RROM

[vc_row][vc_column width=”5/6″][vc_custom_heading text=”Shoulder Horizontal Medial Rotation RROM” use_theme_fonts=”yes”][/vc_column][vc_column width=”1/6″][vc_custom_heading text=”ROM 3394″ 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 client’s elbow
  • The other hand provides upward resistance just proximal to the client’s wrist

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Zero Position

  • Arm in 90° abduction
  • Forearm parallel to the ground
  • Forearm in 90° flexion TIP 387

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Caution

  • If there is a history of shoulder dislocation
  • Support the weight of the arm TIP 253

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Endfeel

  • Relevant for PROM only

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Avoid

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Permit

  • Flexion of the forearm TIP 308
  • Pronation of forearm (palm facing forward / downward) TIP 244
  • Support the weight of the arm TIP 253

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Agonist Muscles

Shoulder (Arm) Horizontal Medial Rotators

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Antagonist Muscles

Shoulder (Arm) Horizontal Lateral Rotators

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Tissues Compressed

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Tissues Stretched

  • Antagonists, shoulder horizontal lateral rotators
  • Posterior GH Capsule

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Joints Directly Involved

  • Glenohumeral Joint
  • AC joint
  • SC joint
  • Scapulathoracic articulation

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Joints Indirectly Involved

  • Spinal intervertebral joints
  • Hip joints

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Special Notes

  • Always test for rotation with the arm hanging down and in 90° of abduction TIP 252
  • For both medial and lateral rotation of the arm the forearm has to be kept in 90° of flexion TIP 267
  • If the abducted position elicits pain, support the weight of the client’s arm at the elbow, to eliminate the arm abductors by preventing them from contracting TIP 253

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