Standing or sitting or lying prone
For women, a gown over the non-examined side with the examined area
exposed or a halter top is recommended. At least roll up sleeves on a
short sleeved shirt. For men, removal of the shirt is requested.
Posterior to the patient.
May I touch your arm? (or point to the demonstrated area).
Bring your arm back toward me (or demonstrate).
With the patientÃs shoulder relaxed, place your fingers on the posterior proximal shoulder area. Ask the patient to extend his/her shoulder. With unclear muscle activity in the posterior deltoid, ask the patient to hold against a gradually increasing attempt to produce a push on the arm in the direction of shoulder flexion to resist shoulder extensor effort.
VH - posterior deltoid.