[vc_row][vc_column width=”1/2″][vc_custom_heading text=”Shoulder Adduction PROM” use_theme_fonts=”yes”][/vc_column][vc_column width=”1/2″][vc_custom_heading text=”ROM 3343″ font_container=”tag:p|text_align:right” use_theme_fonts=”yes”][/vc_column][/vc_row][vc_row][vc_column][vc_tta_tour active_section=”1″][vc_tta_section i_icon_fontawesome=”fa fa-cogs” title=”Procedure” tab_id=”1453644987098-a0bdfd0a-a284″ add_icon=”true”][vc_column_text]
Procedure
- One hand supports the arm proximal to the elbow
- The other hand supports it at the wrist
- Bring the arm into adduction across the front of the client
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Zero Position
- Anatomical position, or
- Seated
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Caution
- If there is a history of shoulder dislocation
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Endfeel
- Soft, antagonists, shoulder abductors, or
- Soft tissue approximation (breasts or chest and abdomen)
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Avoid
- Excessive flexion of the arm TIP 297
- Flexion of the spine TIP 298
- IL Lateral flexion of the spine TIP 300
- CL rotation of spine TIP 202
- Rotation of legs TIP 140
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Permit
- Flexion of the arm to cater for breasts
- Protraction of the scapula TIP 213
- Medial rotation of the arm / pronation of forearm TIP 214
- Elbow flexion TIP 217
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Agonist Muscles
Shoulder (Arm) Adductors
- Pectoralis Major, (sternal head), PM
- Latissimus Dorsi, PM
- Teres Major
- Coracobrachialis
- Teres Minor (weak)
- Triceps Brachii (long head)
- Infraspinatus
- Anterior Deltoid (when abducted)
- Posterior Deltoid (when abducted)
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Antagonist Muscles
Shoulder (Arm) Abductors
- Deltoid, PM (60-70%)
- Supraspinatus (30-40%)
- Biceps Brachii (long head) when arm is laterally rotated
- Serratus Anterior (indirectly by scapular upward rotation)
- Upper Trapezius (indirectly by scapular upward rotation and clavicular elevation)
- Upper Trapezius (indirectly by scapular upward rotation)
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Tissues Compressed
- Agonists, shoulder adductors
- Posterior glenohumeral joint capsule
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Tissues Stretched
- Antagonists, shoulder abductors
- Supraspinatus tendon
- Subdeltoid bursa
- Upper glenohumeral joint capsule
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Joints Directly Involved
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Joints Indirectly Involved
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Special Notes
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