The Shoulder

The preliminary examination is considered as being 'positive' if at least one of the following tests is limited, weak or painful.

Pain and /or limitation of the active movements of the neck; a thorough examination of the cervical area must be performed.
Scapular and/ or pectoral pain during active elevation of both scapulae forces to a complete functional examination of the shoulder girdle.
When pain and/or weakness are found during the resisted movements of the cervical spine and/or the shouldergirdle, a complete examination of the these regions should be performed immediately.
When there is pain and/ or limitation of the active elevation of both arms the basic functional examination of the shoulder follows.
When there is weakness of one or more muscles in the arm a full neurological examination of the upper quadrant must follow.
Pain and or limitation of passive flexion and extension of the elbow motivates to a functional examination of the elbow.