Hi limbin,

Agreed.

I also saw a patient last night who presented ith clunking shoulders but when i looked at him, his upper traps development was low comapred to his chest and shoulder muscles - he was seriously strong - able to do dumbell shoulder presses of 45kg in each hand, used to be 50kg!

When i taught him simple upper traps activation patterns using a 5kg weight, his clunking disappeared.

i surmised that upper traps attaches to the distal 1/3 of the clavicle and so by making it work a little better, it balanced out some of the forces anteriorly displacing the clavicle - it was more of an AC joint clunk.

Whaddya reckon?