GIRD…NOT THE REFLUX KIND

If you have ever been in physical therapy for shoulder pain, you have probably heard the term “GIRD”. In the world of physical therapy, GIRD is Glenohumeral Internal Rotation (IR) Deficit and it is associated with a myriad of other shoulder pathologies like SICK scapula, instability, impingement and structural pathologies due to compensatory changes. GIRD is commonly associated with overhead athletes and individuals with poor posture. In its true sense, GIRD is more than just a deficit in IR range of motion; rather it is defined as the loss of IR with a total decrease in rotational range of motion compared to the contralateral shoulder. That means, both sides need to be assessed and compared