George here, a final year physio student. Just trying to recap on all my MSK knowledge.
Regarding A shoulder assessment after you have completed a subjective and knowledge on mech of injury I would start on an objective.
First question is weather I start with active movements or passive movements or if it matters?
1. If I assessed AROM and it is restricted by pain but passive ROM is not painful – can we clinically reason the problem is more muscular??
2. If I assessed AROM and it is restricted by pain AND then passive ROM is painful – can we clinically reason the problem is more joint?? – My reasoning behind this is that if its a joint problem and painful on passive its gonna be on active aswel even if there is no muscular damage as its still going through the range.
Last question, if your starting your assessment figuring out if its muscular or joint, what category does impingement come under?
Thanks for your help and apologies if they are silly questions.
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