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Horizontal abduction and horizontal adduction of the shoulder (transverse plane) Medial and lateral rotation of the shoulder (also known as internal and external rotation). Medial rotation is carried out by the anterior fibres of the deltoid, teres major, subscapularis, pectoralis major and the latissimus dorsi.
The face pull is a weight training exercise that primarily targets the musculature of the upper back and shoulders, namely the posterior deltoids, trapezius, rhomboids, Latissimus dorsi as well as the biceps. [1] The face pull is considered an important exercise for shoulder health and stability. [2]
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
One abduction-based exercise you probably already into your strength workouts: lateral shoulder raises (see below!), says Ashley Joi, CPT, trainer for health and fitness app Centr.
The patient is asked to either sit on an examination table or stand while performing this test. Examiner should be standing on the patient's lateral side or behind the arm being evaluated. Examiner will passively abduct the patient's shoulder (humerus) to 90 degrees. The patient is then asked to slowly lower or adduct the shoulder to their side.
The latissimus dorsi is responsible for extension, adduction, transverse extension also known as horizontal abduction (or horizontal extension), [1] flexion from an extended position, and (medial) internal rotation of the shoulder joint. It also has a synergistic role in extension and lateral flexion of the lumbar spine.
A 2007 meta-analysis described the shoulder abduction relief test as having low to moderate sensitivity and moderate to high specificity. [5] Another study in 1981 found that 15 of 22 patients with unremitting radicular pain reported relief with shoulder abduction.
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).