humerus

end feel → glenohumeral: abduction

firm

common substitutions → glenohumeral: abduction

scapula upward rotation, elevation

plane of movement → glenohumeral: abduction

frontal plane, anterior-posterior axis

position → shoulder complex: IR/ER

supine, 90 degrees shoulder abduction, pad under distal humerus

stabilization → shoulder complex: IR/ER

distal end of humerus to keep arm abducted to 90 degrees, clavicle

axis → shoulder complex: IR/ER

olecranon process

stationary/proximal arm → shoulder complex: IR/ER

perpendicular to or parallel to the floor

moving/distal arm → shoulder complex: IR/ER

ulna, ulna styloid process

end feel → shoulder complex: IR/ER

firm

AAOS ROM norms → shoulder complex: IR/ER

• IR = 0-70

• ER = 0-90

common substitutions → shoulder complex: IR/ER

• IR: flexion or rotate spine

• ER: extend or rotate the spine

position → glenohumeral: IR/ER

supine, 90 degrees shoulder abduction, pad under distal humerus

stabilization: → glenohumeral: IR/ER

IR: clavicle and coracoid and acromion process to prevent anterior tilting and protraction of the scapula

axis → glenohumeral: IR/ER

olecranon process

stationary/proximal arm → glenohumeral: IR/ER

perpendicular to or parallel to the floor

moving/distal arm → glenohumeral: IR/ER

ulna, ulna styloid process

end feel → glenohumeral: IR/ER

firm

common substitutions → glenohumeral: IR/ER

• IR: anterior tilt or protract scapula

• ER: posterior tilt or rotate spine

plane of movement → glenohumeral: IR/ER

testing: sagittal plane

position → elbow flexion

supine, pad under distal humerus

stabilization → elbow flexion

humerus (pad under) on table

axis → elbow flexion

lateral epicondyle of the humerus

stationary/proximal arm → elbow flexion

lateral midline of the humerus, acromion process

moving/distal arm → elbow flexion

lateral midline of the radius, radial styloid process

end feel → elbow flexion

soft typically or firm

AAOS ROM norms → elbow flexion

0-150 degrees

common substitution → elbow flexion

flexion of the shoulder