AIM:
To train shoulder external rotation in preparation for reaching
Rationale:
An important component of reaching is shoulder external rotation. Task-related training is set up so the patient can practice with manual guidance from the therapist if necessary and/or support from the table.
Equipment:
- Table/adjustable height plinth
- Chair
- Piece of paper
- Pen
- Target (eg. cup)
Key Points:
- Patient is positioned in sitting, arm supported on table, arm positioned with shoulder in neutral and 90° elbow flexion
- Patient externally rotates shoulder
- Therapist is positioned to the side of the patient and provides manual guidance at the arm if necessary
- Therapist provides feedback for range of movement using a pen and/or paper
Common Errors:
- Patient abducts shoulder
Progression and Variety:
- Decrease/remove manual guidance
- Remove support from plinth (shown in video)
- Increase amplitude of movement
- Increase speed of movement