Which shoulder position should be assessed first during examination?

Assessing the scapula position first during shoulder examination is crucial as it serves as the foundation for overall shoulder mechanics. The scapula is integral in stabilizing the shoulder joint and plays a significant role in arm movement and function. Evaluating the scapular position allows clinicians to identify any abnormalities or dysfunctions that may impact the humerus alignment and overall shoulder movement.

When the scapula is positioned correctly, it ensures that the surrounding muscles can function effectively, which is vital for rehabilitation following a stroke. Misalignment or poor positioning of the scapula can lead to compensatory patterns that may affect the entire kinematic chain, impacting the humerus and potentially leading to secondary complications such as shoulder pain or impingement.

In contrast, focusing solely on the alignment of the humerus, elbow, or wrist without first assessing the scapula would neglect the primary stabilizer of the shoulder complex. Understanding the position of the scapula can guide further examination and interventions for improving the patient's shoulder function and range of motion.