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DynaMo Lite Test Protocols – Shoulder Strength

Liesl Thrum
  • Updated

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Shoulder Internal Rotation

Shoulder External Rotation

Shoulder Extension

Shoulder Abduction

Shoulder Adduction

Shoulder Flexion

Shoulder Isometric

Shoulder Push

Shoulder Internal Rotation
Seated - Elbow 90° - Variant 1 Compression

Patient position Seated at the edge of the bed with feet on the floor, their elbow bent to 90 degrees and arm by their side, with their forearm in a neutral position.
Contact point Anterior aspect of the forearm, just proximal to the wrist.
Device orientation Flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Sitting beside the patient, holding the DynaMo Lite with one hand, applying lateral pressure and supporting the patient to ensure they remain stable with the other hand.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder Internal Rotation
Seated - Elbow 90° - Variant 2 Compression

Patient position Seated at the edge of the bed with feet on the floor, their elbow bent to 90 degrees, shoulder extended and internally rotated so that their hand is behind their back, with their forearm in a neutral position.
Contact point Anterior aspect of the forearm, just proximal to the wrist.
Device orientation Flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Sitting behind the patient and slightly off to the side, holding the DynaMo Lite with one hand, applying pressure and supporting the patient to ensure they remain stable with the other hand.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder Internal Rotation
45 Degree Shoulder Abduction Compression

Patient position Seated, with shoulder being tested abducted to 45 degrees and elbow flexed to 90 degrees, resting on a flat surface.
Contact point Anterior aspect of the forearm, just proximal to the wrist.
Device orientation Horizontal, with the flat surface supported by the practitioner, and the curved pad in contact with the patient.
Position of examiner Adjacent to the patient, in a position to support the DynaMo and stabilize the patient's elbow.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.

Shoulder Internal Rotation
Seated - Elbow 90°, 90° Shoulder Abduction Compression

Patient position Seated at the edge of the bed with feet on the floor, their elbow bent to 90 degrees, shoulder abducted to 90 degrees, with their forearm in a neutral position.
Contact point Anterior aspect of the forearm, just proximal to the wrist.
Device orientation Flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Sitting beside the patient, holding the DynaMo Lite with one hand, applying upward pressure and supporting the patient to ensure they remain stable with the other hand.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder Internal Rotation
Standing - Elbow 90° Compression

Patient position Standing with the arm being tested at the patient's side in 90 degrees elbow flexion and forearm in neutral.
Contact point Anterior aspect of the forearm, just proximal to the wrist.
Device orientation Flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Seated adjacent to the patient, on the same side as the arm being tested, supporting the DynaMo Lite in one hand and the patient's elbow with the other.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder Internal Rotation
Supine - Elbow 90° Compression

Patient position Supine on bed with their elbow bent to 90 degrees and their forearm in a neutral position.
Contact point Anterior aspect of the forearm, just proximal to the wrist.
Device orientation Vertical, with the practitioner supporting the flat surface and the curved pad in contact with the patient.
Position of examiner Sitting beside the patient, holding the DynaMo Lite with one hand and supporting the patient to ensure they remain stable with the other hand.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder Internal Rotation
Supine - Elbow 90°, 90° Shoulder Abduction Compression

Patient position Supine, with the arm being assessed bent to 90 degrees shoulder abduction and elbow flexion.
Contact point Distal aspect of the anterior forearm, just proximal to the wrist.
Device orientation Flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Seated at the side of the bed, holding the DynaMo Lite with one hand and supporting arm being tested just proximal to the elbow with the other.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder Internal Rotation
Prone Compression

Patient position Prone on the bed with arm being tested in 90 degree shoulder abduction and elbow flexion.
Contact point Anterior aspect of the patient's forearm, just proximal to the wrist.
Device orientation Flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Seated or kneeling besides the bed with one hand supporting the DynaMo Lite and the other supporting the patient's upper arm, just proximal to their elbow.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder External Rotation
Seated - Elbow 90° - Variant 1 Compression

