22 reactions | Shoulder Assessment Series Part 4: Painful Arc Syndrome Usually found during your AROM assessment, the painful arc syndrome can give you an indication where the shoulder problem is located. Pain occuring within 60-120° is indicative for a problem in the GH joint, 170-180° is an indication for an issue with the AC joint. | Physiotutors | Facebook
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SHOULDER ASSESSMENT SERIES PART 4: PAINFUL ARC SYNDROME The Painful Arc Syndrome is pain during 60° until 120° of abduction. The reason for this is that the anterior and posterior parts of the deltoid muscle start to become abductors from 60° of abduction on due to the position of the humerus and its axis of motion. If the rotator cuff muscles are not strong enough or cannot control to counteract the abduction force of the deltoids, the deltoids will translate the humeral head cranially and caus
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THE PAINFUL ARC FOR SUBACROMIAL PAIN SYNDROME (SAPS)
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THE PAINFUL ARC FOR SUBACROMIAL PAIN SYNDROME (SAPS) According to Hermans et al. (2013), the painful arc is the best test to determine the presence or absence of a rotator cuff tear with an LR of 3.7 and an LR- of 0.36. The biomechanical reasoning for the painful arc used to be that the anterior and posterior parts of the deltoid muscle start to become abductors from 60° of abduction on due to the position of the humerus and its axis of motion. If the rotator cuff muscles are not strong enough t
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