Practical Examination of the Isolated Movement in the Glenohumeral Articulation

Our presented procedure of the examination comes out of a need of the outpatient department practice, and it is suitable for us. We do not claim the only right solution of this problem. Our aim is to examine fastest, and also most exactly because the less the extensions of the movement are important for a determination of a diagnosis, the more important these ones are for a determination of progress during therapy and watching the development of the affection.

Standardization of the Examination of the Patient

We have to secure a standard position and procedure of the examination during every examination of a patient, and so we defend a various distortion resulting from methodical mistakes. Divergent ways of measuring also bring problems during a communication among various departments. The standard procedure is ensured by:

to restrict an activity of other articulations, i.e. mainly of the scapula to make the movement really only in the glenohumeral articulation, during movements in the glenohumeral articulation. We can examine the patient in the dependence on a type of the watching movement:

1. lying down on the back or on the abdomen

2. sitting with the patient's rotated upper limb

because he/she has to share on a fixation of the patient (mainly of his/her scapula) not to occur , during movements in the glenohumeral articulation, a substitution of its function with other joints, and then there could be mistakes in values of measuring.