Many studies have discussed the biomechanics of the shoulder joints. However, therapists rarely use this research in clinical practice. In general, evaluation is performed using visual and tactile skills. Visual assessment is suitable for observing static motion, but skill is necessary to evaluate rapid and complicated motion. Visual assessment skills are easily taught to others, but observations can be misinterpreted. Tactile assessment skills are difficult to teach, but improve with experience, and proficiency enables detailed evaluation. Use of these sensory skills in combination can aid the evaluation of patients with shoulder joint disease. This paper introduces an approach to assessment using tactile and visual skills for evaluation and treatment with upper limb exercise therapy.