The joints of the shoulder complex
The physiological movements that occur over the shoulder
The muscles that work on the shoulder
The ligaments and their function e.g. what they restrict?
What limits each movement?
Try abducting your own arm with your thumb facing up, and then again with your thumb turned down (Internal rotation UL), whats limiting the movement during the second attempt?
What are the key bony points around the shoulder?
Clavicle Position
Normal or Slight Incline
Dominant should is generally lower
Any signs of deformity on the picture above?
Upper Limb position
Observe any increase in Medial rotation - Tight Pec Major
Muscle bulk
Observe for muscle bulk of the Deltoids, pecs and upper traps.
Scapula
Scapula resting position - winging / pseudo-winging
Muscle bulk
upper/mid/lower traps
Deltoid
Rhomboids
Lats
Rotator cuff
Upper Limb position
Protract. / retract. of scapula
Cervical / Thoracic position
Increased kyphosis
protraction of head
GHJ
Protract. / retract. of GHJ
Muscle bulk
Observe for muscle bulk of the Deltoids
Make a list of the key bony points to consider when measuring range in the Shoulder.
Check out the SHU Goniometry Google Site.
Measure the following joint angles:
Flexion
Abduction
Internal rotation
External rotation
Check your answers using the links below once you've written your guestimates down.