Stand or sit. Position bent arms up to sides; elbows bent shoulder height with wrists above elbows. Administrator stands behind subject and grasps subject's arms near both elbows.
Administrator gently pulls elbows back until tightness is felt or subject expresses slight discomfort.
Elbows should be able to freely travel behind shoulders symmetrically. The distance elbows travel behind shoulders or range of motion is noted.
Administrator must keep elbows at shoulder height for consistent assessment protocol. Note any pain or discomfort during movement. See Shoulder Transverse Adductor Inflexibility and Protracted Shoulder Girdle.