Execution:
- Patient is in supine lying position with the shoulder abducted to 90°
- The examiner palpates the coracoid process with his thumb to prevent/check for scapular movement
- The examiner grabs the patient’s arm at the wrist and brings it into internal rotation where it is measured with a goniometer
- The examiner repeats the process on the other shoulder and compares both sides
- The examiner measures external rotation in both sides as well and notes the total range of motion (TROM) of both internal and external rotation in both shoulders
Positive Outcome: Loss of >10° in internal rotation and loss of >10° in total ROM between sides
|
Study |
Reliability | Sn | Sp | LR+ |
LR- |
| Cools et al. (2008) |
NA |
NA | NA | NA |
NA |
| Comment: In the throwing shoulder a loss of internal rotation can be compensated by a gain in external rotation. Therefore the TROM has to be taken into account | |||||
