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. 2017 Sep 27;21(6):391–399. doi: 10.1016/j.bjpt.2017.08.001

Table 2.

MSI syndromes for different body regions.

Body region Syndrome
Cervical Cervical extension
Cervical extension-rotation
Cervical flexion
Cervical flexion-rotation
Cervical rotation



Thoracic Thoracic rotation-flexion
Thoracic flexion
Thoracic rotation-extension
Thoracic rotation
Thoracic extension



Shoulder Scapular insufficient upward rotation
Scapular internal rotation
Scapular depression
Scapular abduction
Scapular adduction
Scapular winging and tilting
Humeral anterior glide
Humeral superior glide
Shoulder medial rotation glenohumeral hypomobility



Elbow Wrist extension with forearm pronation
Elbow hypomobility
Elbow flexion
Elbow valgus
Elbow extension
Wrist flexion with forearm pronation elbow impairment



Wrist and hand Insufficient finger and/or thumb flexion
Insufficient finger and/or thumb extension
Insufficient thumb palmar abduction and/or opposition
Thumb carpometacarpal accessory hypermobility
Finger or thumb flexion with or without finger rotation
Source or regional impairment of the hand



Lumbar spine Lumbar flexion
Lumbar extension
Lumbar rotation
Lumbar rotation with flexion
Lumbar rotation with extension



Hip Femoral anterior glide
Femoral anterior glide with medial rotation
Femoral anterior glide with lateral rotation
Femoral posterior glide
Femoral multidirectional accessory hypermobility
Femoral hypomobility with superior glide
Hip adduction
Hip adduction with medial rotation
Femoral lateral glide
Hip extension with knee extension
Hip extension with medial rotation
Hip lateral rotation



Knee Tibiofemoral rotation
Tibiofemoral hypomobility
Knee extension
Knee extension with patellar superior glide
Knee hyperextension
Patellar lateral glide knee impairment



Foot and ankle Pronation
Supination
Insufficient dorsiflexion
Hypomobility
Foot and ankle impairment
Proximal tibiofibular glide