Functional Anatomy

  1. Scapular Elevation: Normal ROM
  2. Scapular Elevation: Active ROM
    The patient moves the shoulders toward the ears in an upward direction
  3. Scapular Elevation: Passive ROM
    The therapist's right hand cups the inferior angle of the scapula and elevates the scapula. The left hand assists in controlling the direction of movement
  4. Scapular Elevation: Muscle Grade
    Against Gravity: Upper fibers of Trapezius and Levator Scapulae
    • Start Position: Patient is sitting. Shoulders are slightly abducted, and elbows are flexed to 90 degrees
    • Movement: Patient elevates shoulder girdle(s) to bring acromion process closer to ear
    • Palpation: Upper fibers of trapezius-on a point of a line midway between inion and acromion process. Levator scapulae-too deep to palpate
    • Substitution: Lowering ear to shoulder and contralateral trunk side flexion
    • Resistance Location: Applied over top of shoulders
    • Resistance Direction: Scapular depression
  5. Shoulder Elevation: Muscle Grade
    Gravity Eliminated: Upper fibers of Trapezius and Levator Scapulae
    • Start: Patient prone. Arms at side, and shoulder at neutral position. Therapist supports weight of UE to reduce resistance of friction
    • End: Patient elevates scapula through full ROM
    • Substitution: Contra;ateral trunk side flexion
  6. Scapular Depression: Normal ROM
  7. Scapular Depression/Adduction: Active ROM
    Patient moves shoulders toward the waist in a downward direction
  8. Scapular Depression/Adduction: Passive ROM
    • Therapist's left hand is placed on top of the shoulder and depresses scapula. Right hand cups inferior angle of scapula to control direction of movement
    • End feel: Firm/hard
Card Set
Functional Anatomy
Shoulder Complex