Audience: more for me but anyone interested in the shoulder can read it.
Purpose: quick reference card for thinking about a functional shoulder diagnosis
The algorithm below is from Ann Cools work:
Screening the athlete’s shoulder for impingement symptoms: a clinical reasoning algorithm for early detection of shoulder pathology
The following picture shows a chart from Paula Ludewig work (Manual Therapy 2011) that shows functional deficits and how these deficits impact kinematic function. Other research has linked these kinematic dysfunctions with shoulder impingement.
Toronto Physiotherapy at the Urban Athlete,