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PHYSIOPEDIA
Prom

Internal/external rotation PROM/AAROM (dowel)

Restore rotation—the first direction lost in frozen shoulder.

CompleteAlso called: dowel rotation, windshield wiper dowel

Why it is used in rehab

Rotation range is essential for reaching behind and turning the arm outward.

Starting position

Hold a dowel with both hands shoulder-width apart, palms up, elbows bent 90° and tucked to your sides.

Step-by-step

  1. Push the dowel sideways so one shoulder rotates outward while the other rotates inward.
  2. Pause at end range, then go the other way.

Movement mechanics: Elbows stay pinned so the motion is rotation, not swinging.

📖 Rehab Science instructions paraphrased from the book’s exercise description

Coaching notes

Common mistakes
  • Elbows drifting away from the body
Easier variation
  • Smaller arcs
Advanced variation
  • Towel roll under elbows; progress to AROM rotation
ℹ Additional explanation

Where it appears in Rehab Science

ProtocolPhaseGroupPrescriptionPDF
Shoulder Pain1Mobility ExercisesDo 3 sets of 10–15 reps · Passive range of motion (PROM)—move slowly and as far as you can with no more than mild pain · Pause at end range for 2–3 seconds · Add active assisted range of motion (AAROM) as pain decreases378
Frozen Shoulder (Adhesive Capsulitis)1Mobility ExercisesDo 3 sets of 10–15 reps · Passive range of motion (PROM)—move slowly and as far as you can with no more than mild pain · Pause at end range for 2–3 seconds · Add active assisted range of motion (AAROM) as pain decreases425
Source: Rehab Science · Ch 16 · PDF pp. 378–425show sources ▾

Page numbers are those of the uploaded PDF edition. "Find original" opens a PubMed search for the cited study.