參考一下吧
http://emedicine.medscape.com/article/1262849-overview

http://emedicine.medscape.com/article/328253-overview

話說那個reversed scapulohumeral rhythm

文章裡有這一段~~~
Active ROM

Active movements are evaluated first. With the observer behind the patient
(who is standing), active abduction is performed.
The scapulohumeral rhythm is observed. If a painful arc (ie, pain or
inability to abduct because of pain) is observed at 45-120°, a subacromial
impingement syndrome is suggested. If the pain is greater after 120°, when
full elevation is reached, an acromioclavicular joint disorder is suggested.

If a reverse scapulohumeral rhythm (ie, an abduction initiated by the
scapulothoracic joint rather than by the glenohumeral joint) is observed, a
frozen shoulder is suggested. Look for a winging of the scapula caused by
trapezius or rhomboid muscle weakness. Active flexion is also evaluated. In
the presence of a subacromial impingement syndrome, this movement can also be
painful. Active flexion may elicit a winging of the scapula caused by a
serratus anterior weakness.
Other motions can be evaluated through a combination of active movements. The
Apley scratch test is probably the most well known. This test combines
internal rotation and adduction of one shoulder with external rotation and
abduction of the other.


老師有�伈o個嗎。。。。。。難道我上課恍神了@~@

Q^Q"~~~

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→推 kainei：好難                                                   04/13 22:47
→推 paul9322231：恩:)                                              04/14 00:01