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Exercise Instructions said:

Active assisted shoulder internal and external rotation in neutral (using your own arm) is a gentle mobility exercise that targets the rotator cuff muscles—primarily the subscapularis (for internal rotation) and infraspinatus and teres minor (for external rotation). This exercise is typically performed with the elbow resting by the side of the body, keeping the shoulder in a neutral position. It’s often prescribed during early stages of shoulder rehabilitation to improve rotational range without placing excessive stress on the joint, especially following rotator cuff injuries, shoulder surgeries, or adhesive capsulitis.

  • Sit or stand upright with your elbows bent to 90 degrees and close to your sides.
  • Hold the wrist or forearm of your affected arm with your stronger hand.
  • To perform external rotation, gently guide your affected arm outward (away from your body), keeping the elbow tucked into your side.
  • Return to the starting position with control.
  • To perform internal rotation, gently guide your affected arm inward (across your body), again keeping the elbow close to your side.
  • Avoid allowing the elbow to drift away from your body—keep a small rolled towel between your elbow and your torso if needed.
  • Move only through a comfortable range, or as directed by your physiotherapist.
  • Perform the motion slowly, with control in both directions.
  • Complete repetitions as prescribed by your physiotherapist.