ROM Assessment Guide

Shoulder ROM

Learn how to assess shoulder movement using Active, Passive and Resisted ROM.

Movement Selector
Selected Movement

Flexion

Active ROM

Ask the client to raise the arm forward and overhead.

Passive ROM

Support the arm and gently move the shoulder into flexion.

Resisted ROM

Client attempts shoulder flexion while resistance is applied against the arm.

What to Observe

  • Pain
  • Range restriction
  • Compensation
  • Difference between sides
Assessment Flow

Assessment Flow

Observe→Active ROM→Passive ROM→Resisted ROM→Compare sides→Special Tests
Special Tests

Special Tests

Painful Arc Test

Use when shoulder abduction reproduces pain through the mid-range.

Empty Can / Jobe Test

Used as part of assessment of the supraspinatus.

Apley’s Scratch Test

Used to compare functional shoulder mobility.

Scarf / Cross-Body Adduction Test

Used as part of assessment of the AC joint region.

Quick Check

Quick Check

1. Which shoulder movement raises the arm out to the side?

2. Which test is commonly used as part of supraspinatus assessment?

For educational revision only. ROM and orthopaedic test findings should be interpreted together with the client’s history, symptoms and other assessment findings.