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9* Resisted medial rotation ( Limited number of hotspots activated !!! )

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One hand immobilizes the contralateral shoulder

Elbow bent to 90 and in contact with the trunk

Shoulder in neutral position (forearm at 12 hours)

The other hand against the inner and distal aspect of the forearm.

Resist the attempt to rotate the forearm medially


Adopt a good starting position so the force exerted by the patient can easily be resisted.

Make sure the patient keeps the elbow against the body

All contractile structures of the rotator cuff have also a stabilizing function on the scapulohumeral joint. It may therefore be possible that they are active during other movements than those exerted by their primary function which, consequently, may result in a slightly erroneous picture. (see: help - examination)

Sometimes the resisted movements provoke other, non-contractile (inert) structures indirectly. "transmitted stress". This may be a second source of possible errors during the interpretation.

Anatomical structures tested

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