National Physical Therapy Examination (NPTE) Practice Exam

A patient demonstrating diminished scapular upward rotation likely has weakness in which area?

1. Rotator cuff

2. Core stabilizers

3. Upper trapezius

4. Latissimus dorsi

The correct answer is: Upper trapezius

Diminished scapular upward rotation is typically associated with weakness in the upper trapezius muscle. The upper trapezius plays a crucial role in the upward rotation of the scapula, particularly in conjunction with the lower trapezius and serratus anterior muscles. When the upper trapezius is weak, it can lead to an inability to properly elevate and rotate the scapula, which is essential for arm elevation activities. In the context of shoulder mechanics, scapular upward rotation is vital for maintaining proper alignment and function of the glenohumeral joint during overhead motions. Weakness in the upper trapezius can lead to compensatory movement patterns and altered biomechanics, which may result in decreased overall shoulder function and increased risk of injury. Thus, recognizing weakness in the upper trapezius as a contributing factor to diminished scapular upward rotation aids clinicians in developing appropriate rehabilitative strategies targeting this specific muscle group to restore normal motion and function.