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