This is determined by specific capsular laxity testing with the patient at rest, and is compared to the uninvolved side. Apprehension sign e. Relocation sign 2. The muscle spindle and golgi tendon organs maintain normal muscular tone and tension. This may be more difficult to determine objectively, however, a kinesthetic evaluation may be an indicator of the neuromuscular coordination during active movement. B. Hypomobility .
Some patients are inherently more stable than others.
However, selective hypomobility of the capsule may occur, which will limit specific motions. Posterior capsular tightness is commonly found in impingement patients. Scar tissue from surgical procedures and the healing process may increase intermolecular cross-links, thus hindering motion. Therefore, thorough evaluation of the soft tissue and myofascial system is important. This position decreases the subacromial space and places the rotator cuff and joint capsule at extremes of tension.