The patient is supine with the legs in hooklying. The patient is asked to raise both arms overhead as far as comfortable. If the arms cannot reach the table while maintaining a flat low back against the table or if an asymmetry exists between the two arms, then there is decreased flexibility of the latissimus dorsi, teres major, or rhomboids may be present. The therapist should be sure to rule out glenohumeral involvement.
Latissimus dorsi bias - While the patient is in hooklying with the arms overhead, the therapist passively flexes the hips by bringing both bent knees towards the patients chest. If the arms come forward towards the ceiling then the latissimus dorsi is restricted.
