Osteokinematic Movement | Position & Norms |
Scapular Abduction & Upward Rotation
(Serratus Anterior) | 1) Short sitting over side of the table
2) **Same position**
Action: Pt raises arms to ~130 degrees of flexion w/ elbow extended |
Scapular Elevation
(Trapezius, Levator Scapula, rhomboid major and minor) | 1) Short sitting over side of table
2) Prone/Supine fully supported
Pt elevates (shrugs) shoulders |
Scapular Adduction
(Trapezius, Rhomboid Major, rhomboid minor, trapezius, levator scapulae) | 1) Prone w/ shoulder at edge of table and abducted to 90 degrees, elbow flexed to 90 degrees
2) **Same position**
Pt lifts elbow toward the ceiling |
Scapular Depression & Adduction
(Trapezius, latissimus dorsi, pectoralis major and minor) | 1) Prone w/ arm over head to 145 degrees of abduction, thumb pointing up toward ceiling
2) **Same position**
Pt raises arm as high as they can |
Scapula Adduction & Downward Rotation
(Rhomboid Major and Minor, levator scapulae) | 1) Prone, shoulder internally rotated and adducted across the back w/ elbow flexed and hand resting on the back
2) Short sitting w/ shoulder internally rotated and arm extended and adducted behind back
Pt lifts their arm |
Shoulder Flexion
(Deltoid, Supraspinatus, Coracobrachialis, pectoralis major, deltoid, serratus anterior) | 1) Short sitting w/ arms at sides, elbow slightly flexed, forearm pronated
2)**Same position**
Pt moves arm in flexion to shoulder height |
Shoulder Extension
(Latissimus Dorsi, Deltoid, Teres Major, triceps brachii) | 1) Prone w/ arms at side and shoulder internally rotated (palm up)
2) **Same position**
Pt lifts arm as high as they can |
Shoulder Abduction
(Deltoid, Supraspinatus) | 1) Short sitting, w/ arm at side and elbow slightly flexed
2) **Same position**
Pt lifts arm out to the side to shoulder level |
Shoulder Horizontal Abduction (2 positions)
(Deltoid, infraspinatus, teres minor) | 1) Prone w/ shoulder abducted to 90 degrees and forearm off edge of table, elbow straight
2) Short sitting
Pt lifts elbow up toward the ceiling |