Patient position Seated at the edge of the bed with feet on the floor, their elbow bent to 90 degrees and arm by their side, with their forearm in a neutral position.
Contact point Posterior aspect of the forearm, just proximal to the wrist.
Device orientation Flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Sitting beside the patient, holding the DynaMo Lite with one hand, applying lateral pressure and supporting the patient to ensure they remain steady with the other hand.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder External Rotation
Seated - Elbow 90° - Variant 2 Compression

Patient position Seated, with their arm being tested at their side, elbow flexed to 90 degrees and forearm in a neutral position, adjacent to a fixed surface.
Contact point Posterior aspect of the forearm, just proximal to the wrist.
Device orientation Horizontal, with the pad in contact with the patient and the flat surface in contact with a fixed surface.
Position of examiner Standing next to the patient in a position to place the DynaMo Lite, instruct and demonstrate the movement.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder External Rotation
45 Degree Shoulder Abduction Compression

Patient position Seated with the arm being tested in 45 degrees shoulder abduction and 90 degree elbow flexion, elbow rested on a flat surface.
Contact point Posterior aspect of the forearm, just proximal to the wrist.
Device orientation Horizontal, with the flat surface supported by the practitioner, and the curved pad in contact with the patient.
Position of examiner Adjacent to the patient, in a position to support the DynaMo and stabilize the patient's elbow.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.

Shoulder External Rotation
Seated - Elbow 90°, 90° Shoulder Abduction Compression

Patient position Seated with the arm being tested in 90 degrees of shoulder abduction and elbow flexion.
Contact point Posterior distal forearm.
Device orientation Vertical, with the practitioner supporting the flat surface and the curved pad in contact with the patient.
Position of examiner Seated adjacent to the patient, on the same side as the arm being tested, supporting the DynaMo Lite in one hand and the patient's elbow with the other.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder External Rotation
Standing - Elbow 90° - Variant 1 Compression

Patient position Standing upright, with their arm being tested at 90 degrees elbow flexion and forearm in a neutral position.
Contact point Dorsal aspect of the hand, with the patient's fist clenched.
Device orientation Flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Standing next to the patient in a position to place the DynaMo Lite, instruct and demonstrate the movement.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder External Rotation
Standing - Elbow 90° - Variant 2 Compression

Patient position Standing, with their arm being tested at their side, elbow flexed to 90 degrees and forearm in a neutral position, adjacent to a fixed surface.
Contact point Posterior aspect of the forearm, just proximal to the wrist.
Device orientation Horizontal, with the pad in contact with the patient and the flat surface in contact with a fixed surface.
Position of examiner Standing next to the patient in a position to place the DynaMo Lite, instruct and demonstrate the movement.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder External Rotation
Side Lying Compression

Patient position Side-lying on non-testing side, with both hips and knees bent to 45 degrees and the arm being tested in 90 degrees elbow flexion.
Contact point Posterior aspect of the forearm, just proximal to the wrist.
Device orientation The flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Standing next to the bed, posterior to the patient, holding the DynaMo Lite with one hand and supporting the patient's arm, just proximal to their elbow, with the other.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder External Rotation
Supine - Elbow 90° Compression

Patient position Supine on the bed with their elbow bent to 90 degrees and their forearm in a neutral position.
Contact point Posterior aspect of the forearm, just proximal to the wrist.
Device orientation Vertical, with the practitioner supporting the flat surface and the pad in contact with the patient.
Position of examiner Sitting beside the patient, holding the DynaMo Lite with one hand and supporting the patient to ensure they remain stable with the other hand.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder External Rotation
Supine - Elbow 90°, 90° Shoulder Abduction Compression

Patient position Supine, with the arm being assessed bent to 90 degrees shoulder abduction and elbow flexion.
Contact point Distal aspect of the posterior forearm, just proximal to the wrist.
Device orientation Flat surface supported by the examiner, and the pad in contact with the patient.
Position of examiner Seated at the side of the bed, holding the DynaMo Lite with one hand and supporting tested arm just proximal to the elbow with the other.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder External Rotation
Supine - Elbow 90°, 120° Shoulder Abduction Compression

