{"id":8711,"date":"2021-11-18T17:22:45","date_gmt":"2021-11-18T16:22:45","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=wiki&amp;p=8711"},"modified":"2021-11-18T17:22:45","modified_gmt":"2021-11-18T16:22:45","slug":"shoulder-active-range-of-motion","status":"publish","type":"wiki","link":"https:\/\/www.physiotutors.com\/wiki\/shoulder-active-range-of-motion\/","title":{"rendered":"Shoulder Active Range of Motion"},"featured_media":8712,"template":"","class_list":["post-8711","wiki","type-wiki","status-publish","has-post-thumbnail","hentry"],"acf":{"sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":8712,"background_image_alt_text":"Shoulder Active Range of Motion"},"heading":"Shoulder Active Range of Motion | AROM Assessment","subheading":"Shoulder Assessment","content_editor":"","button_type":"internal_link","button_label":"Check our shop","button_style":"button-five","button_internal_link":4646,"button_anchor":"","button_url":"","button_file":"","label":""},{"acf_fc_layout":"submenu","links":[{"button_type":"anchor","button_label":"Learn","button_internal_link":null,"button_anchor":"section-number-3","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Assessment E-Book","button_internal_link":null,"button_anchor":"section-number-4","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Reviews","button_internal_link":null,"button_anchor":"section-number-5","button_url":"","button_file":null}],"dropdown_label":"Go to","button_right":{"button_type":"internal_link","button_label":"Become a member","button_style":"button-three","button_internal_link":16662,"button_anchor":"","button_url":"","button_file":""},"button_description":"Find this wiki on the Physiotutors platform"},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"<h4>Learn<\/h4>"},"column_right":{"content_editor":"<h6>Shoulder Active Range of Motion | AROM Assessment<\/h2>\n<span data-offset-key=\"7tjmc-0-0\">During AROM you are assessing, how many degrees of freedom the patient has in the shoulder complex. Additionally, you are looking for compensation and movement quality. <\/span><span data-offset-key=\"306bs-0-0\">If your patient is in a lot of pain or comes to your practice directly post-op, you rather want to choose for the supine position instead of sitting. <\/span><span data-offset-key=\"cm05j-0-0\">So what kind of pathologies could we use AROM assessment in the shoulder for? Let's look at the most prominent ones:<\/span>\n\n<span data-offset-key=\"5h8vb-0-0\">1) Frozen Shoulder: In Frozen Shoulder you'd expect a severe decrease in AROM as well as PROM (tomorrow) with minimal pain, especially in external rotation in 0\u00b0 of abduction and elevation.<\/span>\n\n<span data-offset-key=\"445g3-0-0\">2) Rotator cuff pathology: In this case, you might for example observe a painful arc between 60-120\u00b0 of abduction, as well as scapular dyskinesia - although evidence for scapula dyskinesia and its contribution to shoulder pain is conflicting.<\/span>\n<div class=\"embed-container\">\n\n[embed]https:\/\/www.youtube.com\/watch?v=cP4LLJie9kw[\/embed]\n\n<\/div>\nDuring active range of motion assessment, you\u2019re going to evaluate the following movements: First, there is elevation through abduction. Ask your patient to place the arms in the anatomic position, meaning the palms face forward with the thumbs pointing towards the side. Then ask your patient to slowly abduct the arms as far as possible. Ask your patient to perform the same movement, but now you\u2019re looking at him from the back.\n\nTo evaluate the movement, make use of the scapulohumeral rhythm. You\u2019re going to examine the movements of the humerus, scapula, and clavicle. The second movement is elevation through forward flexion. Ask your patient to stand upright and the thumbs point forward and then your patient is going to slowly forward flex both arms.\n\nFor extension, ask your patient to stand upright and then instruct him to bring the arms as far back as possible. Make sure that the movement is in the shoulder and that the patient does not compensate from the spine by leaning forward or by scapular retraction.\n\nFor lateral or external rotation, ask your patient to flex the elbow to 90\u00b0 and have the upper arms rest against the thorax. The patient is then asked to bring the wrist outward as far as possible without abducting the arm. This movement should be performed carefully in patients who suffered shoulder dislocations.\n\nFor medial or internal rotation, there are two ways to assess this movement. First, there is the hitchhiking thumb. Ask your patient to extend the thumb and reach as far up the back as possible with it. The spinous processes T5 and T10 represent normal internal rotation degrees. The second way to assess medial or internal rotation is to ask your patient to abduct the arms to 90\u00b0 and then perform internal rotation.\n\nNext up is adduction. Instruct your patient to bring the arms as far as possible in front of the body. Next up is horizontal adduction or crossed flexion. Ask your patient to abduct the arms to 90\u00b0 and then bring the arms as far as possible in front of the body.\n\nFor scapular protraction, ask your patient to bring the shoulders as far as possible together anteriorly. For scapular retraction, ask your patient to squeeze the shoulder blades together and thus perform retraction.\n\nFor shoulder elevation, instruct your patient to shrug the shoulders. For shoulder depression, instruct your patient to bring the shoulders towards the floor as far as possible.\n\nRead the following post in order to learn how to assess for <a href=\"https:\/\/www.physiotutors.com\/wiki\/shoulder-passive-range-of-motion\/\">passive range of motion in the shoulder<\/a>.\n\n[cta]\n"}},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"<h4>References<\/h4>"},"column_right":{"content_editor":"-"}},{"acf_fc_layout":"cta-image-v2","layout":"","background":"transparent","heading":"","content_editor":"<p class=\"subheading\">Like what you\u2019re learning?<\/p>\n<p class=\"heading-two\">BUY THE FULL PHYSIOTUTORS <strong>ASSESSMENT BOOK<\/strong><\/p>\n\n<ul>\n \t<li>600+ Pages e-Book<\/li>\n \t<li>Interactive Content (Direct Video Demonstration, PubMed articles)<\/li>\n \t<li>Statistical Values for all Special Tests from the 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