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Patients should be allowed from the beginning to fully and actively move the elbow, wrist, and hand and should be allowed to passively move the shoulder into no more than 90° of elevation in the plane of the scapula.
Cole et al. [ 6], using a 3D digitizer, reported intrasession ICC values above 0.80 in elevation in the plane of the scapula.
Strength was measured with a simple tensiometer with the shoulder at 90 degrees of elevation in the plane of the scapula and the elbow extended while the clinician pulled down on the tensiometer.
Strength was measured with the arm in 90 degrees of elevation in the plane of the scapula (30 degrees in front of the coronal plane) and with the elbow straight.
Exercise, in the form of 2 sets of 20 repetitions of shoulder elevation in the plane of the scapula with a 2.3 kg (5 pound) weight in 31 asymptomatic volunteers (mean age 41 years) significantly increased intra and peritendinous vascularity in the supraspinatus tendon[ 70].
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The flexion movements were examined in a sagittal plane, whereas abduction- in the plane of scapula.
Biomechanical testing was done in two positions of humeral elevation in the scapular plane, three positions of humeral rotation, and with an externally applied joint compression load of 22 N. Glenohumeral motion was measured in the intact state, after creation of the simulated Bankart lesion, and after each of the two anterior capsular shifts.
The testing task was a set of 3 repetitions of arm elevation in the scapular plane (about 30° anterior to the frontal plane).
If the patient was unable to achieve 90 degrees of elevation in the scapula plane then 0 points are given.
Abduction refers to elevation in the coronal plane along the X-axis of the pelvis and internal rotations refer to axial rotation along the femur shaft of Y-axis of the femur.
Inclusion criteria: - Diagnosis of rotator cuff tendonitis and/or SIS by GP. - Functional limitation and pain above 50% of the range of movement in flexion, abduction, and elevation in the scapular plane.
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