DynaMo Lite Test: Shoulder ROM Protocol

Shoulder Internal Rotation
Seated - Elbow 90° Range of Motion

Patient position	Seated at the edge of the bed with their arm being assessed at their side, elbow bent to 90 degrees and forearm in a neutral position.
Contact point	Fixated superior to the wrist.
Device orientation	Vertical, consistent with the position of the patient's hand.
Position of examiner	Seated adjacent to the patient, on the same side as the arm being tested, in a position to instruct and demonstrate the movement.
Instruction	Rotate your arm inwards as far as you can, keeping the DynaMo Lite as still as possible.

Shoulder Internal Rotation
Seated - Elbow 90°, 90° Shoulder Abduction Range of Motion

Patient position	Seated at the edge of the bed with their shoulder and elbow at 90 degrees.
Contact point	Fixed superior to the wrist.
Device orientation	Horizontal, consistent with the position of the patient's hand.
Position of examiner	Seated adjacent to the patient, on the same side as the arm being tested, in a position to instruct and demonstrate the movement.
Instruction	Rotate your arm inwards as far as you can, keeping the DynaMo Lite as still as possible.

Shoulder Internal Rotation
Standing 90 Degree Elbow Flexion

Patient position	Standing with elbow flexed to 90 degrees.
Contact point	Held in patient's hand.
Device orientation	Vertical, consistent with the position of the patient's hand.
Position of examiner	Adjacent to the patient, in a position to situate the DynaMo and instruct the action.
Instruction	Rotate your arm inwards as far as you can, keeping the DynaMo as still as possible.

Shoulder Internal Rotation
Standing 90 Degree Shoulder Abduction, 90 Degree Elbow Flexion

Patient position	Standing with shoulder being tested abducted to 90 degrees and elbow flexed to 90 degrees.
Contact point	Held in patient's hand.
Device orientation	Horizontal, consistent with the position of the patient's hand.
Position of examiner	Adjacent to the patient, in a position to situate the DynaMo and instruct the action.
Instruction	Rotate your arm inwards as far as you can, keeping the DynaMo as still as possible.

Shoulder Internal Rotation
Supine 90 Degree Elbow Flexion

Patient position	Supine with elbow flexed to 90 degrees.
Contact point	Held in patient's hand.
Device orientation	Vertical, consistent with the position of the patient's hand.
Position of examiner	Adjacent to the patient, in a position to situate the DynaMo and instruct the action.
Instruction	Rotate your arm inwards as far as you can, keeping the DynaMo as still as possible.

Shoulder Internal Rotation
Supine 90 Degree Shoulder Abduction, 90 Degree Elbow Flexion

Patient position	Supine with shoulder being tested abducted to 90 degrees and elbow flexed to 90 degrees.
Contact point	Held in patient's hand.
Device orientation	Horizontal, consistent with the position of the patient's hand.
Position of examiner	Adjacent to the patient, in a position to situate the DynaMo and instruct the action.
Instruction	Rotate your arm inwards as far as you can, keeping the DynaMo as still as possible.

Shoulder Internal Rotation
Prone 90 Degree Shoulder Abduction, 90 Degree Elbow Flexion

Patient position	Prone with shoulder being tested abducted to 90 degrees and elbow flexed to 90 degrees.
Contact point	Held in patient's hand.
Device orientation	Horizontal, consistent with the position of the patient's hand.
Position of examiner	Adjacent to the patient, in a position to situate the DynaMo and instruct the action.
Instruction	Rotate your arm inwards as far as you can, keeping the DynaMo as still as possible.

Shoulder Internal Rotation
Side Lying

Patient position	Side lying on non-testing side with elbow flexed to 90 degrees.
Contact point	Held in patient's hand.
Device orientation	Vertical, consistent with the position of the patient's hand.
Position of examiner	Adjacent to the patient, in a position to situate the DynaMo and instruct the action.
Instruction	Rotate your arm inwards as far as you can, keeping the DynaMo as still as possible.

Shoulder External Rotation
Seated - Elbow 90° Range of Motion

Patient position	Sitting at the edge of the bed with their arm being assessed by their side, elbow bent to 90 degrees and forearm in a neutral position.
Contact point	Fixed superior to the wrist.
Device orientation	Vertical, consistent with the position of the patient's hand.
Position of examiner	Seated adjacent to the patient, on the same side as the arm being tested, in a position to instruct and demonstrate the movement.
Instruction	Rotate your arm outwards as far as you can, keeping the DynaMo Lite as still as possible.

Shoulder External Rotation
Seated - Elbow 90°, 90° Shoulder Abduction Range of Motion

Patient position	Sitting at the edge of the bed with their arm being assessed in 90 degrees shoulder abduction, elbow bent to 90 degrees and forearm in a neutral position.
Contact point	Fixed superior to the wrist.
Device orientation	Horizontal, consistent with the position of the patient's hand.
Position of examiner	Seated adjacent to the patient, on the same side as the arm being tested, in a position to instruct and demonstrate the movement.
Instruction	Rotate your arm outwards as far as you can, keeping the DynaMo Lite as still as possible.

