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19 April 2009

Strength Tests of Shoulder

External Rotator Cuff (RC) Strength
Position the patient sitting, with his arms at his sides and elbows at 90 degrees. It is important to maintain the elbow positioning at the sides while the external rotation is attempted by the patient (the examiner applies internal resistance).




Internal RC Strength Test of Shoulder


Same as above, but the patient is attempting to rotate internally (and examiner resisting externally).





Supraspinatus Strength Test of Shoulder


The patient is positioned sitting with arms straight out, elbows locked, thumbs down, and arm at 30 degrees (in scapular plane). The patient should attempt to abduct his arms against the examiner's resistance.




Palpation test of Bicipital Groove of Shoulder


Position the patient sitting, beginning with the arm straightened. The patient should then flex his arm to contract the biceps muscles. The examiner palpates the bicipital groove to attempt to illicit pain.

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