What is the advised priority for passive range of motion (PROM) during shoulder assessment?

The advised priority for passive range of motion (PROM) during a shoulder assessment is external rotation, as it is crucial for evaluating the mobility and functional capacity of the shoulder joint. This movement allows assessment of key structures, including the rotator cuff and glenohumeral joint stability, and is often restricted in individuals with shoulder pathologies such as impingement or rotator cuff tears.

While flexion, extension, internal rotation, adduction, and abduction are also important movements in a comprehensive shoulder assessment, external rotation specifically provides valuable insight into the functional mechanics of the shoulder and its ability to enable activities of daily living. Therefore, prioritizing external rotation during the evaluation helps clinicians identify limitations and tailor rehabilitation interventions effectively.