Shoulder Passive Accessories

• Shoulder Passive Accessories:

  • purpose of test & aim:
  • main aim is for pain provocation to help identify location of possible source of symptoms
  • we are also looking to see how the tissue responds to the force applied - how much resistance is felt from the joint, soft tissues (muscle spasm) and a comparison to the adjacent side
  • glenohumeral joint:
  • anterior-posterior (in neutral, external rotation, horizontal flexion)
  • posterior-anterior in prone
  • sternoclavicular:
  • anterior-posterior
  • acromioclavicular:
  • anterior-posterior
  • caudad
• Shoulder Passive Accessories:

  • glenohumeral joint - anterior-posterior:
  • pts positioned in supine
  • therapist position: stand at side of the bed facing pt
  • hand position: one hand anteriorly on the head of humerus, other hand stabilising at the spine of the scapula
  • make sure to have the bed low enough, allows you to use your body weight to apply force anterior to posterior through head of humerus
• Shoulder Passive Accessories:

  • sternoclavicular joint - anterior-posterior:
  • pts positioned in supine
  • therapist position: stand at top of plinth
  • hand position: thumbs together on anterior surface of sacroiliac joint
  • make sure to have the bed low enough, apply anterior posterior force
• Shoulder Passive Accessories:

  • acromioclavicular joint - caudal:
  • pts positioned in supine
  • therapist position: stand at top of plinth
  • hand position: thumbs together on anterior surface of acromioclavicular joint
  • make sure to have the bed low enough, apply caudal force
• Shoulder Passive Accessories:

  • acromioclavicular joint - anterior-posterior:
  • pts positioned in supine
  • therapist position: stand at top of plinth
  • hand position: thumbs together on anterior surface of acromioclavicular joint
  • make sure to have the bed low enough, apply anterior-posterior force