“…9 Not surprisingly, shoulder internal and external rotation motions, which are dependent on scapular positioning, are associated with shoulder injury in athletes, including tennis players. 9,10 For instance, glenohumeral internal rotation deficit, which is defined as the imbalance of shoulder arc of rotation, creating excessive external rotation and a lack of internal rotation range of motion (ROM), is associated with scapular dyskinesia and subsequent injury to the shoulder of overhead athletes. 3,[10][11][12] As noted in prior studies, shoulder internal rotation is directly associated with racquet speed and ball velocity after impact, and shoulder external rotation is associated with shoulder internal rotation function.…”