Patient position Supine, with the arm being assessed bent to 120 degrees shoulder abduction and 90 degrees elbow flexion.
Contact point Distal aspect of the posterior forearm, just proximal to the wrist.
Device orientation Flat surface supported by the examiner, and the pad in contact with the patient.
Position of examiner Seated at the side of the bed, holding the DynaMo Lite with one hand and supported the tested arm just proximal to the elbow with the other.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder External Rotation
Prone Compression

Patient position Prone with the arm being tested in 90 degrees of shoulder abduction and elbow flexion.
Contact point Posterior distal forearm.
Device orientation Vertical, with the practitioner supporting the flat surface and the curved pad in contact with the patient.
Position of examiner Seated adjacent to the patient, on the same side as the arm being tested, supporting the DynaMo Lite in one hand and the patient's elbow with the other.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder Extension
Seated (Long Lever) - Variant 1 Compression

Patient position Seated at the edge of the bed so that their arm being assessed remains at their side with their elbow extended and forearm in a neutral position, allowing the hand to hang down without contacting the bed.
Contact point Medial aspect of the patient's forearm, along the ulna, proximal to the wrist.
Device orientation Flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Seated adjacent to the patient, supporting the DynaMo Lite and resisting posterior force.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder Extension
Seated (Long Lever) - Variant 2 Compression

Patient position Sitting upright, feet on the ground, with their arm being tested at their side, elbow flexed to 90 degrees and forearm in a neutral position, with their back to a fixed surface.
Contact point Posterior elbow, just superior to the olecranon.
Device orientation Pad in contact with the patient and the flat surface in contact with a fixed surface.
Position of examiner Standing next to the patient in a position to place the DynaMo Lite, instruct and demonstrate the movement.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder Extension
Seated (Short Lever) Compression

Patient position Seated at the edge of the bed with their arm being assessed at their side, elbow bent to 90 degrees.
Contact point Posterior aspect of the patient's upper arm, proximal to the elbow joint.
Device orientation The flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Seated adjacent to the patient, supporting the DynaMo Lite and resisting posterior force.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder Extension
Standing (Long Lever) - Variant 1 Compression

Patient position Standing with the arm being tested at the patient's side and wrist in neutral.
Contact point Medial aspect of the forearm, just proximal to the wrist.
Device orientation Flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Standing behind the patient, on the same side as the arm being tested, supporting the DynaMo Lite in one hand and the patient's shoulder with the other.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder Extension
Standing (Long Lever) - Variant 2 Compression

Patient position Standing upright, with their arm being tested at their side and forearm in a neutral position, in front of a fixed surface.
Contact point Ulnar aspect of forearm, just proximal to the wrist.
Device orientation Pad in contact with the patient and the flat surface in contact with a fixed surface.
Position of examiner Standing next to the patient in a position to place the DynaMo Lite, instruct and demonstrate the movement.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder Extension
Standing (Short Lever) Compression

Patient position Standing with the arm being tested flexed to 90 degrees elbow flexion and wrist in neutral.
Contact point Posterior aspect of the upper arm, just proximal to the elbow.
Device orientation Flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Standing behind the patient, on the same side as the arm being tested, supporting the DynaMo Lite in one hand and the patient's shoulder with the other.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder Extension
Prone (Long Lever) Compression

Patient position Prone on the bed with the arm being tested by their side, elbow extended and forearm in a neutral position.
Contact point Medial aspect of the patient's forearm, just proximal to the hand.
Device orientation The flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Standing adjacent to the bed on the side of the arm being tested, using both hands to support the DynaMo Lite and resisted superior force.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder Abduction
Seated (Long Lever) Compression

Patient position Seated at the edge of the bed with feet on the floor, their elbow straight and arm by their side and their forearm in a neutral position.
Contact point Distal aspect of the posterior forearm, just proximal to the wrist.
Device orientation The flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Standing at the side of the bed, with two hands applying pressure to the flat surface.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder Abduction
Seated (Short Lever) Compression

Patient position Seated at the edge of the bed with feet on the floor, their arm flexed to 90 degrees and at their side, with their forearm in a neutral position.
Contact point Distal aspect of the lateral upper arm, just proximal to the elbow.
Device orientation The flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Sitting at the side of the bed, with two hands applying pressure to the flat surface.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder Abduction
45 Degree Shoulder Abduction (Short Lever) Compression

Patient position Seated with feet on the floor, their elbow bent to 90 degrees and arm abducted to 45 degrees, with their forearm in a neutral position.
Contact point Distal aspect of the lateral upper arm, just proximal to the elbow.
Device orientation Horizontal, with the flat surface supported by the practitioner, and the curved pad in contact with the patient.
Position of examiner Adjacent to the patient, in a position to support and apply downward pressure to the DynaMo with both hands.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.

