Upper Extremity Transitional Assessments, Compensations

Horizontal Abduction Test Compensations

Elbows Flex


Rotation Test Compensations

Hands Far from Wall, Internal Rotation

Hands Far from Wall, External Rotation


Shoulder Flexion Test Compensations

Shoulders Elevate

Low Back Arches

Elbows Flex


You can then refer to the table on the following page to determine potential overactive and underactive muscles that will need to be addressed through corrective flexibility and strengthening techniques to improve the individual's quality of movement, decreasing the risk for injury and overall improving performance.

UPPER EXTREMITY TRANSITIONAL ASSESSMENT SOLUTIONS TABLE

Probable Compensations for the Horizontal Abduction Test

Compensation

Potential Meaning

Elbows consistently flex even when properly shown or told not to

Overactive biceps brachii (long head)

Underactive triceps brachii (long head) and rotator cuff

Shoulder protracts (humeral head moves forward and upward)

Overactive pectoralis major/minor and hypomobile posterior capsule Underactive rotator cuff, rhomboids, and middle/lower trapezius

Shoulders elevate

Overactive upper trapezius and levator scapulae

Underactive rotator cuff, rhomboids, and middle/lower trapezius

Probable Compensations for the Rotation Test

Compensation

Potential Meaning

Internal Rotation

Hands are far from wall

Overactive teres minor and infraspinatus and hypomobile posterior capsule

Underactive subscapularis and teres major

Shoulder protracts (humeral head moves forward and upward)

Overactive pectoralis major/minor and hypomobile posterior capsule Underactive rotator cuff, rhomboids, and middle/lower trapezius

Shoulders elevate

Overactive upper trapezius and levator scapulae

Underactive rotator cuff, rhomboids, and middle/lower trapezius

External Rotation

Hands are far from wall

Overactive subscapularis, pectoralis major, teres major, and latissimus dorsi

Underactive teres minor and infraspinatus

Probable Compensations for the Standing Shoulder Flexion Test

Compensation

Potential Meaning

Elbows flex

Overactive biceps brachii (long head), latissimus dorsi, teres major, and pectoralis major

Underactive triceps brachii (long head) and rotator cuff

Shoulders elevate

Overactive upper trapezius and levator scapulae

Underactive rotator cuff, rhomboids, and middle/lower trapezius

Low back arches off the wall

Overactive erector spinae, latissimus dorsi and pectoralis major/minor Underactive rotator cuff, rhomboids, and middle/lower trapezius

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