Scapulohumeral movement evaluation, performed using visual observation, yielded poor to fair reliability and diagnostic accuracy. Physical therapists who utilize movement evaluation to aid in diagnosis of shoulder impairment are cautioned against relying too heavily on such procedures. In the absence of clinical history, the most accurate finding was normal symmetrical movement in patients not being treated for shoulder impairment. Clinically, visual scapular evaluation may have limited utility to diagnosis shoulder impairment but may provide useful in guiding interventions for patients with shoulder impairment that exhibit obvious scapular contribution to shoulder impairment.17,18