Shoulder Abduction
45 Degree Shoulder Abduction (Long Lever) Compression

Patient position Seated with feet on the floor, their arm abducted to 45 degrees, with their forearm in a neutral position.
Contact point Just proximal to the wrist.
Device orientation Horizontal, with the flat surface supported by the practitioner, and the curved pad in contact with the patient.
Position of examiner Adjacent to the patient, in a position to support and apply downward pressure to the DynaMo with both hands.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.

Shoulder Abduction
Standing (Long Lever) - Variant 1 Compression

Patient position Standing with the arm being tested at the patient's side with their elbow extended, and wrist in a neutral position.
Contact point Posterior aspect of the forearm, just proximal to the wrist.
Device orientation The flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Standing on the side of the patient's arm that is being tested, with both hands supporting the DynaMo Lite.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder Abduction
Standing (Long Lever) - Variant 2 Compression

Patient position Standing upright, with their arm being tested at their side and forearm in a neutral position, adjacent to a fixed surface.
Contact point Posterior aspect of the forearm, just proximal to the wrist.
Device orientation The pad in contact with the patient and the flat surface in contact with a fixed surface.
Position of examiner Standing next to the patient in a position to place the DynaMo Lite, instruct and demonstrate the movement.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder Abduction
Standing (Short Lever) Compression

Patient position Standing with the arm being tested in 90 degrees shoulder abduction and elbow flexion, and wrist in a neutral position.
Contact point Just superior to the lateral elbow.
Device orientation The flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Standing on the side of the patient's arm that is being tested, with both hands supporting the DynaMo Lite.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder Abduction
Side Lying (Long Lever) Compression

Patient position Side-lying on the arm that is not being tested, with both hips and knees bent to 45 degrees and the arm being tested fully extended by the patient's side.
Contact point Distal aspect of the posterior forearm, just proximal to the wrist.
Device orientation The flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Standing next to the bed, posterior to the patient, holding the DynaMo Lite with both hands.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder Abduction
Side Lying (Short Lever) Compression

Patient position Standing with the arm being tested at the patient's side with their elbow extended, and wrist in a neutral position.
Contact point Posterior aspect of the forearm, just proximal to the wrist.
Device orientation The flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Standing on the side of the patient's arm that is being tested, with both hands supporting the DynaMo Lite.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder Abduction
Seated - 90° Shoulder Abduction (Long Lever) Compression

Patient position Seated at the edge of the bed with feet on the floor, their arm straight and abducted to 90 degrees, with their forearm in a pronated position.
Contact point Posterior aspect of the forearm, just proximal to the wrist.
Device orientation The flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Sitting beside the patient, holding the DynaMo Lite with one hand, applying downward pressure and supporting the patient.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder Abduction
Seated - 90° Shoulder Abduction (Short Lever) Compression

Patient position Seated at the edge of the bed with feet on the floor, their elbow bent to 90 degrees and arm abducted to 90 degrees, with their forearm in a neutral position.
Contact point Distal aspect of the lateral upper arm, just proximal to the elbow.
Device orientation The flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Sitting beside the patient, holding the DynaMo Lite with one hand, applying downward pressure and supporting the patient.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder Adduction
Seated - 90° Shoulder Abduction (Long Lever) Compression

Patient position Seated at the edge of the bed with feet on the floor, their arm straight and arm abducted to 90 degrees and their forearm pronated.
Contact point Anterior wrist.
Device orientation The flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Sitting beside the patient, holding the DynaMo Lite with one hand, applying upward pressure and supporting the patient to ensure they remain steady with the other hand.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder Adduction
Seated - 90° Shoulder Abduction (Short Lever) Compression

