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Internal shoulder rotation involves the rotation of the shoulder joint inward towards the body, while external rotation involves the rotation of the shoulder joint outward away from the body. These movements are important for various shoulder functions such as reaching, lifting, and throwing. Internal rotation allows for activities like reaching behind the back, while external rotation is crucial for throwing motions and overhead movements. Imbalances in these rotations can lead to shoulder pain, limited range of motion, and decreased functional abilities. Strengthening and maintaining a balance between internal and external rotation is essential for optimal shoulder movement and function.

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