Joint Play Shoulder | Basic Shoulder Assessment | Physiotherapy Exam
Shoulder Joint Play movements of the Glenohumeral joint are performed to test the capsular apparatus on laxity or stiffness.
The joint play movements in the glenohumeral Joint that are commonly performed are:
AP and PA glide of the humerus
Lateral distraction of the humerus
Traction or caudal glide
Caudal glide in 90 degrees of Abduction
Unless mentioned will perform all of those joint play movements in the maximally loose pack position which is 40° to 55° of abduction and 30 degrees of horizontal adduction.
For the AP glide of the humerus have your patient in supine lying position at the edge of the table. Then fixate your patient’s arm with your outer hand between your upper arm and your body and with your inner hand translate the humerus posteriorly.
For the PA glide of the humerus have your patient in supine lying position with the shoulder off of the table. Then fixate your patient’s arm between your body and your upper arm, grab onto the humerus in your patient’s armpit with your other hand, fixate the coracoid process, the scapula, and acromion, and then translate the humerus from posterior to anterior.
For lateral distraction fixate your patient’s arm at the elbow, grab on to the humerus in your patient’s armpit and then move the humerus laterally.
For the Caudal glide or traction palpate the joint line with one hand and then perform longitudinal traction of the humerus over the wrist. If your patient has elbow problems you can also grab on to the humeral epicondyles for all joint play movements. Make sure to always pull from your whole body instead of just your arms to make it as easy as possible for yourself
For the caudal glide in 90° of abduction, fixate your patient’s arm between your body in your own upper arm bring the shoulder into 90° degrees of abduction, and perform a caudal glide with your other hand For even more joint play movement you can add angulation with your body.
21 OF THE MOST USEFUL ORTHOPAEDIC TESTS IN CLINICAL PRACTICE
LIKE WHAT YOU’RE LEARNING?
BUY THE FULL PHYSIOTUTORS ASSESSMENT BOOK
600+ Pages e-Book
Interactive Content (Direct Video Demonstration, PubMed articles)
Statistical Values for all Special Tests from the latest research
What customers have to say about the Assessment E-Book
The Assessment E-Book This book helped me in my studying for my exam and in assessing my first patients. Awesome! Also for beginners!
The Assessment E-Book It’s an amazing Compilation! Congrats to all the work you have put in there. You’ll propably find all the test’s you’ve been looking for with propper explaination and source to doublecheck for you self. definetly a must have for every student, but it will also help an experienced practioner. Im looking forward to the lifelong updates on the topics.
Great work, guys
The Assessment E-Book A must-have for all physiotherapists, osteopaths and manual therapists. The authors conducted an extensive research on assessment tests in manual therapy. I find it very easy to read. The more I read the more I learn. Thank you!
The Assessment E-Book This book is great! It is very structured and detailed. It works extremely well on my Macbook and iPad.
The Assessment E-Book The best way to spend 80euros. Totally worth it. The amount of work you put behind this must have been absolutely huge. Every physical or physiotherapist should own it.
Congrats guys you’ve done an incredible job.
I’ve learnd a lot of new things and my approach to therapy in general have totally changed.
In one word: amazing. Keep going guys ! Best wishes from france.
The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network.
The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user.
The technical storage or access that is used exclusively for statistical purposes.The technical storage or access that is used exclusively for anonymous statistical purposes. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you.
The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes.