When the rotator cuff muscles become chronically tight the head of the humerus will be pulled up into the shoulder socket compressing the bursa and supra spinatus tendon. As a result of the narrowing of the space between the acromion and the head of the humerus the tendons …show more content…
It is best to test both active and passive range of motion to determine limitations and pain level prior to performing treatment. It is important to test for the rotator cuffs full range of motion, while identifying the muscles that cause pain. In addition it will be necessary to test scapular range of motion as these muscles will provide further information and treatment options.
Shoulder impingement is common among both amateur & professional athletes as well as week end warriors. In addition individuals with jobs that involve repetitive motions of the shoulder can be at risk. Massage therapists do not diagnose, yet ROM assessment of the soft tissues of the body and treatment of the musculature to improve muscular function are well within the scope of practice of the massage therapist.
Many times clients will be referred to massage from physical Therapy, orthopedic, and rehabilitation centers. If the client presents with a non- operable shoulder impingement syndrome perform ROM to determine key musculature inflammation. To determine whether the client presents with supraspinatus or biceps brachii pain and inflammation use active range of motion and active assisted …show more content…
Bring the forearm in so that the arm is flexed to 90 degrees and move the hand down by rotating the shoulder forward. Now from this position assist the client by bringing the hand & forearm inward toward the midline of the body. Have the client assist in this motion, pain may be immediately felt, make sure the client knows to communicate moderate to severe pain and stop motion at that point.
Always test both shoulders for comparison and record clients ' responses within client files by maintaining daily client S.O.A.P. notes. Another active assisted range of motion test is to place one hand on top of the shoulder (to limit motion to 90 degrees) now assist client as they raise arm palm down from their side to 90 degrees of flexion. The next active assisted range of motion test has been shown to be accurate for determining shoulder impingement syndrome 97 to 98 percent of the