Patient position Seated at the edge of the bed with their arm being tested in 90 degrees shoulder abduction and elbow flexion.
Contact point Medial elbow.
Device orientation Flat surface resting on the bed, the pad in contact with the patient.
Position of examiner Seated adjacent to the patient in place to position the DynaMo Lite and instruct the movement.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder Flexion
Seated (Long Lever) Compression

Patient position Seated at the edge of the bed with feet on the floor, their arm straight by their side, with their forearm in a neutral position.
Contact point Lateral / radial aspect of the forearm, just proximal to the wrist.
Device orientation Flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Sitting beside the patient, holding the DynaMo Lite with one hand and applying posterior pressure.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder Flexion
Seated (Short Lever) Compression

Patient position Seated at the edge of the bed with feet on the floor, their arm by their side, with 90 degrees of elbow flexion and their forearm in a neutral position.
Contact point Anterior aspect of the upper arm, just proximal to the elbow.
Device orientation Flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Sitting beside the patient, holding the DynaMo Lite with one hand, applying posterior pressure and supporting the patient to ensure they remain steady with the other hand.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder Flexion
Standing (Long Lever) Compression

Patient position Standing with the arm being tested at the patient's side, elbow extended and forearm in a neutral position.
Contact point Lateral aspect of the forearm, at the radial styloid process.
Device orientation Flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Seated adjacent to the patient, on the same side as the arm being tested, supporting the DynaMo Lite in one hand and the patient with the other.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder Flexion
Standing (Short Lever) Compression

Patient position Standing with the arm being tested at the patient's side with 90 degrees of elbow flexion.
Contact point Anterior aspect of the upper arm, just proximal to the elbow.
Device orientation Flat surface supported by the examiner and the pad in contact with the patient.
Position of examiner Seated adjacent to the patient, on the same side as the arm being tested, supporting the DynaMo Lite in one hand and the patient with the other.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder Flexion
Supine (Long Lever) Compression

Patient position Supine, with the arm being assessed by the patient's side in full extension and forearm in a neutral position.
Contact point Distal aspect of the lateral forearm, just proximal to the wrist.
Device orientation Flat surface supported by the examiner, and the pad in contact with the patient.
Position of examiner Standing next to the bed, holding the DynaMo Lite with both hands.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder Flexion
Supine (Short Lever) Compression

Patient position Supine, with the arm being assessed by the patient's side in 90 degrees of elbow flexion and forearm in a neutral position.
Contact point Distal aspect of the anterior upper arm, just proximal to the elbow.
Device orientation Flat surface supported by the examiner, and the pad in contact with the patient.
Position of examiner Standing next to the bed, holding the DynaMo Lite with both hands.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder ISO I
Supine Compression

Patient position Supine, with the arm being tested abducted to 180 degrees with the forearm supinated, and the contralateral arm relaxed at the patient's side.
Contact point Posterior wrist.
Device orientation Pad in contact with the patient's palm and flat surface faced down to the floor.
Position of examiner Kneeling adjacent to the patient in a position to instruct and demonstrate the movement.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder ISO I
Prone Compression

Patient position Prone, with the arm being tested abducted to 180 degrees with the forearm pronated, and the contralateral arm relaxed at the patient's side, with support under their forehead.
Contact point Anterior wrist.
Device orientation Pad in contact with the patient's palm and flat surface faced down to the floor.
Position of examiner Kneeling adjacent to the patient in a position to instruct and demonstrate the movement.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder ISO I
Standing Chest to Wall Compression

Patient position Standing facing the wall with the arm being tested abducted to 180 degrees with the forearm neutral and the contralateral arm relaxed at the patient's side.
Contact point Palm of the hand.
Device orientation Horizontal, with the curved pad in contact with the patient and the flat surface in contact with a fixed surface.
Position of examiner Standing adjacent to the patient in a position to instruct and demonstrate the movement.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.