Shoulder External Rotation
Standing 90 Degree Elbow Flexion

Patient position	Standing with elbow flexed to 90 degrees.
Contact point	Held in patient's hand.
Device orientation	Vertical, consistent with the position of the patient's hand.
Position of examiner	Adjacent to the patient, in a position to situate the DynaMo and instruct the action.
Instruction	Rotate your arm outwards as far as you can, keeping the DynaMo as still as possible.

Shoulder External Rotation
Standing 90 Degree Shoulder Abduction, 90 Degree Elbow Flexion

Patient position	Standing with shoulder being tested abducted to 90 degrees and elbow flexed to 90 degrees.
Contact point	Held in patient's hand.
Device orientation	Horizontal, consistent with the position of the patient's hand.
Position of examiner	Adjacent to the patient, in a position to situate the DynaMo and instruct the action.
Instruction	Rotate your arm outwards as far as you can, keeping the DynaMo as still as possible.

Shoulder External Rotation
Supine 90 Degree Elbow Flexion

Patient position	Supine with elbow flexed to 90 degrees.
Contact point	Held in patient's hand.
Device orientation	Vertical, consistent with the position of the patient's hand.
Position of examiner	Adjacent to the patient, in a position to situate the DynaMo and instruct the action.
Instruction	Rotate your arm outwards as far as you can, keeping the DynaMo as still as possible.

Shoulder External Rotation
Supine 90 Degree Shoulder Abduction, 90 Degree Elbow Flexion

Patient position	Supine with shoulder being tested abducted to 90 degrees and elbow flexed to 90 degrees.
Contact point	Held in patient's hand.
Device orientation	Horizontal, consistent with the position of the patient's hand.
Position of examiner	Adjacent to the patient, in a position to situate the DynaMo and instruct the action.
Instruction	Rotate your arm outwards as far as you can, keeping the DynaMo as still as possible.

Shoulder External Rotation
Prone 90 Degree Shoulder Abduction, 90 Degree Elbow Flexion

Patient position	Prone with shoulder being tested abducted to 90 degrees and elbow flexed to 90 degrees.
Contact point	Held in patient's hand.
Device orientation	Horizontal, consistent with the position of the patient's hand.
Position of examiner	Adjacent to the patient, in a position to situate the DynaMo and instruct the action.
Instruction	Rotate your arm outwards as far as you can, keeping the DynaMo as still as possible.

Shoulder External Rotation
Side Lying

Patient position	Side lying with elbow flexed to 90 degrees.
Contact point	Held in patient's hand.
Device orientation	Vertical, consistent with the position of the patient's hand.
Position of examiner	Adjacent to the patient, in a position to situate the DynaMo and instruct the action.
Instruction	Rotate your arm outwards as far as you can, keeping the DynaMo as still as possible.

Shoulder Flexion
Seated Range of Motion

Patient position	Sitting at the edge of the bed with their arm being assessed by their side, elbow extended and forearm in a neutral position.
Contact point	Fixed superior to the wrist.
Device orientation	Vertical, consistent with the position of the patient's hand.
Position of examiner	Seated adjacent to the patient, on the same side as the arm being tested, in a position to instruct and demonstrate the movement.
Instruction	Flex your shoulder as far as you can, keeping the DynaMo Lite as still as possible.

Shoulder Flexion
Standing Range of Motion

Patient position	Standing with the arm being tested resting at patient's side with elbow extended and forearm in neutral.
Contact point	Fixed superior to the wrist.
Device orientation	Vertical, consistent with the position of the patient's hand.
Position of examiner	Standing adjacent to the patient in position to instruct and demonstrate the movement.
Instruction	Flex your shoulder as far as you can, keeping the DynaMo Lite as still as possible.

Shoulder Flexion
Supine

Patient position	Supine with the arm being tested at the patient's side, elbow extended and forearm pronated.
Contact point	Held in patient's hand.
Device orientation	Vertical, consistent with the position of the patient's hand.
Position of examiner	Seated adjacent to the patient, on the same side as the arm being tested, in a position to instruct and demonstrate the movement.
Instruction	Flex your shoulder as far as you can, keeping the DynaMo as still as possible.

Shoulder Extension
Seated Range of Motion

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 neutral, allowing the hand to hang down without contacting the bed.
Contact point	Fixed superior to the wrist.
Device orientation	Vertical, consistent with the position of the patient's hand.
Position of examiner	Seated adjacent to or in front of the patient, in a position to instruct and demonstrate the movement.
Instruction	Extend your shoulder as far as you can, keeping the DynaMo Lite as still as possible.

Shoulder Extension
Standing Range of Motion

Patient position	Standing with the arm being tested resting at patient's side with elbow extended and forearm in neutral.
Contact point	Fixed superior to the wrist.
Device orientation	Vertical, consistent with the position of the patient's hand.
Position of examiner	Standing adjacent to the patient in position to instruct and demonstrate the movement.
Instruction	Extend your shoulder as far as you can, keeping the DynaMo Lite as still as possible.

