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Rounded shoulder posture (RSP), also known as “mom posture”, [1] is a common postural problem in which the resting position of the shoulders leans forward from the body’s ideal alignment. [1]
Passive range of motion (or PROM) – Therapist or equipment moves the joint through the range of motion with no effort from the patient. Active assisted range of motion (or AAROM ) – Patient uses the muscles surrounding the joint to perform the exercise but requires some help from the therapist or equipment (such as a strap).
At the same time, the outside force moves the body part, such as a leg or arm, throughout the available range. Injury, surgery, or immobilization of a joint may affect the normal joint range of motion. [7] Active range of motion is the movement of a joint provided entirely by the individual performing the exercise.
Evaluation of passive and active range of motion: Neck range of motion should be assessed that may reveal a neck source of shoulder pain. The Apley scratch test specifically tests range of motion and in a normal exam, an individual should be able to reach C7 on external rotation, and T7 on internal rotation. Evaluation of distal pulses
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Medical history (the patient tells the doctor about an injury). For shoulder problems the medical history includes the patient's age, dominant hand, if injury affects normal work/activities as well as details on the actual shoulder problem including acute versus chronic and the presence of shoulder catching, instability, locking, pain, paresthesias (burning sensation), stiffness, swelling, and ...
In both tests, the patient is placed in a standing or sitting position, and the arms are raised parallel to the ground in the scapular plane. [2] The tests differ in the rotation of the arm; in the empty can test, the arm is rotated to full internal rotation (thumb down) and in the full can test, the arm is rotated to 45° external rotation, thumb up. [1]
Physical exam findings include restricted range of motion in all planes of movement in both active and passive range of motion. [12] This contrasts with conditions such as shoulder impingement syndrome or rotator cuff tendinitis in which the active range of motion is restricted but passive range of motion is normal. Some exam maneuvers of the ...
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