Movement Pattern Evaluation Series: Horizontal and Vertical Pull

What is it? 

Horizontal Pull = defined as any movement an/or exercise that requires the upper extremity and the glenohumeral (shoulder) joint to be at or below 90°

Vertical Pull = defined as any movement an/or exercise that requires the upper extremity and the glenohumeral joint to be above 90°  

 
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The position of the scapula (shoulder blade) on the thorax (mid-back) provides a base of operation for the glenohumeral joint, the most distal and mobile link of the complex. The term “shoulder movement” describes the combined motions at both the glenohumeral and the scapulothoracic regions.

Neumann, Donald (2009-12-01), Kinesiology of the Musculoskeletal System, Foundations for Rehabilitation (Page 126).

Elsevier Health, Kindle Edition

Why is it important to assess? 

Assessments are not intended to serve as a barrier to entry for the client in performing these more complex multi-joint exercises, but as a reference check list for the professional to ensure the individual can execute the movement without compensatory movement patterns or increasing levels of dysfunction throughout the entire kinetic chain that may contribute to injury. 


How do you assess the musculoskeletal health of a Pull Pattern?

Download this Horizontal and Vertical Pull Worksheet to help you assess your clients.

Niki Driscoll