Shoulder ISO I
Standing Back to Wall Compression

Patient position Standing with back to the wall with the arm being tested abducted to 180 degrees with the forearm neutral and the contralateral arm relaxed at the patient's side.
Contact point Posterior aspect of the hand.
Device orientation Horizontal, with the curved pad in contact with the patient and the flat surface in contact with a fixed surface.
Position of examiner Standing adjacent to the patient in a position to instruct and demonstrate the movement.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.

Shoulder ISO Y
Supine Compression

Patient position Supine, with the arm being tested abducted to 135 degrees with the forearm supinated, and the contralateral arm relaxed at the patient's side.
Contact point Posterior wrist.
Device orientation Pad in contact with the patient's palm and flat surface faced down to the floor.
Position of examiner Kneeling adjacent to the patient in a position to instruct and demonstrate the movement.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder ISO Y
Prone Compression

Patient position Prone, with the arm being tested abducted to 135 degrees with the forearm pronated, and the contralateral hand behind the patient's back, with support under their forehead.
Contact point Anterior wrist.
Device orientation Pad in contact with the patient's palm and flat surface faced down to the floor.
Position of examiner Kneeling adjacent to the patient in a position to instruct and demonstrate the movement.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder ISO Y
Standing Chest to Wall Compression

Patient position Standing facing the wall with the arm being tested abducted to 135 degrees with the forearm neutral and the contralateral arm relaxed at the patient's side.
Contact point Palm of the hand.
Device orientation Horizontal, with the curved pad in contact with the patient and the flat surface in contact with a fixed surface.
Position of examiner Standing adjacent to the patient in a position to instruct and demonstrate the movement.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.

Shoulder ISO Y
Standing Back to Wall Compression

Patient position Standing with back to the wall with the arm being tested abducted to 135 degrees with the forearm in neutral and the contralateral arm relaxed at the patient's side.
Contact point Posterior aspect of the hand.
Device orientation Horizontal, with the curved pad in contact with the patient and the flat surface in contact with a fixed surface.
Position of examiner Standing adjacent to the patient in a position to instruct and demonstrate the movement.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.

Shoulder ISO T
Supine Compression

Patient position Supine, with the arm being tested abducted to 90 degrees with the forearm supinated, and the contralateral arm relaxed at the patient's side.
Contact point Posterior wrist.
Device orientation Pad in contact with the patient's palm and flat surface faced down to the floor.
Position of examiner Kneeling adjacent to the patient in a position to instruct and demonstrate the movement.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder ISO T
Prone Compression

Patient position Prone, with the arm being tested abducted to 90 degrees with the forearm neutral, and the contralateral hand behind the patient's back, with support under their forehead.
Contact point Anterior wrist.
Device orientation Pad in contact with the patient's palm and flat surface faced down to the floor.
Position of examiner Kneeling adjacent to the patient in a position to instruct and demonstrate the movement.
Instruction Push against the pad as hard as you can. 3, 2, 1 – push, push, push and relax.

Shoulder ISO T
Standing Chest to Wall Compression

Patient position Standing facing the wall with the arm being tested abducted to 90 degrees with the forearm neutral and the contralateral arm relaxed at the patient's side.
Contact point Palm of the hand.
Device orientation Horizontal, with the curved pad in contact with the patient and the flat surface in contact with a fixed surface.
Position of examiner Standing adjacent to the patient in a position to instruct and demonstrate the movement.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.

Shoulder ISO T
Standing Back to Wall Compression

Patient position Standing with back to the wall with the arm being tested abducted to 90 degrees with the forearm neutral and the contralateral arm relaxed at the patient's side.
Contact point Posterior aspect of the hand.
Device orientation Horizontal, with the curved pad in contact with the patient and the flat surface in contact with a fixed surface.
Position of examiner Standing adjacent to the patient in a position to instruct and demonstrate the movement.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.

Shoulder Push
Standing

Patient position Custom setup.
Contact point Palm of the hand.
Device orientation Custom setup.
Position of examiner Adjacent to the patient, in a position to situate the DynaMo and instruct the action.
Instruction Push against the pad as hard as you can. 3, 2, 1 - push, push, push and relax.

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