Shoulder Extension
Prone

Patient position	Prone with the arm being tested at the patient's side, elbow extended and forearm pronated.
Contact point	Held in patient's hand.
Device orientation	Horizontal, consistent with the position of the patient's hand.
Position of examiner	Seated adjacent to the patient, on the same side as the arm being tested, in a position to instruct and demonstrate the movement.
Instruction	Extend your shoulder as far as you can, keeping the DynaMo as still as possible.

Shoulder Abduction
Seated Range of Motion

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 supinated, allowing the hand to hang down without contacting the bed.
Contact point	Fixed superior to the wrist.
Device orientation	Vertical, consistent with the position of the patient's hand.
Position of examiner	Seated adjacent to or in front of the patient, in a position to instruct and demonstrate the movement.
Instruction	Abduct your shoulder as far as you can, keeping the DynaMo Lite as still as possible, taking care not to change your wrist position.

Shoulder Abduction
Standing Range of Motion

Patient position	Standing with the arm being tested resting at patient's side with elbow extended and forearm supinated.
Contact point	Fixed superior to the wrist.
Device orientation	Vertical, consistent with the position of the patient's hand.
Position of examiner	Standing adjacent to the patient in position to instruct and demonstrate the movement.
Instruction	Abduct your shoulder as far as you can, keeping the DynaMo Lite as still as possible, taking care not to change your wrist position.

Shoulder Abduction
Supine

Patient position	Supine with shoulder being tested in a neutral position.
Contact point	Held in patient's hand.
Device orientation	Vertical, consistent with the position of the patient's hand.
Position of examiner	Adjacent to the patient, in a position to situate the DynaMo and instruct the action.
Instruction	Move your shoulder away from your body as far as you can, keeping the DynaMo as still as possible.

Shoulder Abduction
Side Lying

Patient position	Side lying with the arm being tested resting at the patient's side with elbow extended and forearm supinated.
Contact point	Held in patient's hand.
Device orientation	Horizontal, consistent with the position of the patient's hand.
Position of examiner	Adjacent to the patient, in a position to situate the DynaMo and instruct the action.
Instruction	Move your shoulder away from your body as far as you can, keeping the DynaMo as still as possible.

Shoulder Horizontal Abduction
Seated Range of Motion

Patient position	Sitting at the edge of the bed with their arm being assessed in 90 degrees shoulder flexion, elbow extended and forearm in a pronated position.
Contact point	Fixed superior to the wrist.
Device orientation	Vertical, consistent with the position of the patient's hand.
Position of examiner	Seated adjacent to the patient, on the same side as the arm being tested, in a position to instruct and demonstrate the movement.
Instruction	Horizontally abduct your shoulder as far as you can, keeping the DynaMo Lite as still as possible.

Shoulder Horizontal Abduction
Standing Range of Motion

Patient position	Standing with the arm being tested in 90 degrees shoulder flexion, elbow extension and forearm pronated.
Contact point	Fixated on the lateral aspect of the upper arm, just superior to the elbow.
Device orientation	Vertical, consistent with the position of the patient's hand.
Position of examiner	Standing adjacent to the patient in position to instruct and demonstrate the movement.
Instruction	Move your shoulder away from your body as far as you can, keeping the DynaMo Lite as still as possible.

Shoulder Horizontal Adduction
Seated Range of Motion

Patient position	Sitting at the edge of the bed with their arm being assessed in 90 degrees shoulder flexion, elbow extended and forearm in a pronated position.
Contact point	Fixed superior to the wrist.
Device orientation	Vertical, consistent with the position of the patient's hand.
Position of examiner	Seated adjacent to the patient, on the same side as the arm being tested, in a position to instruct and demonstrate the movement.
Instruction	Move your shoulder towards your body as far as you can, keeping the DynaMo Lite as still as possible.

Shoulder Horizontal Adduction
Standing Range of Motion

Patient position	Standing with the arm being tested in 90 degrees shoulder flexion, elbow extension and forearm pronated.
Contact point	Fixated on the lateral aspect of the upper arm, just superior to the elbow.
Device orientation	Vertical, consistent with the position of the patient's hand.
Position of examiner	Standing adjacent to the patient in position to instruct and demonstrate the movement.
Instruction	Move your shoulder towards your body as far as you can, keeping the DynaMo Lite as still as possible.

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Shoulder Internal Rotation

Shoulder External Rotation

Shoulder Flexion

Shoulder Extension

Shoulder Abduction

Shoulder Horizontal Abduction

Shoulder Horizontal Adduction

Shoulder Internal Rotation
Seated - Elbow 90° Range of Motion

Shoulder Internal Rotation
Seated - Elbow 90°, 90° Shoulder Abduction Range of Motion

Shoulder Internal Rotation
Standing 90 Degree Elbow Flexion

Shoulder Internal Rotation
Standing 90 Degree Shoulder Abduction, 90 Degree Elbow Flexion

Shoulder Internal Rotation
Supine 90 Degree Elbow Flexion

Shoulder Internal Rotation
Supine 90 Degree Shoulder Abduction, 90 Degree Elbow Flexion

Shoulder Internal Rotation
Prone 90 Degree Shoulder Abduction, 90 Degree Elbow Flexion